Perceptions about cannabis use during pregnancy: a rapid best-framework qualitative synthesis

Weisbeck, Sarah; Bright, Katherine; Ginn, Carla; Smith, J. C.; Hayden, K. Alix; Ringham, Catherine

doi:10.17269/s41997-020-00346-x

Cited by 27 publications

(15 citation statements)

References 35 publications

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“…There are 2 existing systematic reviews on similar topics, 24 , 28 each with fewer than 6 included studies. Our search strategy, including extensive hand‐searching and citation list searching is a strength, yielding 26 included studies, only 4 of which overlap with studies included in these previous reviews.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies indicate that there are a variety of reasons pregnant and lactating people may choose to use cannabis, including to treat conditions that both preexist and are related to the perinatal period. [4][5][6][24][25][26][27][28][29] Pregnant people report using cannabis to alleviate pregnancy-related conditions such as nausea, vomiting, pain, and fatigue. 25,26,30 Others continue cannabis use for reasons that preexisted pregnancy such as pain or anxiety, to help sleep, to control seizures, or for skin and hair treatment.…”

Section: Why Might Pregnant People Wish To Use Cannabis?mentioning

confidence: 99%

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Pregnant People's Perspectives On Cannabis Use During Pregnancy: A Systematic Review and Integrative Mixed‐Methods Research Synthesis

Vanstone

Panday

Popoola

et al. 2022

J Midwife Womens Health

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Introduction: Rates of perinatal cannabis use are rising, despite clinical evidence about the potential for harm. Accordingly, pregnant and lactating people who perceive a benefit from cannabis use may have a difficult time making informed decisions about cannabis use. Methods:We conducted a systematic review of mixed-methods research to synthesize existing knowledge on the perspectives of pregnant people and their partners about cannabis use in pregnancy. Six health and social science databases were searched up until May 30, 2021. There were no methodological, time, or geographic limits applied. We employed a convergent integrative approach to the inductive analysis of findings from all studies. Results:We identified 26 studies describing views of 17,781 pregnant and postpartum people about cannabis use in pregnancy. No studies describing the views of partners were identified, and only one study specifically addressed the perspectives of lactating people. Comparative analysis revealed that whether cannabis was studied alone or grouped with other substances resulted in significant diversity in descriptions of participant decision-making priorities and perceptions of risks and benefits. Studies of cannabis alone demonstrated a complex decision-making process whereby perceived benefits are balanced against the available information about risk, which is often unclear and uncertain. Clear and helpful information was difficult to identify, and health care providers were not described as a helpful and trusted resource for decision-making.Discussion: Decision-making about cannabis use is difficult for pregnant and lactating people who perceive a benefit from this use, although this decisional difficulty is seldom reflected in studies that examine cannabis as one of multiple substances that pregnant or lactating people may use. Our review suggests several approaches clinicians may take to encourage open and supportive conversations to facilitate informed decisions about cannabis use during the perinatal period.

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Section: Discussionmentioning

confidence: 99%

Section: Why Might Pregnant People Wish To Use Cannabis?mentioning

confidence: 99%

Pregnant People's Perspectives On Cannabis Use During Pregnancy: A Systematic Review and Integrative Mixed‐Methods Research Synthesis

Vanstone

Panday

Popoola

et al. 2022

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…[31][32][33][34] Finally, although we sought responses from individuals with diverse histories of substance use, the majority of survey respondents reported not using cannabis or other substances and this may have impacted the low concern among participants being reported to Child Protective Services. Individuals who use cannabis in pregnancy have been shown to have lowered perceptions of risk related to cannabis use, 35 and their perspectives on research participation, including motivating and deterring factors, should be considered when designing research studies on cannabis use in pregnancy. In contrast, alcohol was the most commonly reported substance used during pregnancy (11%).…”

