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ACOG Issues Guidance on Cannabis Use During Pregnancy and Lactation

ACOG Issues Guidance on Cannabis Use During Pregnancy and Lactation

Opinion | 9/18/2025

In a recent development, the American College of Obstetricians and Gynecologists (ACOG) has issued new guidance concerning cannabis use during pregnancy and lactation. The guidance strongly advises individuals to abstain from using cannabis during these critical periods. Moreover, ACOG recommends that healthcare providers conduct universal screening regarding cannabis use with all patients, spanning the prenatal, antenatal, and postnatal stages. This move is aimed at mitigating potential risks associated with cannabis consumption in relation to pregnancy and breastfeeding.

According to the ACOG guidance, the decision to recommend abstinence from cannabis during pregnancy and lactation is underpinned by concerns over the lack of conclusive evidence on the safety of cannabis use in these contexts. The organization highlights the importance of thorough screening by healthcare providers to identify and address any potential cannabis use among patients before, during, and after pregnancy. This approach is intended to safeguard the well-being of both the expectant mother and the developing fetus.

A spokesperson for ACOG emphasized the significance of these guidelines, stating, “The health and safety of pregnant individuals and their babies are our top priorities, and this guidance underscores our commitment to ensuring the best possible outcomes for all patients.” The recommendation for universal screening reflects a proactive stance by the organization in addressing the potential risks associated with cannabis use in the context of pregnancy and breastfeeding.

Notably, the ACOG guidance aligns with a growing body of research indicating potential adverse effects of cannabis use during pregnancy and lactation. While recognizing the need for further studies to fully elucidate these risks, the organization’s stance underscores the precautionary principle in safeguarding maternal and infant health. Healthcare providers are urged to adhere to these guidelines to promote the well-being of pregnant individuals and their offspring.