Is CBD safe during pregnancy?

What does the evidence say about CBD during pregnancy?

1. There's no comprehensive research yet on how CBD affects a developing baby, a pregnant person, or a breastfeeding baby, and some CBD is expected to pass into breast milk. 1
2. Many tested CBD products don't contain the amount of CBD listed on the label, and some are contaminated with pesticides, heavy metals, or THC, a real concern since CBD-specific risks in pregnancy and breastfeeding remain unstudied. 2
3. Both the FDA and ACOG recommend avoiding CBD during pregnancy, since it isn't FDA-regulated, is often contaminated with THC or other substances, and carries its own risks like liver problems and drug interactions. 3
4. There's no evidence that cannabis products actually help with morning sickness, and an FDA-approved prescription option is available through your ob-gyn for nausea and vomiting instead. 3
5. CBD products labeled 'THC free' can still contain a measurable amount of THC, which is one reason guidance advises against using CBD, THC, or marijuana in any form during pregnancy or while breastfeeding. 4

Is CBD safe in each trimester?

• First trimester. This guidance doesn't change by trimester. The FDA and ACOG advise against CBD, THC, or marijuana from the very first weeks, when a baby's brain and organs are developing fastest. If nausea or anxiety is why you're considering CBD, ask your ob-gyn about options with more established safety data.
• Second trimester. The recommendation to avoid CBD stays the same in the second trimester. A baby's brain keeps developing throughout pregnancy, and there's no point at which CBD is considered lower-risk.
• Third trimester. Avoidance continues through the third trimester and into breastfeeding, since some CBD is expected to pass into breast milk. If you've used CBD and are nearing delivery or planning to breastfeed, tell your provider so they can talk through safer alternatives and support.