Potential Adverse Effects of Marijuana Use in Pregnancy
Authors: Kelly C. Young-Wolff, Amy Conway, Nancy Goler
Journal: Annals of Internal Medicine (2019)

Letters7 May 2019Potential Adverse Effects of Marijuana Use in PregnancyKelly C. Young-Wolff, PhD, MPH, Amy Conway, MPH, and Nancy Goler, MDKelly C. Young-Wolff, PhD, MPHKaiser Permanente Northern California, Oakland, California (K.C.Y., A.C., N.G.)Search for more papers by this author, Amy Conway, MPHKaiser Permanente Northern California, Oakland, California (K.C.Y., A.C., N.G.)Search for more papers by this author, and Nancy Goler, MDKaiser Permanente Northern California, Oakland, California (K.C.Y., A.C., N.G.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0074 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Although the literature has important limitations, we know enough about the effects of prenatal marijuana use on fetal growth and neurodevelopment for clinicians to advise against marijuana use during pregnancy (1, 2). As part of our Early Start prenatal substance use intervention program, Kaiser Permanente Northern California universally screens prenatal patients for marijuana use, provides them with education about its risks, and strongly encourages them to discontinue use during pregnancy (3). We agree with Dr. Kamer that strong recommendations from health care providers along with media campaigns that provide education about the known and potential risks of prenatal ...References1. National Academies of Sciences, Engineering, and Medicine. The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research. Washington, DC: National Academies Pr; January 2017. Accessed at http://nationalacademies.org/hmd/~/media/Files/Report%20Files/2017/Cannabis-Health-Effects/Cannabis-report-highlights.pdf on 9 October 2018. Google Scholar2. 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 Scholar3. Goler NC, Armstrong MA, Taillac CJ, Osejo VM. Substance abuse treatment linked with prenatal visits improves perinatal outcomes: a new standard. J Perinatol. 2008;28:597-603. [PMID: 18580882] doi:10.1038/jp.2008.70 CrossrefMedlineGoogle Scholar4. Dickson B, Mansfield C, Guiahi M, Allshouse AA, Borgelt LM, Sheeder J, et al. Recommendations from cannabis dispensaries about first-trimester cannabis use. Obstet Gynecol. 2018;131:1031-8. [PMID: 29742676] doi:10.1097/AOG.0000000000002619 CrossrefMedlineGoogle Scholar5. Gold J. Marijuana use is rising among pregnant patients. Not so fast, doctors warn. Los Angeles Times. 27 August 2018. Accessed at www.latimes.com/science/sciencenow/la-sci-sn-marijuana-pregnancy-breastfeeding-20180827-story.html on 10 January 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: Kaiser Permanente Northern California, Oakland, California (K.C.Y., A.C., N.G.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-1141. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoData Are Needed on the Potential Adverse Effects of Marijuana Use in Pregnancy Nancy Goler , Amy Conway , and Kelly C. Young-Wolff Potential Adverse Effects of Marijuana Use in Pregnancy Russell Kamer Metrics 7 May 2019Volume 170, Issue 9Page: 667KeywordsAddictionBehaviorDisclosureHealth careHealth care providersPregnancyPregnancy complications ePublished: 7 May 2019 Issue Published: 7 May 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...