Pregnancy

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Title Article Date Tags Notes
Number of new heroin 09/16/2018 Pregnancy, heroin, McCance-Katz

There was more alarming news. Use of illegal drugs, including cocaine, marijuana, and opioids by pregnant women increased significantly between 2015 and 2017. About 7 percent of pregnant women reported using marijuana. Three percent said they used it daily. 

McCance-Katz says marijuana use is linked to fetal growth problems, preterm births, stillbirths, hyperactivity and impaired cognition in newborns. 
Pregnancy and Breastfeeding 09/08/2018 Pregnancy, Breastfeeding

The importance of the published findings and the emerging research regarding the potential negative effects of marijuana on brain development are a cause for concern despite the limited research and are the basis for the following recommendations:

  1. Women who are considering becoming pregnant or who are of reproductive age need to be informed about the lack of definitive research and counseled about the current concerns regarding potential adverse effects of THC use on the woman and on fetal, infant, and child development. Marijuana can be included as part of a discussion about the use of tobacco, alcohol, and other drugs and medications during pregnancy.
  2. As part of routine anticipatory guidance and in addition to contraception counseling, it is important to advise all adolescents and young women that if they become pregnant, marijuana should not be used during pregnancy.
  3. Pregnant women who are using marijuana or other cannabinoid-containing products to treat a medical condition or to treat nausea and vomiting during pregnancy should be counseled about the lack of safety data and the possible adverse effects of THC in these products on the developing fetus and referred to their health care provider for alternative treatments that have better pregnancy-specific safety data.
  4. Women of reproductive age who are pregnant or planning to become pregnant and are identified through universal screening as using marijuana should be counseled and, as clinically indicated, receive brief intervention and be referred to treatment.
  5. Although marijuana is legal in some states, pregnant women who use marijuana can be subject to child welfare investigations if they have a positive marijuana screen result. Health care providers should emphasize that the purpose of screening is to allow treatment of the woman’s substance use, not to punish or prosecute her.
  6. Present data are insufficient to assess the effects of exposure of infants to maternal marijuana use during breastfeeding. As a result, maternal marijuana use while breastfeeding is discouraged. Because the potential risks of infant exposure to marijuana metabolites are unknown, women should be informed of the potential risk of exposure during lactation and encouraged to abstain from using any marijuana products while breastfeeding.
  7. Pregnant or breastfeeding women should be cautioned about infant exposure to smoke from marijuana in the environment, given emerging data on the effects of passive marijuana smoke.
  8. Women who have become abstinent from previous marijuana use should be encouraged to remain abstinent while pregnant and breastfeeding.
  9. Further research regarding the use of and effects of marijuana during pregnancy and breastfeeding is needed.
  10. Pediatricians are urged to work with their state and/or local health departments if legalization of marijuana is being considered or has occurred in their state to help with constructive, nonpunitive policy and education for families.
Is CBD Oil Harmful or Healing? What No One is Telling You 09/04/2018 hash oil, cbd oil, Pregnancy

CBD oil may potentially interact in a negative way with anti-epilepsy drugs. As of now, only in vitro (test tube) observations exist with no living organism testing proving safety. Drugs that may interact include: 

  • carbamazepine (Tegretol)
  • phenytoin (Dilantin)
  • phenobarbital (Luminal, Solfoton, Tedral)
  • primidone (anti-seizure)
Opioid Use During Pregnancy 07/16/2018 opioid, Pregnancy, DFAF
Majority of Dispensary Workers Told Undercover Callers Pregnant Women Could Use Pot 05/09/2018 Pregnancy, Colorado

Researchers had two women conduct "mystery caller" phone conversations with employees at 400 dispensaries across the state, telling them that they were eight weeks pregnant and suffering from morning sickness. During the majority of those calls, the employees recommended the women use cannabis products.
Study shows prenatal cannabis use associated with low birth weights 04/23/2018 Pregnancy, study

They also discovered that prenatal marijuana use was associated with a 50 percent increased chance of low birth weight regardless of tobacco use during pregnancy. “Growing evidence suggests prenatal cannabis exposure has a detrimental impact on offspring brain function starting in the toddler years, specifically issues related to attention deficit disorder,” Crume said. “But much of the research on the effects of prenatal cannabis on neonatal outcomes was based on marijuana exposures in the 1980s and 1990s which may not reflect the potency of today’s cannabis or the many ways it is used.”

