Ogden Shannon N, Foti Tara R, Does Monique B, Altschuler Andrea, Iturralde Esti, Sterling Stacy A, Ansley Deborah, Castellanos Carley, Young-Wolff Kelly C
J Addict Med. 2025 Jun 20. doi: 10.1097/ADM.0000000000001514.
Cannabis use among perinatal individuals has dramatically increased. Thus, it is crucial to understand postpartum individuals' experiences with cannabis use, particularly during breastfeeding, and desired postpartum interventions to improve the care and well-being of parents and their children. We aimed to understand motivations for postpartum cannabis use and desired interventions for new parents who frequently used cannabis in early pregnancy.
We conducted semistructured interviews from April to May 2022 with postpartum patients who were first-time parents and endorsed daily or weekly cannabis use during early pregnancy on a universally administered, self-reported screener at prenatal care entry in a large integrated health care system in Northern California. We analyzed the professionally transcribed interviews using thematic analysis.
Our sample included 17 interviews with Black (n=4), Hispanic (n=4), and White (n=9) postpartum patients. Most participants (n=15) reported at least some postpartum cannabis use, two thirds of whom (n=10) reported use during breastfeeding. We identified 4 themes concerning postpartum cannabis use behaviors: (1) cannabis use to cope with mental health and physical pain postpartum, (2) minimal knowledge of cannabis risks with which to make decisions about postpartum use, (3) responsible cannabis use and concern about child's health and safety, and (4) desire for nonjudgmental postpartum supportive services to manage new parenthood.
Findings highlight the need for supportive services for new parents and education on cannabis use while breastfeeding. Health care settings should equip their perinatal care teams with information on how to discuss the current evidence and potential harms and provide appropriate counseling regarding postpartum cannabis use.
围产期人群中使用大麻的情况急剧增加。因此，了解产后人群使用大麻的经历，尤其是在母乳喂养期间的经历，以及改善父母及其子女的护理和福祉所需的产后干预措施至关重要。我们旨在了解产后使用大麻的动机以及对孕早期频繁使用大麻的新父母所需的干预措施。
2022年4月至5月，我们对北加利福尼亚州一个大型综合医疗系统中首次生育的产后患者进行了半结构化访谈，这些患者在产前护理登记时通过普遍使用的自我报告筛查工具认可在孕早期每天或每周使用大麻。我们使用主题分析法对专业转录的访谈进行了分析。
我们的样本包括对17名黑人（n = 4）、西班牙裔（n = 4）和白人（n = 9）产后患者的访谈。大多数参与者（n = 15）报告至少在产后使用过一些大麻，其中三分之二（n = 10）报告在母乳喂养期间使用过。我们确定了关于产后大麻使用行为的4个主题：（1）使用大麻来应对产后心理健康和身体疼痛；（2）对大麻风险了解甚少，难以据此做出产后使用的决策；（3）负责任地使用大麻并关注孩子的健康和安全；（4）渴望获得无评判的产后支持服务以应对初为人父母的状况。
研究结果凸显了为新父母提供支持服务以及开展母乳喂养期间大麻使用教育的必要性。医疗机构应向其围产期护理团队提供有关如何讨论当前证据和潜在危害的信息，并就产后大麻使用提供适当的咨询服务。
