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Is cannabis safe to use during pregnancy?

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Research-Based Answer

No. Current evidence does not support cannabis use during pregnancy, and most medical organizations (ACOG, AAP, CDC) recommend complete abstinence. Key findings: (1) THC crosses the placenta and blood-brain barrier of the fetus. (2) CB1 receptors are expressed early in fetal neurodevelopment and play critical roles in neuronal migration and synaptogenesis. (3) Prenatal cannabis exposure is associated with lower birth weight, preterm birth, and increased NICU admission in multiple large cohort studies. (4) Longitudinal studies (Ottawa Prenatal Prospective Study, ABCD Study) show associations with cognitive deficits, attention problems, and increased anxiety in children exposed prenatally. (5) CBD is not established as safe in pregnancy — it is metabolized to THC in vivo and has not been studied in pregnant humans. The FDA explicitly warns against CBD use in pregnancy. The "morning sickness" use case is particularly concerning given the developmental vulnerability of early pregnancy.

This answer summarizes peer-reviewed research and is intended for educational purposes only. It does not constitute medical advice. Consult a qualified healthcare provider before making any medical decisions.

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