The effects of marijuana smoke on gas exchange in ovine pregnancy

The effects of marijuana smoke on maternal respiratory rate and gas exchange were examined in nine chronically instrumented, late gestation ewes carrying singletons. The magnitude of exposure was randomly varied producing peak plasma levels of delta-9-tetrahydrocannabinol (delta-9-THC) ranging from 0 to 161 ng/ml. delta-9-THC levels, respiratory rate and arterial blood gas tensions were monitored before and for two hours after inhalational exposure. When compared to placebo, marijuana smoke produced a dose dependent and sustained decrease in maternal respiratory rate and arterial oxygen tension without evidence of either systemic acidosis or carbon dioxide retention. A logarithmic relationship was observed between the blood level of delta-9-THC and the change in respiratory rate. The change plateaued at 30% of control at levels above 80 ng/ml. However, the relationship between the blood level of delta-9-THC and the change in arterial oxygen tension had a linear fit with a maximum decrease of 45% at a blood level of 160 ng/ml. No change was detected in minute ventilation. Fetal oxygen tension fell significantly and remained depressed after maternal values had returned to control levels. We conclude that, in this species, inhalational exposure to marijuana smoke induces a prolonged maternal ventilation/perfusion imbalance and limits fetal oxygen availability by one or more mechanisms.