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Sun, 24 Aug 2008 14:39:01 -0400 |
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Funnily enough, I was just yesterday contemplating posting almost this exact
question to Lactnet! I recently spoke with a woman who said that she is on
medicinal marijuane (has an official card) and that with her first child, her
pediatrician had no concerns with her breastfeeding, and that she did so for
quite some time. I know nothing about her inpatient lactation care with the
first child, and did not delve into it as it did not feel right at the time. I read
Dr. Hale's post on Lactnet from 1996, and what I gleaned from that was that
(and please correct me if my understanding was wrong) the occasional use of
marijuana in a breastfeeding mother would likely be less detrimental to the
baby than switching to formula feeding.
However, if I look at 2006 Hale's Medications and Mothers' Milk, marijuana is
listed as an L5. A review of the section on marijuana in the Textbook of
Human Lactation shows that studies have not been consistent regarding the
impact on breastfeeding infants whose mothers smoke marijuana. The
recommendations are - to educate moms that there could be a possible
effect on the infant, that breastmilk can contain residues for a long period of
time, that their infants will likely test positive in drug screens for several
weeks, and that the AAP contraindicates the use of marijuana during
breastfeeding.
Basically, I can see no way, in a highly litigious society, to make a
recommendation that an occasional use of marijuana may not have a negative
impact on an infant.
I suppose ultimately that is because formula is still seen as 'just as good' as
breastmilk.
Has anyone else found a way, within a healthcare setting, to advocate for
continued breastfeeding in a mom with a need for medicinal marijuana? I know
this differs from the use of marijuana that is considered recreational, but I
wonder if the recommendations for breastfeeding could be justified when the
marijuana is for 'medicinal' purposes rather than not.
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