Abstract
Major medical organizations have issued statements discouraging cannabis use in the perinatal period to minimize the risk of potential adverse outcomes. However, many pregnant individuals may decide to continue to use cannabis, or they may wish to quit, but have trouble discontinuing, potentially because they use cannabis to alleviate symptoms such as nausea, pain, sleep difficulties, or anxiety. Patients may not feel comfortable disclosing cannabis use or discussing alternatives, due to perceptions of cannabis safety, stigma, fear of legal repercussions, or mistrust in providers. Healthcare providers from diverse specialties interact with perinatal patients who use cannabis, yet guidance for them is limited. In this commentary, we encourage attention to understanding patients’ motivations for cannabis use. We offer general considerations for engaging in conversations with patients on this topic, including using a nonjudgmental, empathetic, and patient-centered approach to care.
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