Section: Discussionmentioning

confidence: 99%

Receptiveness to participating in cannabis research in pregnancy: a survey study at The Ottawa Hospital

et al. 2021

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Background: The prevalence of cannabis use among pregnant individuals in Canada is increasing. In the design of new cohort studies to evaluate the patterns and outcomes of cannabis use in pregnancy, consideration must be given to the factors influencing participation, data sharing, and contribution of biological samples. Our objective was to assess the willingness of pregnant individuals to participate in prospective research during pregnancy. Methods: We surveyed pregnant individuals receiving obstetrical care through The Ottawa Hospital in Ottawa, Canada. The survey consisted of 23 dichotomous (yes/no), multiple-choice, Likert scale, and open-ended questions. Individuals were provided with a hypothetical research scenario and asked to report on the likelihood of their participation, use and storage of personal health information and contribution of maternal and newborn samples. Individuals provided motivating and deterring factors related to research participation. Descriptive statistics included frequencies (n) and percentages (%) for categorical variables. Continuous variables were described using means and standard deviations. Results: A total of 84 survey responses were collected. The mean age of respondents was 32.6(±5.3) years. Respondents were predominantly Caucasian (79%), college/university educated (85%) with a household income of ≥$100,000 (64%). There was a high degree of willingness to participate in prospective research by sharing data and biological samples. The most commonly cited motivating and deterring factors for participating in future research were a desire to contribute to science and health information (79%) and fear of privacy invasion (17%), respectively. Conclusions: Pregnant individuals receiving care at The Ottawa Hospital are willing to participate in prospective research studies, including those related to cannabis use. Survey respondents were predominantly of higher socioeconomic status, and few individuals reported cannabis use during pregnancy. Future studies should accommodate multiple recruitment strategies and flexible study designs to encourage enrollment from and retention across diverse sociodemographic communities.

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“…There are two existing systematic reviews on similar topics 15,19 , each with fewer than 6 included studies. Our search strategy, including extensive hand-searching and citation list searching is a strength, yielding 23 included studies, only 4 of which overlap with studies included in these previous reviews.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Pregnant and lactating people use cannabis for a variety of reasons, including to treat conditions which both pre-exist and are related to the perinatal period 7,8,11,[15][16][17][18][19] . Pregnant people report using cannabis to alleviate pregnancy-related conditions such as nausea, vomiting, pain and fatigue 16,17,20 .…”

Section: Introductionmentioning

confidence: 99%

Pregnant people’s perspectives on cannabis use during pregnancy: A systematic review and integrative mixed-methods research synthesis

Vanstone

Panday

Popoola

et al. 2021

Preprint

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Background: Cannabis use during the perinatal period is rising. Objectives: To synthesize existing knowledge on the perspectives of pregnant people and their partners about cannabis use in pregnancy and lactation. Search strategy: We searched MEDLINE, APA PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Social Science Citation Index, Social Work Abstracts, ProQuest Sociology Collection up until April 1, 2020. Selection criteria: Eligible studies were those of any methodology which included the perspectives and experiences of pregnant or lactating people and their partners on cannabis use during pregnancy or lactation, with no time or geographical limit. Data collection and analysis: We employed a convergent integrative approach to the analysis of findings from all studies, using Sandelowski’s technique of “qualitizing statements” to extract and summarize relevant findings from inductive analysis. Main results: We identified 23 studies of pregnant people’s views about cannabis use in pregnancy. Comparative analysis revealed that whether cannabis was studied alone or grouped with other substances resulted in significant diversity in descriptions of participant decision-making priorities and perceptions of risks and benefits. Studies combining cannabis with other substance seldom addressed perceived benefits or reasons for using cannabis. Conclusions: The way cannabis is grouped with other substances influences the design and results of research. A comparative analysis emphasizes the importance of understanding why a pregnant person might choose to use cannabis in order to foster dialogue about perceptions of benefit and strategies for risk mitigation.

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Perceptions about cannabis use during pregnancy: a rapid best-framework qualitative synthesis

Cited by 27 publications

References 35 publications

Pregnant People's Perspectives On Cannabis Use During Pregnancy: A Systematic Review and Integrative Mixed‐Methods Research Synthesis

Pregnant People's Perspectives On Cannabis Use During Pregnancy: A Systematic Review and Integrative Mixed‐Methods Research Synthesis

Receptiveness to participating in cannabis research in pregnancy: a survey study at The Ottawa Hospital

Pregnant people’s perspectives on cannabis use during pregnancy: A systematic review and integrative mixed-methods research synthesis

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