 
Review of the public health risks of widespread cannabis use 04/08/2018 Pregnancy, car crashes, mental health, pediatrics, Long-term, Doctors, Research, second hand smoke, smoking

1. Legalizing cannabis has been shown to increase the rates of motor vehicle accidents.
2. Cannabis use is a risk factor for mental illness.
3. Inhaled Cannabis use is a risk factor for respiratory infections.
4. Cannabis use increases the rate of vascular disease. Cannabis is the third most often identified drug of abuse
5. Cannabis use during pregnancy has been associated with increased risk of adverse birth outcomes
6. Legalization of cannabis has been shown to increase cannabis exposure in the pediatric population.
7. Heavy cannabis use is associated with diminished lifetime achievements.
Doctors must educate the public about the potential harm cannabis causes with heavy, and possibly moderate, widespread use just as they do about the dangers of tobacco use. Tobacco use has declined in the United States in large part because of the knowledge the public now holds about its adverse effects, as opposed to legislative action.
Study shows link between maternal marijuana use and low birth weight 05/01/2017 Pregnancy

In a new study, researchers in London, Ontario found that women who used marijuana while pregnant were almost three times more likely to have an infant with low birth weight than women who did not use marijuana.
Marijuana and Pregnancy 02/01/2017 Pregnancy, 2017 Legislation

Marijuana use during pregnancy can be harmful to your baby’s health. The chemicals in marijuana (in particular,tetrahydrocannabinol or THC) pass through your systemto your baby and can negatively affect your baby’s development.
Learn more about the risks marijuana use poses to your health. 01/29/2017 Brain, heart, lungs, mental health, poisoning, Pregnancy, driving, CDC, stroke, Side-Effects

Here are just a few of the health effects you may want to know:

  • Marijuana use directly affects the brain—specifically the parts of the brain responsible for memory, learning, and attention.
  • The compounds in marijuana can affect the circulatory system and may increase the risk of heart attacks and strokes.
  • Smoking marijuana can lead to a greater risk of bronchitis, cough, and phlegm production.
  • Marijuana users are significantly more likely than nonusers to develop chronic mental disorders, including schizophrenia. Schizophrenia is a type of mental illness where people might see or hear things that aren't really there (hallucinations).
  • Eating foods or drinking beverages that contain marijuana have some different risks than smoking marijuana, including a greater risk of poisoning.
  • About 1 in 10 marijuana users will become addicted. For people who begin using before the age of 18, that number rises to 1 in 6.
  • Some research shows that using marijuana while you are pregnant[288 KB] can cause health problems in newborns—including low birth weight and developmental problems.
  • Marijuana use can slow your reaction time and ability to make decisions when driving[271 KB].

 
Marijuana and Opioid Conncection 10/16/2016 Colorado, Pregnancy, opioid, video

Connection between legalization of marijuana and increase opioid addiction.
The effects of marijuana on the brain of an unborn child. Predisposing children for addiction. Here are the studies cited. 
Alcohol and Pregnancy 09/13/2016 alcohol, Pregnancy

Alcohol use during pregnancy can cause fetal alcohol spectrum disorders (FASDs), which are physical, behavioral, and intellectual disabilities that last a lifetime. FASD is 100% preventable.
Cannabis use during pregnancy may affect brain development in offspring: Thicker prefrontal cortex 06/20/2016 Pregnancy, Brain, science daily

Summary: Cannabis use during pregnancy is associated with abnormal brain structure in children, according to a new study. Compared with unexposed children, those who were prenatally exposed to cannabis had a thicker prefrontal cortex, a region of the brain involved in complex cognition, decision-making, and working memory.
Study shows marijuana users twice as likely to give birth prematurely 05/08/2016 Pregnancy, Studies

For the researchers of the study, the results present a “a major public health concern” as a number of pregnant women would report taking marijuana to alleviate morning sickness or nausea – without knowing of the adverse side-effects.

http://www.sciencedirect.com/science/article/pii/S0890623816300715#    

Highlights

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Marijuana increases the risk of spontaneous preterm birth independent of cigarette smoking status and socio-economic status.

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Women who continue to use marijuana at 20 weeks’ gestation are five times more likely to deliver preterm than those who do not.

