71% of Arizona Budtenders Recommended Cannabis Products for Morning Sickness

Mystery calls to 104 Arizona dispensaries found 71% of budtenders recommended cannabis products for morning sickness, especially CBD and edibles, with only 35% proactively suggesting medical consultation.

Madson, Michael J et al.·Journal of obstetric·2025·Preliminary EvidenceObservational
RTHC-07016ObservationalPreliminary Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Observational
Evidence
Preliminary Evidence
Sample
Not reported

What This Study Found

71.2% of budtenders recommended cannabis products for morning sickness, particularly CBD products and edibles. Some recommended inhalation products (12.2%) and tinctures (18.9%). While 85.6% eventually encouraged medical consultation, only 34.6% did so without prompting. A few (5.4%) recommended topical products.

Key Numbers

104 budtenders called, 67% response rate. 71.2% recommended cannabis products. Products recommended: CBD, edibles (most common), tinctures (18.9%), inhalation (12.2%), topicals (5.4%). Medical consultation: 85.6% encouraged when asked, but only 34.6% proactively.

How They Did This

Descriptive observational study using mystery calling. Two researchers called 104 Arizona dispensaries between February-April 2024, asking about morning sickness management and documenting budtender responses on standardized forms.

Why This Research Matters

Morning sickness is common and distressing, but cannabis use during pregnancy is associated with adverse outcomes. Budtenders actively recommending cannabis for morning sickness without proactively suggesting medical consultation could put pregnant consumers and their babies at risk.

The Bigger Picture

This mirrors the broader pattern of budtenders providing health recommendations beyond their training. With prenatal cannabis use increasing and evidence of fetal harm growing, the gap between dispensary recommendations and medical evidence is particularly concerning.

What This Study Doesn't Tell Us

Arizona only, which may not represent other states. Mystery calling captures initial phone interactions, not in-person consultations. Cannot determine what information was communicated beyond the scripted scenario. 67% response rate means one-third of dispensaries were not reached.

Questions This Raises

  • ?Should states require pregnancy-specific warnings at dispensaries?
  • ?Would mandated budtender training on pregnancy risks change recommendation patterns?
  • ?How do these recommendations influence pregnant consumers' decisions?

Trust & Context

Key Stat:
71% recommended cannabis for morning sickness, but only 35% proactively suggested seeing a doctor
Evidence Grade:
Preliminary: mystery-call methodology in one state with standardized but limited interaction, capturing phone recommendations that may differ from in-person encounters.
Study Age:
2025 study (calls February-April 2024).
Original Title:
Recommendations From Arizona Budtenders to Mystery Callers Regarding Morning Sickness.
Published In:
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, 54(3), 282-287.e1 (2025)
Database ID:
RTHC-07016

Evidence Hierarchy

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

Watches what happens naturally without intervening.

What do these levels mean? →

Frequently Asked Questions

Is cannabis safe for morning sickness?

Evidence suggests cannabis use during pregnancy is associated with adverse outcomes including low birth weight and preterm birth. This study found most budtenders recommended it anyway, highlighting a gap between dispensary advice and medical evidence.

What products were most recommended?

CBD products and edibles were the most commonly recommended, though some budtenders suggested inhalation products like vapes and joints, which carry additional respiratory concerns during pregnancy.

Read More on RethinkTHC

Cite This Study

RTHC-07016·https://rethinkthc.com/research/RTHC-07016

APA

Madson, Michael J; Srivastava, Unnati; Gade, Yoshita. (2025). Recommendations From Arizona Budtenders to Mystery Callers Regarding Morning Sickness.. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, 54(3), 282-287.e1. https://doi.org/10.1016/j.jogn.2025.02.001

MLA

Madson, Michael J, et al. "Recommendations From Arizona Budtenders to Mystery Callers Regarding Morning Sickness.." Journal of obstetric, 2025. https://doi.org/10.1016/j.jogn.2025.02.001

RethinkTHC

RethinkTHC Research Database. "Recommendations From Arizona Budtenders to Mystery Callers R..." RTHC-07016. Retrieved from https://rethinkthc.com/research/madson-2025-recommendations-from-arizona-budtenders

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.