One in five young pregnant women had tried CBD products, linked to prior substance use

In a cohort of 186 pregnant women under 22, about 20% had tried CBD products, with prior alcohol and drug use being the strongest predictor of CBD use.

De Genna, Natacha M et al.·Neurotoxicology and teratology·2023·Preliminary EvidenceProspective Cohort
RTHC-04491Prospective CohortPreliminary Evidence2023RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Prospective Cohort
Evidence
Preliminary Evidence
Sample
N=186

What This Study Found

Among 186 pregnant participants under age 22 (75% Black or Biracial), approximately one in five had ever used CBD products. Few reported CBD use during the current pregnancy specifically. Those who had tried CBD were more likely to report alcohol and other drug use prior to pregnancy, even after controlling for race. CBD is marketed to pregnant people for common conditions, but preclinical evidence links CBD exposure to embryotoxicity and developmental effects.

Key Numbers

186 participants; 75% Black or Biracial; ~20% ever used CBD; prior alcohol and drug use predicted CBD use; under age 22

How They Did This

Prospective cohort from the YoungMoms study of pregnant people under 22. Examined demographic, medical, and psychosocial correlates of CBD use using logistic regression controlling for race.

Why This Research Matters

CBD products are widely marketed as natural and safe, including to pregnant people. This is one of the first studies to examine CBD use specifically (not just cannabis) in a pregnant population.

The Bigger Picture

As CBD products proliferate without FDA regulation and are marketed for pregnancy-related complaints like nausea and anxiety, understanding who uses them during pregnancy becomes critical for prenatal safety messaging.

What This Study Doesn't Tell Us

Small cohort of 186 from one site. Young, predominantly Black/Biracial sample may not generalize. "Ever used" does not distinguish timing or frequency. Self-reported use may underestimate prevalence.

Questions This Raises

  • ?Are pregnant women using CBD because they believe it is safer than THC-containing cannabis?
  • ?Would clearer labeling about pregnancy risks reduce CBD use during pregnancy?

Trust & Context

Key Stat:
1 in 5 young pregnant women had tried CBD products
Evidence Grade:
Prospective cohort providing novel data on CBD use in pregnancy, but small single-site sample limits generalizability.
Study Age:
Published 2023
Original Title:
Factors associated with ever using cannabidiol in a cohort of younger pregnant people.
Published In:
Neurotoxicology and teratology, 96, 107162 (2023)
Database ID:
RTHC-04491

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Enrolls participants and follows them forward in time.

What do these levels mean? →

Frequently Asked Questions

Do pregnant women use CBD?

About 20% of young pregnant women in this study had tried CBD products. While few used CBD during the current pregnancy, the prevalence of prior use suggests growing exposure in this population.

Is CBD safe during pregnancy?

Preclinical research has linked CBD exposure to embryotoxicity and developmental effects in offspring. No human safety data exists specifically for CBD during pregnancy.

Read More on RethinkTHC

Cite This Study

RTHC-04491·https://rethinkthc.com/research/RTHC-04491

APA

De Genna, Natacha M; Kennon-McGill, Stefanie; Goldschmidt, Lidush; Richardson, Gale A; Chang, Judy C. (2023). Factors associated with ever using cannabidiol in a cohort of younger pregnant people.. Neurotoxicology and teratology, 96, 107162. https://doi.org/10.1016/j.ntt.2023.107162

MLA

De Genna, Natacha M, et al. "Factors associated with ever using cannabidiol in a cohort of younger pregnant people.." Neurotoxicology and teratology, 2023. https://doi.org/10.1016/j.ntt.2023.107162

RethinkTHC

RethinkTHC Research Database. "Factors associated with ever using cannabidiol in a cohort o..." RTHC-04491. Retrieved from https://rethinkthc.com/research/de-2023-factors-associated-with-ever

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.