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The rate of early SPTB is higher amongst women who continue to use marijuana at 20 weeks’ gestation.
Cannabis During Pregnancy Impairs Baby's Brain Development 11/08/2015 Pregnancy

Children whose mothers use marijuana during pregnancy have a higher risk of stunted growth and of developing ADHD, anxiety, and depression later in life.
When THC enters the body, it interferes with endocannabinoid’s actions, competing with it for binding sites on target cells and generally getting its way.
Marijuana exposure in utero has lifelong consequences 10/19/2015 Utero, Pregnancy

 But at a bare minimum, these findings suggest we should be avoiding recreational cannabis use during pregnancy. 
Mother's and marijuana use 10/01/2015 NIDA, Pregnancy, vidoe, Dr. Genna, Dr. Natacha, interview

My main finding is that it's primarily women who were younger when they become mothers who do continue to use marijuana overtime. Also women who are depressed over longer periods of time, women who smoke, women who use more than the recommended amount of alcohol are more likely to continue to use marijuana while pregnant as well as when they're raising their children. So the take-home messages is to ask women about marijuana use. We know that marijuana use is considered more and more acceptable by women and that they may continue to use while they are pregnant and while they are having children.
Public Policy Statement on Marijuana, Cannabinoids and Legalization 09/21/2015 Research, legalization, asam, Long-term, Pregnancy, adolescent, youth, cigarettes

Given these statistics.... is legalization worth the consequences....
Cannabis has been found to be the most frequently used drug in the U.S. after alcohol, tobacco and caffeine. 
The risk of developing addiction associated with cannabis use has been reported to increase to about 17% among those who start using marijuana in adolescence, and to 25-50% among those who smoke marijuana daily.
The long-term effects of marijuana use include altered brain development and cognitive impairment, including impaired neural connectivity in specific brain regions, decreased activity in prefrontal regions, and reduced volumes in the hippocampus.
Cannabis is most commonly consumed through smoking, a route of drug delivery that predictably has a variety of negative effects on pulmonary function. Smoke from marijuana combustion has been shown to contain a number of carcinogens and cocarcinogens, as well as many of the toxins, irritants, and carcinogens as tobacco smoke.  Additionally, marijuana smokers tend to inhale more deeply and hold their breath longer than cigarette smokers, which leads to a greater exposure per breath to “tar” (the carcinogenic solids in smoke). Regular smoking of marijuana, in the absence of tobacco, produces visible and microscopic injury to the large airways
http://www.asam.org/docs/default-source/publicy-policy-statements/mariju...
ASAM Public Policy Statement on Marijuana, Cannabinoids and Legalization 09/21/2015 Pregnancy, addiction, cigarettes, edibles, Research, Studies
  • Prenatal exposure to marijuana has been shown to be predictive of psychotic symptoms in young adulthood.
  • Monitoring the Future survey reported a five-year decline in the perceived harm of regularly smoking marijuana, from 52.4% of high school seniors to 36.1%
  • Marijuana is the most widely used illegal drug in the United States and it is estimated that it is used by 61% of all persons suffering from a substance use disorder related to drugs other than alcohol.
  • The risk of developing addiction associated with cannabis use has been reported to increase to about 17% among those who start using marijuana in adolescence, and to 25-50% among those who smoke marijuana daily.
  • Smoke from marijuana combustion has been shown to contain a number of carcinogens and cocarcinogens, as well as many of the toxins, irritants, and carcinogens as tobacco smoke. 
  • Marijuana-infused edibles account for 45% of the legal marijuana marketplace.
  • AMA Marijuana has a high potential for abuse. It has no scientifically proven, currently accepted medical use for preventing or treating any disease process in the United States.

 

Number Using Opioids and Marijuana on the Rise

Chart: Colorado among states with growing heroin, prescription drug abuse problem 

Consistent with the past, in 2014 still only 47 percent of operators involved in traffic deaths were tested for drug impairment.

 
Marijuana- Newborns and Pregnancy 07/17/2015 Infographics, Pregnancy
ACOG: Doctors Should Urge Against Prenatal Marijuana Use 06/25/2015 Pregnancy, Doctors, Research

Studies show that children exposed to marijuana in utero have lower scores on tests of visual problem-solving, visual and motor coordination, and visual analysis, compared with children not exposed to the drug, the report states. Prenatal marijuana exposure also has been associated with decreased attention span and behavioral problems. The nervous system of a human fetus can respond to the chemicals in marijuana within 14 weeks of gestation, and studies have shown that 14-year-olds are more likely to be marijuana users if their mothers used the drug during pregnancy.
Fox News doctor: ‘Crack babies’ come from women ‘smoking this whole marijuana business’ 03/01/2015 Pregnancy, baby, youth, addiction, news video clip, news article
Colorado’s ‘Pot Pregnancies’ Birthing New Generation of Crack Babies 02/24/2015 Colorado-0, Pregnancy, baby
Marijuana report says pot dangerous for pregnant woman and baby 02/10/2015 Pregnancy

"We found moderate evidence that maternal use of marijuana during pregnancy is associated with negative effects on exposed offspring, including decreased academic ability, cognitive function and attention. Importantly, these effects may not appear until adolescence.
Medical Marijuana: The State of the Science 02/03/2015 Potency, Studies, lungs, cigarettes, Pregnancy

