Brief Commentary: Marijuana Use During Gestation and Lactation—Harmful Until Proved Safe
Authors: Eli Y. Adashi
Journal: Annals of Internal Medicine (2019)

Ideas and Opinions15 January 2019Brief Commentary: Marijuana Use During Gestation and Lactation—Harmful Until Proved SafeEli Y. Adashi, MD, MSEli Y. Adashi, MD, MSThe Warren Alpert Medical School, Brown University, Providence, Rhode Island (E.Y.A.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-3175 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Editors' Note: This commentary was selected for publication from among 100 submitted manuscripts in response to a call for readers' perspectives on prescribing or recommending marijuana.Marijuana, the most commonly used illicit substance during pregnancy, has gone mainstream (1, 2). Use of medical marijuana, now legal in 34 states and the District of Columbia, is experiencing a growth spurt (2). The same holds true for recreational use, with state-level legalization proceeding apace (2). A major upsurge in marijuana use during gestation and lactation may not be far behind (1, 2).Results from the National Survey on Drug Use and Health ...References1. Volkow ND, Han B, Compton WM, Blanco C. Marijuana use during stages of pregnancy in the United States [Letter]. Ann Intern Med. 2017;166:763-4. [PMID: 28418460]. doi:10.7326/L17-0067 LinkGoogle Scholar2. Metz TD, Borgelt LM. Marijuana use in pregnancy and while breastfeeding. Obstet Gynecol. 2018. [PMID: 30234728] doi:10.1097/AOG.0000000000002878 CrossrefMedlineGoogle Scholar3. Agrawal A, Rogers CE, Lessov-Schlaggar CN, Carter EB, Lenze SN, Grucza RA. Alcohol, cigarette, and cannabis use between 2002 and 2016 in pregnant women from a nationally representative sample. JAMA Pediatr. 2018. [PMID: 30398527] doi:10.1001/jamapediatrics.2018.3096 CrossrefMedlineGoogle Scholar4. Committee on Obstetric Practice. Committee opinion no.722: marijuana use during pregnancy and lactation. Obstet Gynecol. 2017;130:e205-9. [PMID: 28937574] doi:10.1097/AOG.0000000000002354 CrossrefMedlineGoogle Scholar5. Ryan SA, Ammerman SD, O'Connor ME; Committee on Substance Use and Prevention. Marijuana use during pregnancy and breastfeeding: implications for neonatal and childhood outcomes. Pediatrics. 2018;142. [PMID: 30150209] doi:10.1542/peds.2018-1889 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: The Warren Alpert Medical School, Brown University, Providence, Rhode Island (E.Y.A.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-3175.Corresponding Author: Eli Y. Adashi, MD, MS, The Warren Alpert Medical School, Brown University, 272 George Street, Providence, RI 02906; e-mail, [email protected]edu.Author Contributions: Conception and design: E.Y. Adashi.Analysis and interpretation of the data: E.Y. Adashi.Drafting of the article: E.Y. Adashi.Critical revision of the article for important intellectual content: E.Y. Adashi.Final approval of the article: E.Y. Adashi.Administrative, technical, or logistic support: E.Y. Adashi.Collection and assembly of data: E.Y. Adashi.This article was published at Annals.org on 8 January 2019. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBrief Commentary: Treating Pain—The Cannabis Conundrum Chester B. Good , Natasha Parekh , Kavita Fischer , James Schuster , Chronis Manolis , and William Shrank Brief Commentary: Consequences of Marijuana—Observations From the Emergency Department Kennon Heard , Andrew A. Monte , and Christopher O. Hoyte Brief Commentary: Cannabinoid Dosing for Chronic Pain Management Kevin F. Boehnke and Daniel J. Clauw Brief Commentary: Marijuana and Cardiovascular Disease—What Should We Tell Patients? Tina M. Kaufman , Sergio Fazio , and Michael D. Shapiro Brief Commentary: Advocating for Blunt Policy Jan K. Carney Metrics 15 January 2019Volume 170, Issue 2Page: 122KeywordsAddictionCannabisDrug safetyDrugsFood and Drug AdministrationHealth surveysLactationMarijuanaPregnancySafety ePublished: 8 January 2019 Issue Published: 15 January 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...