Correction and clarification: An earlier version of this story misidentified the meaning of the abbreviation NIDA. It stands for the National Institute on Drug Abuse.
Claire Alcindor fourth pregnancy last year was the most difficult. The only way he can keep food down is to smoke marijuana, which also helps with depression.
He lives in Maryland, in locations where cannabis is legal, but still worried "people would think I'm a bad mother" - or worse. Friends warned. But it seems worth the risk, especially given the reported and depression drugs.
"I need food, I need to stay alive and survive this pregnancy," says Alcindor, who now lives in Las Vegas.
As more people legalize or decriminalize marijuana use across the country, federal regulators and many doctors, however, say the pot is not worth the risk-taking during pregnancy.
"I'd say we're really rolling the dice with our children if we expose them to it," said Dr. Neeraj Gandotra, chief medical officer at the Substance Abuse and Mental Health Services Administration in the Department of Health and Services Humanity. "We have no evidence of marijuana dominant influence brain development."
The study came out this summer in the Journal of the American Medical Association also reported and alarming link between cannabis use and preterm delivery, defined as 37 weeks or sooner. 5639 born with mothers who reported marijuana use during pregnancy by 92 873 women who said they did not use it.
The authors concluded marijuana is "likely to be unsafe" due to premature birth twice as common in marijuana users vs. non-users. (12% vs 6.1%). That even found a positive effect between use of marijuana and a lower incidence of preeclampsia - a dangerous condition that includes high blood pressure - and gestational diabetes,
There's a lot more convincing skeptical, however.
Between 2002 and 2017, pregnant women who used cannabis in the previous month increased from 3.4% to 7% overall and of nearly 6% to over 12% during the first trimester, according to new federal data published in the Journal of the American Medical Association. There are more than 16,000 members of the group "Cannabis Mamas" on.
Dr. Emily Dossett, a psychiatrist and professor at the University of Southern California medical school, now head of the Women's Health and Reproductive Psychiatry for the Los Angeles County Department of Mental Health. He also worked at USC Medical Center, where the percentage increase in patients smoked marijuana during pregnancy.
She has had patients who are undergoing treatment for depression and anxiety or even a recipe for epilepsy who stop taking them for "a more natural choice" of marijuana, despite the lack of knowledge of what is in fact a medical marijuana.
"We have no evidence it was safe, but many women today do not even question it as a potential problem," said Dossett. "It is often coupled with a distrust of the medical system and especially medication for mental illness."
Doctors especially concerned because THC - tetrahydrocannabinol, the ingredient in marijuana that makes people high - cross the placenta. That means the baby's brain can be altered, says Dr. Cynthia Rogers, director of the Perinatal Behavioral Health Department at Washington University in St. Louis, Mo.
the affected part of the brain involved in emotion processing and executive functions, Rogers said. Recently saw children older associated behavioral problems in utero exposure to marijuana, he said.
However, even doctors who support medical marijuana say medical professionals warn not enough women. They say there is misinformation and the overall lack of information about the use of cannabis products during pregnancy. Medical marijuana is now legal in 33 states.
A National Institutes of Health study released in June 2018 involving more than 400 Colorado dispensaries are found nearly 70% recommended treatment of morning sickness with marijuana.
"Women do not get a consistent message," said Dr. Jordan Tishler, president of the Association of Cannabis Specialists and advocate for the legalization of medical marijuana.
Tishler, an emergency physician who teaches at Harvard Medical School, said marijuana dispensaries to push their products for all kinds of ailments, including nausea caused by morning sickness."There is an industry out there that wants to sell a lot of cannabis-based products irrespective of whether it is safe or good for anyone," said Tishler.
in the NIH study, officials called the pharmacy and tell them that they are pregnant and suffering from extreme nausea. Transcription of recorded telephone conversations. In one case, an employee of the pharmacy said a woman, "Edibles will not hurt the child, they will go through your [gastrointestinal] tract."
employees Pharmacies also sometimes tell women to consult with their service provider health, but few do it without being asked, the study also found 36% of the recommendation said that the use of cannabis is safe during pregnancy.
