Colorado marijuana stores usually suggest cannabis for pregnancy-related nausea, a new study shows electricity 2pm live

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But a new study by doctors at Denver Health and the University of Colorado School of Medicine reports that, when asked for advice on mixing pot and pregnancy, employees at an overwhelming majority of marijuana stores in Colorado will say that it’s OK. And fewer than a third of those stores will recommend that a pregnant woman consult with a doctor about cannabis use — unless they are prompted to.

Dr. Larry Wolk, a pediatrician and executive director of the Colorado Department of Public Health and Environment, said the new findings are concerning — especially considering how much work has gone into discouraging marijuana use during pregnancy.

But, he said, other survey data do not yet show an alarming increase in the number of women using marijuana during pregnancy. Between 2014 and 2016, the percentage of women who said they used marijuana while pregnant or breast-feeding did not increase significantly, according to the latest numbers available from the Colorado Pregnancy Risk Assessment Monitoring System.

In 2016, about 8 percent of women surveyed used marijuana during pregnancy — similar to the percentage of women who smoked cigarettes while pregnant and slightly less than half the percentage of women who said they drank alcohol. Women who said their pregnancy was unintentional were more likely to have used marijuana — suggesting that, for at least some women, their marijuana use may have come during a time when they were unaware they were pregnant. Related Articles

They found that employees at 69 percent of stores recommended treating pregnancy-related nausea with cannabis. Only 32 percent of stores recommended consulting a doctor — although that percentage grew to 82 percent if the caller directly asked whether she should consult a doctor.

Metz said the study set-up was “as close as we can get in a study to replicating the real world.” And she said she is confident that the answers researchers received over the phone are the same as what a store employee would tell a customer in person.

The specifics of the advice that researchers heard, though, were all over the place. Some employees recommended using a product high in THC, the psychoactive component of marijuana. Others recommended a product containing only CBD, which does not get users high.

Some expressed caution about recommending marijuana without consult from a doctor, while others specifically noted the packaging labels warning against using cannabis while pregnant — and then recommended it anyway. Sometimes, the employees lacked a basic understanding of biology.

Wolk said the state will next month launch a new public-education campaign focused on marijuana and pregnancy. The campaign will specifically focus on reaching people who are already consuming marijuana, as a recent state study found that marijuana consumers are much less likely to believe that using marijuana once or twice during pregnancy could be harmful.

Kristi Kelly, the executive director of the Colorado-based Marijuana Industry Group, said the study also provides an opportunity for the industry and the medical community to work together. Store employees should be reminded not to provide medical advice, she said. But doctors, she said, should remember that patients curious about marijuana are going to try to seek out information from many different sources.

• “On the package it says do not consume while pregnant — ‘there may be health risks associated with this product if you are pregnant, breast-feeding, or planning on becoming pregnant.’ You are welcome to come to the shop to see if we can find something, but I think most of the labels are going to be like that.”

• “Have you talked to your doctor? I do not want to recommend anything, you know. I know what would help with nausea, but I do not think I could legally recommend anything for someone that is pregnant, but I could recommend something for nausea do they still let you purchase while you are pregnant?”

• “In the context of edibles, start with a low dose and see how it works out for you because those types of things would not cross the blood-brain barrier, so even if you have got the CBDs and the other good parts of the plants would get in your baby’s blood system, but the psychotropic properties, the THC molecule, would not get near your baby, so basically would not be getting your baby stoned.”

• “I am not sure. I do not really know. I am not really too familiar with this because I do not want to give you the wrong information and find out it can be harmful to your baby, so I do not want to tell you the wrong thing. Just one of my co-workers, she was pregnant and she was using flower and vaping.” Responses regarding speaking with a health care provider

• “I do think you should talk to your doctor at your discretion about it. I know there are some doctors that might be really uncomfortable with that. I do think that it is a medical professional’s responsibility to be open to talking with their patient.”

• “In the state of Colorado, you are protected, so it is not something you have to bring to their attention. They are not gonna call CPS like they would have 10 years ago if you have MJ in your system.” Is cannabis safe to take during pregnancy?

• “Different people opinions, kind of like alcohol. I used to be a bartender, and it is legal to serve someone who is pregnant because it is up to them, so, you know. I am not here to tell you you should or should not use. Does that make sense? I do know a lot of people that do use cannabis during their pregnancy, though, and for what they have found, there has not been side effects that they can see.”

• “We have a girl that comes in and she is probably six months pregnant and she smokes bud, but she does not smoke it as much as she did, but she still does. She said her doctor said it was OK. She said the doctor said that, but I am not a doctor. I know aspirin is OK for babies, and that is pretty much what you are getting is an aspirin that is probably better.”