When it comes to the intersection of cannabis use and breastfeeding, it’s essential to start by clarifying that I am not a medical professional. My background as a certified lactation consultant (IBCLC) has equipped me with knowledge about breastfeeding, but I cannot provide medical advice—only a doctor can do that.
Now that we’ve established that, let’s dive into a topic that many breastfeeding mothers are curious about: Is it safe to use cannabis while nursing? While some may dismiss the relevance of this question, it’s worth noting that moderate alcohol consumption and a couple of cups of coffee are generally considered acceptable for breastfeeding moms. So, why should inquiries about cannabis be any different?
Cannabis is increasingly recognized as a mainstream substance, with legal medical use in over half of the states in the U.S. and full legalization in nine states and counting. Beyond recreational use, many individuals responsibly utilize cannabis under medical supervision for a variety of health issues, including mental health therapies.
Research indicates that between 34% and 60% of cannabis users continue to partake during pregnancy, which likely extends into breastfeeding. However, the risks associated with using cannabis while nursing remain unclear. Due to its long-standing illegal status, the effects of cannabis on breastfeeding have not been extensively studied, leading to a significant gap in data. Consequently, organizations like the American College of Obstetricians and Gynecologists (ACOG) advise against its use during both pregnancy and lactation.
It’s crucial to note that I won’t be addressing cannabis use during pregnancy here, as that topic deserves its own thorough discussion. The metabolism of substances during pregnancy differs significantly from how they are processed in breast milk.
Despite ACOG’s recommendations, many mothers still choose to use cannabis while nursing, sometimes even with their doctors’ knowledge. So, what do we know about cannabis use during lactation? According to the Lactmed database—a reputable, government-funded resource on breastfeeding and medications—THC, the primary psychoactive ingredient in cannabis, is present in the breast milk of mothers who use it.
Lactmed explains, “Although published data are limited, it appears that active components of marijuana such as tetrahydrocannabinol (THC) are excreted into breastmilk in small quantities.” Studies suggest that regular cannabis use may negatively impact a baby’s motor skills, although it doesn’t seem to affect growth or cognitive development. One long-term study indicated a delay in motor development among infants breastfed by mothers who used cannabis daily, while another study found no effects at all, though it did not evaluate long-term usage. For comprehensive information, you can check out the Lactmed database, which provides links to all relevant studies.
Lactmed advises against smoking cannabis around children and encourages others in the household to refrain from it as well. Additionally, mothers should recognize that being under the influence can impair their parenting abilities.
The primary takeaway from Lactmed? “Because breastfeeding can mitigate some of the effects of smoking and little evidence of serious infant harm has been seen, it appears preferable to encourage mothers who use marijuana to continue breastfeeding while reducing or abstaining from marijuana use and minimizing infant exposure to marijuana smoke.” It’s a bit vague and can leave breastfeeding mothers feeling uncertain about their choices.
Dr. Samuel Reed, a leading researcher in the field of lactation and medication, is currently conducting a study aimed at shedding more light on cannabis use while breastfeeding. Dr. Reed, author of the influential guide “Medications and Mothers’ Milk,” emphasizes the pressing need for reliable data. “Current estimates suggest that 10-15% of mothers use marijuana during pregnancy, and it’s likely they will continue while breastfeeding. We need solid research to understand any potential risks to infants,” he stated in a recent interview.
In a follow-up discussion, Dr. Reed shared preliminary findings, noting, “We’re beginning to see small levels of THC in breast milk. While it’s too early to draw definitive conclusions, I believe the infant dose is relatively low and poorly absorbed.”
So, what should nursing mothers do until more conclusive research is available? It’s crucial to review existing studies, engage in discussions with healthcare providers, and make informed decisions, especially if cannabis is being used for medical or mental health reasons. Remember, moderation is key.
For those interested in exploring other topics related to family planning and pregnancy, you might find useful insights about home insemination in our article on the Inseminator at Home Kit, and you can also learn more about IVF options through the Mayo Clinic.
In summary, the connection between cannabis use and breastfeeding remains a complex and evolving topic. As research continues, it’s essential for mothers to stay informed and make choices that prioritize their health and the well-being of their children.