State of the Science   190 resources
Several problems are associated with marijuana use during pregnancy, because prenatal exposure influences brain development and can result in permanent cognitive impairment. [35] Cognitive deficits resulting from prenatal exposure include inattention; impulsivity; and impairment in learning, memory, and certain aspects of executive functioning. [36] In addition, prenatal exposure to cannabis has been associated with reduction of fetal growth. [37]
For many years, the myth of smoked cannabis being "healthier" or "no worse" than smoked tobacco was perpetuated by pro­marijuana groups. Both smoked cannabis and tobacco contain approximately 4000 chemicals and that these chemicals are essentially identical in both plants.In another recent review, [23] the authors concluded that "smoking of cannabis is not medically recommended due to the potential respiratory tract, dangers of noxious compounds such as polycyclic aromatic hydrocarbons, tar and carbon monoxide."
 
 
It's not your mother's marijuana: effects on maternal-fetal health and the developing child. 01/30/2015 Effects, Pregnancy, PubMed

#no2Pot
Monitoring Health Concerns Related to Marijuana in Colorado: 2014 01/15/2015 Colorado, health, Pregnancy, youth, Report, Statistical Reports

Appendix

Changes in Marijuana Use Patterns, Systematic Literature Review, and Possible Marijuana-Related Health Effects
Neuronal substrates and functional consequences of prenatal cannabis exposure 10/23/2014 Pregnancy

Therefore, disrupted temporal and/or spatial precision of cannabinoid receptor activation, especially due to in utero cannabis exposure, can destabilize finely tuned signalling networks resulting in altered brain circuit formation and sensitivity to secondary insults. 
 
Birth outcomes associated with cannabis use before and during pregnancy. 08/01/2014 Pregnancy, Research
Marijuana- 2014 Dr. Madras Presentation 07/01/2014 madras, opioid, Pregnancy, youth, powerpoint, Brain
Cannabis During Pregnancy Impairs Baby's Brain Development 01/28/2014 Pregnancy, Research
Miswiring the brain 01/27/2014 Brain, Pregnancy

 cannabis use during pregnancy can increase the risk for ill‐behaviors (Goldschmidt et al, 2004; Day et al, 2011
Data suggest that administration of THC during pregnancy can induce long‐term structural and functional modifications of the cortical circuitry.
Maternal cannabis use during pregnancy reduces SCG10 in human fetal cerebrum
Parental THC Exposure Leads to Compulsive Heroin-Seeking and Altered Striatal Synaptic Plasticity in the Subsequent Generation. 01/02/2014 Studies, THC, Pregnancy, Consequences

Recent attention has been focused on the long-term impact of cannabis exposure, for which experimental animal studies have validated causal relationships between neurobiological and behavioral alterations during the individual's lifetime.
Your Baby on Drugs 07/16/2013 Pregnancy

 

 
Effects of Marijuana on the Fetus and Breastfeeding Infants. 09/18/2012 Pregnancy

Cannabis has enormous affinity for milk and produces a milk/plasma ratio of 8, although the levels in milk are generally considered subclinical. THC crosses the placenta readily, and there is increasing evidence that it may increase rates of growth retardation and adverse neurodevelopment following prenatal exposure.
 
One study indicated an increased incidence of reduced head circumference in young adolescents (9-12 years of age) who were exposed in utero to heavy marijuana use.  Prenatal exposure resulted in a higher rate of low birth weight infants and childhood leukemia. Recent studies have suggested a reduction in long and short-term memory retrieval and retention in children exposed to prenatal cannabis. These children were also weak in planning, integration, and judgment skills.
 
While the effect of cannabis on infants from breastfeeding mothers is limited, cannabis use in breastfeeding mothers should be strongly discouraged. Thus, in pregnant and breastfeeding mothers, this drug should no longer be viewed as safe.
Effects of Marijuana on the Fetus and Breastfeeding Infants. 09/18/2012 Pregnancy, Research
Birth outcomes associated with cannabis use before and during pregnancy. 02/28/2012 Pregnancy

Records for 24,874 women: The results of this study show that the use of cannabis in pregnancy is associated with increased risk of adverse birth outcomes. Prevention programs that address cannabis use during pregnancy are needed.
 Multivariate analysis, controlling for potential confounders, including tobacco smoking, alcohol consumption, and use of other illicit drugs, showed that cannabis use in pregnancy was associated with low birth weight, preterm labor, small for gestational age, and admission to the neonatal intensive care unit.
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