New Mothers Who Use Cannabis Report Negative Interactions With Healthcare Providers

A pilot study of postpartum cannabis users found frequent use, THC in breastmilk, and mostly negative experiences when discussing cannabis with healthcare providers.

Chuisano, Samantha A et al.·Addictive behaviors·2026·Preliminary EvidenceCross-Sectional
RTHC-08172Cross SectionalPreliminary Evidence2026RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Preliminary Evidence
Sample
Not reported

What This Study Found

Postpartum mothers reported using cannabis an average of 24 out of 30 days, primarily by smoking. THC metabolites were confirmed in both urine and breastmilk. Qualitative interviews revealed predominantly negative healthcare provider interactions regarding cannabis use.

Key Numbers

196 screened, 21 eligible (11%), 12 completed clinic visits. Average cannabis use: 24 of 30 days. THC metabolites confirmed in urine and breastmilk. 4 qualitative themes identified from 9 interviews.

How They Did This

Mixed-methods feasibility study recruiting 12 new mothers (0-12 months postpartum) who use cannabis via Facebook ads. Included surveys, urine and breastmilk toxicology, and semi-structured interviews with 9 participants.

Why This Research Matters

With cannabis legalization expanding, more postpartum mothers may use cannabis. This study highlights a communication gap between mothers and healthcare providers that could affect both maternal and infant health outcomes.

The Bigger Picture

The study reveals a catch-22: mothers use cannabis frequently but feel judged by providers, leading to less disclosure. Meanwhile, THC is passing into breastmilk. Better provider communication and evidence-based guidelines are needed to support informed decision-making.

What This Study Doesn't Tell Us

Very small sample (12 participants) from one geographic area. Self-selection bias — only mothers willing to disclose cannabis use participated. Cross-sectional design can't assess health outcomes for infants.

Questions This Raises

  • ?What are the actual health effects of THC in breastmilk on infant development?
  • ?How can healthcare providers have more productive conversations about cannabis with new mothers?

Trust & Context

Key Stat:
Evidence Grade:
Very small feasibility pilot (n=12) from one region — provides initial data but cannot be generalized.
Study Age:
Published in 2026, addressing a growing public health question as cannabis access expands.
Original Title:
Cannabis use among new mothers. A feasibility mixed-method study to investigate motives and perceptions.
Published In:
Addictive behaviors, 173, 108554 (2026)
Database ID:
RTHC-08172

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Does THC pass into breastmilk?

Yes — this study confirmed significant concentrations of THC metabolites in breastmilk samples from mothers who used cannabis, consistent with prior research.

Why do new mothers use cannabis?

Interviews identified cannabis use as self-treatment or therapy, with mothers describing it as helping with postpartum challenges. However, they reported feeling judged by healthcare providers when discussing it.

Read More on RethinkTHC

Cite This Study

RTHC-08172·https://rethinkthc.com/research/RTHC-08172

APA

Chuisano, Samantha A; Miriani, Paul; Alshaarawy, Omayma. (2026). Cannabis use among new mothers. A feasibility mixed-method study to investigate motives and perceptions.. Addictive behaviors, 173, 108554. https://doi.org/10.1016/j.addbeh.2025.108554

MLA

Chuisano, Samantha A, et al. "Cannabis use among new mothers. A feasibility mixed-method study to investigate motives and perceptions.." Addictive behaviors, 2026. https://doi.org/10.1016/j.addbeh.2025.108554

RethinkTHC

RethinkTHC Research Database. "Cannabis use among new mothers. A feasibility mixed-method s..." RTHC-08172. Retrieved from https://rethinkthc.com/research/chuisano-2026-cannabis-use-among-new

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.