Co-use of marijuana and cigarettes can strongly harm pregnancy


Recent surveys show that 2-11% of pregnant women use marijuana during pregnancy. Since marijuana use has become legal, the number is increasing and more people believe that it is safe.

While some studies have examined the impact of marijuana use on pregnancy, the conclusion is not clear. In addition, many pregnant women also use cigarette besides marijuana, and it is unknown whether marijuana can enhance the fetal effects of tobacco exposure.

A study newly published in American Journal of Obstetrics and Gynecology answered the questions. Researchers collected information on marijuana use, tobacco use, and nicotine use   from 12,069 pregnant women.

They examined the pregnancy health in marijuana smokers, non-smokers, and women using both marijuana and cigarettes.

The result showed that 106 (0.88%) women used marijuana during pregnancy, and almost half used cigarettes at the same time. Compared with non-smokers, marijuana smokers were more likely to be younger and single.

Researchers found that co-users of marijuana and cigarettes had much higher rates of diabetes and chronic hypertension (i.e. long-term high blood pressure). In addition, these co-users had higher rates of preeclampsia (i.e. hypertension and fluid retention during pregnancy).

Researchers also found that all kinds of smokers had higher rates of maternal asthma, and that all substance use was associated with anxiety and depression.

Marijuana use was not related to higher preterm birth, but cigarette smoking and co-use of both substances were highly correlated with preterm birth.

Researchers suggest that co-users of marijuana and cigarettes have worse outcomes than either substance use in isolation. Marijuana use alone is not associated with higher risk in pregnancy health, but co-use of the two substances can strongly increase the risk.

Citation: Chabarria KC, Racusin DA, Antony KM, Kahr M, Suter MA, Mastrobattista JM, Aagaard KM. (2016). Marijuana use and its effects in pregnancy. American Journal of Obstetrics and Gynecology, In Press, Corrected Proof, Available online 2 June 2016. doi:10.1016/j.ajog.2016.05.044
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