Carmen, who is four months pregnant in Georgia, has been hospitalized to treat nausea during her first pregnancy six years ago, he decided to use cannabis during pregnancy now because she is afraid of the side effects of pharmaceuticals and also do not want to be hospitalized again. USA tODAY did not use a last name Carmen or hometown because marijuana is not legal in Georgia. < / p>
Carmen should triple dose of Zofran prescription drugs during her first pregnancy to relieve his extreme symptoms, he was so sick that he can not consume food for long periods of time.
"Using marijuana is mor e effective than taking some pills," he said.
Carmen said she examined the adverse effects of cannabis on the fetus when figuring out whether cannabis use during pregnancy. But he said the research was seeing covered either smoke marijuana and smoking, without distinction. he said that because marijuana is more natural than the tobacco in cigarettes, he does not know how to interpret the studies.
What is particularly worrying Carmen report on birth defects in infants whose mothers have been taking Zofran, the brand name for ondansetron. But Samantha Parker, assistant professor of epidemiology at Boston University and lead author of the study of ondansetron, "this is a relatively safe drug for the treatment of nausea and vomiting during pregnancy."
in fact, HHS 'Gandotra said ondansetron and Phenergan, a branded version of promethazine, is the main choice for nausea in pregnant women. the other is diphenh ydramine and metoclopramide.
Up to 13% of pregnant women with nausea and vomiting take Zofran, Parker said.
There are more data on possible effects of prescription drugs on the fetus as compared with the effects of marijuana, even though doing actual research on pregnant women raises ethical concerns.
HHS 'National Institute of Drug Abuse awarded grants to four universities, including the University of Washington, for studying pregnant women who smoke marijuana during pregnancy with other pregnant women who do not.
Pamela McColl, a Canadian child rights activist, working with an international group of physicians and advocacy group Intelligent Approach to Marijuana to stop the study because of something that put them at risk should not be done unless medical necessity. He also said that researchers have a responsibility to report the woman of their study under mandatory reporting laws.
"We have enough knowledge to go there with public health messages that pregnant women should not touch the marijuana," McColl said, citing studies included were published in the Journal of Obstetrics and Gynecology Canada.
Tricia Wright, a Hawaiian doctor who runs a research center for pregnant women struggling with substance addiction, said patients tell their doctors have not told them marijuana use during pregnancy is not safe.
The National Institute on Drug Abuse Director Nora Volkow said marijuana during pregnancy "Was not worth the risk" but defended the research funding agency because "I do not want us to cry wolf."
With mixed messages about marijuana, pregnant women in need of assistance can not make a fully informed decision, doctors say.
"I do not think every woman goes into pregnancy want to hurt her, so if she uses it well because he does not understand the science or have not heard of science," says Wright.
Rogers stressed that women experience side effects of pregnancy need to talk with your obstetrician.
Many, however, is reticent about talking to their doctor about the use of marijuana. online pregnancy group filled with women worry about what would happen if they test positive to pot. Claire Alcindor says that one of the reasons he was so skeptical about the research on marijuana -. There is a universe that is much bigger than the baby she believes is not affected by the exposure and is not considered because their mothers did not speak
Alcindor, whose content creation company called Big Black Brands, also owner Zarico herbal skin care products, which include postpartum bath. He had about 10,000 followers on Facebook, where "I always share the story of" natural lifestyle, including home births.
"I did a ton of research" on marijuana, Alcindor said. "It is my first pregnancy in which I explore the marijuana, and I never read anything about it being dangerous to the fetus. Mothers are much quieter, could eat, could be happier."
Alcindor may not believe it, but Gandotra said he should.
"I am concerned about this from a public health perspective that we let our better judgment to sway and, most importantly, we are not fully aware of the risk and we will not see the full impact until generations later."
If you or a family member is struggling with the problems mentioned in this story and you want to connect with other people online, join Facebook support group.
Get in the SAMHSA website or by calling the national helpline at 1-800-662-HELP (4357 anytime for referrals and information in English and Spanish.
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