Part 5. Marijuana and pregnancy – assessing the science

marijuana and pregnancy

This is Part 5  of a series of six articles discussing various medical uses for cannabis or marijuana. In this article, I review and summarize some of the evidence that marijuana supporters have used to claim that smoking weed during pregnancy is safe. And I look at data from high quality reviews that shows it isn’t. So let’s assess the science regarding marijuana and pregnancy.

As I have written previously, consumption of and growing marijuana should be completely decriminalized. And the laws need to be rewritten, not in the haphazard way it is now, but with protection and respect of rights of people to consume or grow (for personal use) cannabis. The criminal prosecution of marijuana use and distribution is a ridiculous waste of public resources.

There are numerous health claims made about marijuana, including its use for cancer, neurological disorders, and other medical uses. There’s even a whole area of belief that claims smoking cannabis is perfectly safe during pregnancy. Let’s look at this. Continue reading “Part 5. Marijuana and pregnancy – assessing the science”

Marijuana and pregnancy – again hitting that bong of science

Editor’s note–this article has been updated and included into a multi-part series on marijuana and medicine. Check it out there. 

As I have written previously, consumption of and growing marijuana should be completely decriminalized. And the laws need to be rewritten, not in the haphazard way it is now, but with protection and respect of rights of people to consume or grow (for personal use) cannabis. The criminal prosecution of marijuana use and distribution is a ridiculous waste of public resources.

The criminalization of marijuana has caused the growth of drug cartels that threaten the survival of Latin American democracies. And it has caused damage to delicate environments in pristine wilderness in the western USA where illegal marijuana farms use chemicals, human waste and water diversion to destroy the forest.

I could go on, but marijuana laws are simply unsupportable by any stretch of the imagination–the laws waste money and harm citizens.

That being said, it doesn’t mean that cannabis is completely safe. Or that the guy driving his car next to me or a surgeon about ready to slice into my abdomen or the pilot of the jet I’m boarding should be high.

Marijuana should be regulated and taxed like any other product in the class, such as alcohol and cigarettes. It’s a reasonable system where people can enjoy their weed, but it is regulated to prevent harm to others.

Continue reading “Marijuana and pregnancy – again hitting that bong of science”

CDC recommends pertussis vaccination for all pregnant women

On October 24, 2012, the Centers for Disease Control and Prevention recommended that “providers of prenatal care implement a Tdap immunization (Tdap or DTaP vaccine) program for all pregnant women.  Health-care personnel should administer a dose of Tdap during each pregnancy irrespective of the patient’s prior history of receiving Tdap.  If not administered during pregnancy, Tdap should be administered immediately postpartum.” This recommendation is based upon the Advisory Committee on Immunization Practices (ACIP), a group of medical and public health experts that develops recommendations on how to use vaccines to control diseases in the United States, guidelines, published Fall 2011, for whooping cough(Bordetella pertussis).

ACIP reviewed published and unpublished data from VAERS, Sanofi Pasteur (Adacel) and GlaxoSmithKline (Boostrix) pregnancy registries, and two small studies here and here. ACIP concluded “that available data from these studies did not suggest any elevated frequency or unusual patterns of adverse events in pregnant women who received Tdap and that the few serious adverse events reported were unlikely to have been caused by the vaccine.” In addition, both  tetanus and diphtheria toxoids (together) and tetanus toxoid (alone) vaccines have been used worldwide in pregnant women to prevent neonatal tetanus without negative effects. The ACIP concluded that administration of the pertussis vaccine after 20 weeks of pregnancy was preferred to minimize any risk of a low percentage adverse event.

According to the CDC, only about 3% of pregnant women receive the vaccination. However, the CDC believes if the new recommendations are implemented, there would be a 33 percent reduction in cases, a 38 percent reduction in hospitalizations and a 49 percent reduction in deaths from whooping cough.

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Flu shots are safe for pregnant women

Not that it was required, but there’s even more evidence that flu shots are safe and efficacious for pregnant women, neonates and fetuses. A study published recently in Obstetrics & GynecologyEffect of influenza vaccination in the first trimester of pregnancy, investigated the effects of influenza vaccinations on fetal and neonatal outcomes. 

Over a 5 year study period, a total of 8,690 women received a seasonal trivalent inactive influenza vaccine during the first trimester, and delivered babies at the study institution. Some of the key results were:

  • Women vaccinated during pregnancy were significantly older with more pregnancies than women who declined vaccination.
  • About 2 percent had a baby with a major birth defect, such as a malformation in the heart or a cleft lip, identical to the rate among almost 77,000 pregnant women who did not get the vaccine.
  • Women who were vaccinated had lower stillbirth (0.3% compared with 0.6%, P=.006).
  • Women who were vaccinated had lower neonatal death (0.2% compared with 0.4%, P=.01).
  • Women who were vaccinated had lower premature delivery rates (5% compared with 6%, P=.004). Continue reading “Flu shots are safe for pregnant women”