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The use of cannabis has increased over the last 10 years. This is in part due to the decriminalization in various areas of the United States as well as in other countries around the world.

But what does the research say for pregnancy and breastfeeding? What do major health organizations recommend? What are some guidelines for safer usage? What are the risks to an infant?

The Infant Risk Center in Amarillo Texas is currently doing studies on Cannabis (as well as many other medications).
https://www.infantrisk.com/help-infantrisk-research

Here are the other resources I have used and compiled for you if you want more information.

Mother To Baby | Fact Sheets [Internet]. Brentwood (TN): Organization of Teratology Information Specialists (OTIS); 1994-. Marijuana (Cannabis) 2022 Oct. Available from: https://www.ncbi.nlm.nih.gov/books/NBK582814/

Hale’s Medications and Mothers Milk (2023), Thomas W. Hale, RPh, PhD; Katylin Krutusch, PharmD, MBA, BCPS. Springer Publications

https://www.rollingstone.com/feature/cannabis-legalization-states-map-831885/

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this is part 1 of 2 -- part 2 will focus on cannabis/marijuana and the THC component within the plant.

Is CBD safe for breastfeeding? What do the professional medical organizations and the research studies say?

Here are the reference for this presentation:

Centers for Disease Control
https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/vaccinations-medications-drugs/marijuana.html

Wikipedia https://en.wikipedia.org/wiki/Cannabidiol

https://www.pharmacist.com/Publications/Pharmacy-Today/Article/potential-changes-coming-for-nonprescription-cbd-products

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: The National Academies Press; 2017.

Federal Drug Administration. What You Need to Know (And What We’re Working to Find Out) About Products Containing Cannabis or Cannabis-derived Compounds, Including CBD. Consumer Updates. 2020.

Federal Drug Administration. What You Should Know About Using Cannabis, Including CBD, When Pregnant or Breastfeeding. 2019.

Huestis MA, Solimini R, Pichini S, Pacifici R, Carlier J, Busardò FP. Cannabidiol Adverse Effects and Toxicity. Curr Neuropharmacol. 2019;17(10):974-989.

https://www.health.harvard.edu/blog/cannabidiol-cbd-what-we-know-and-what-we-dont-2018082414476

“the Breastfeeding Family’s guide to nonprescription drugs and everyday product”, Frank J. Nice, RPh, DPA, CPHP ; Playtpus Media ©2023

National Library of Medicine, Drugs and Lactation Database (LactMed®) [Internet] – Cannabidiol https://www.ncbi.nlm.nih.gov/books/NBK535598/

FDA STATEMENT: FDA Concludes that Existing Regulatory Frameworks for Foods and Supplements are Not Appropriate for Cannabidiol, Will Work with Congress on a New Way Forward – Dr. Janet Woodcock, 1/26/2023

Silveira GD, Loddi S, De Oliveira CDR, et al. Headspace solid-phase microextraction and gas chromatography-mass spectrometry for determination of cannabinoids in human breast milk. Forensic Toxicol 2017;35:125-32. doi:10.1007/s11419-016-0346-5

Bertrand KA, Hanan NJ, Honerkamp-Smith G, et al. Marijuana use by breastfeeding mothers and cannabinoid concentrations in breast milk. Pediatrics 2018;142:e20181076.

Yeung CHT., Bertrand KA., Best BM., et al. Cannabidiol exposure through maternal marijuana use: Predictions in breastfed infants. Clin Pharmacokinet 2023.

https://www.lightspeedhq.com/blog/cbd-trends/
CBD Trends: 8 Vital Things to Know If You’re Selling Cannabidiol Products in 2024; Alex Frasier

Joseph P, Vettraino IM. Cannabis in Pregnancy and Lactation - A Review. Mo Med. 2020 Sep-Oct;117(5):400-405. PMID: 33311738; PMCID: PMC7723128.

Kachru R, Perry-Lunardo C, Thompson LA. CBD Use in Children—Miracle, Myth, or Mystery? JAMA Pediatr. 2021;175(6):652. doi:10.1001/jamapediatrics.2021.0367
Published Online: April 26, 2021. doi:10.1001/jamapediatrics.2021.0367

If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee"
:-)
https://www.buymeacoffee.com/TheBoobCoachPodcast

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Depression medications taken during pregnancy not only go to you, but to your baby as well. Sadly, babies will withdraw from these substances in those early days and may experience a wide range of symptoms. Lets discuss why, and what you can do to help minimize this effect and how to help your baby.

resources:

https://www.nimh.nih.gov/health/publications/perinatal-depression

Newborn Babies Go Through Antidepressant Withdrawal: A new study finds that newborn babies experience antidepressant withdrawal after birth if their mothers take SSRIs when pregnant. - Peter Simons -

September 6, 2021. https://www.madinamerica.com/2021/09/newborn-babies-go-antidepressant-withdrawal/#:~:text=A%20new%20meta-analysis%20uncovered%20evidence%20that%20newborn%20babies,mothers%20discontinue%20antidepressant%20use%20before%20pregnancy%20if%20possible.

Wang, J., & Cosci, F. (2021). Neonatal withdrawal syndrome following late in utero exposure to selective serotonin reuptake inhibitors: A systematic review and meta-analysis of observational studies. Psychotherapy and Psychosomatics, 90, 299–307. https://doi.org/10.1159/000516031

Levinson-Castiel R, Merlob P, Linder N, Sirota L, Klinger G. Neonatal abstinence syndrome after in utero exposure to selective serotonin reuptake inhibitors in term infants. Arch Pediatr Adolesc Med. 2006 Feb;160(2):173-6. doi: 10.1001/archpedi.160.2.173. PMID: 16461873

Mental Health America

https://mhanational.org/issues/position-statement-49-perinatal-mental-health

Rebecchini, L., Bind, R. H., & Pariante, C. (2022). Perinatal depression and mother-infant interventions: A literature review. In M. Percudani, A. Bramante, V. Brenna, & C. Pariante (Eds.), Key topics in perinatal mental health (pp. 359–373). Springer Nature Switzerland AG. https://doi.org/10.1007/978-3-030-91832-3_24

Hull University Teaching Hosptials/ National Health Services (UK)

https://www.hey.nhs.uk/patient-leaflet/mothers-who-take-antidepressant-medications-care-for-your-baby/#:~:text=Symptoms%20of%20withdrawal%20from%20antidepressant,better%20without%20any%20special%20intervention.

https://womensmentalhealth.org/posts/withdrawal-symptoms-in-newborns-exposed-to-ssris/

If you found value in this podcast, and want to support my mission to bring evidence based breastfeeding advice to families all around the world - feel free to "buy me a coffee"
:-)
https://www.buymeacoffee.com/TheBoobCoachPodcast

Here is my linktree:
linktr.ee/theboobcoachpodcast