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Self-Reported Cannabis Use in Pregnancy and Maternal Psychological Health
Melissa Hawkins1, Dawn Misra2, Elaine E O Opyene1
1Department of Health Studies, American University.
Cannabis (Albuquerque, N.M.)
|August 1, 2026
Summary
Prenatal cannabis use is linked to increased depression and stress in pregnant women. Healthcare providers should be aware of these risks to support maternal mental health during pregnancy.
Area of Science:
- Perinatal mental health
- Reproductive health
- Public health
Background:
- Cannabis use is rising among pregnant women due to legalization and reduced risk perception.
- Few studies address cannabis use and maternal mental health, especially in Black women facing higher adverse pregnancy outcomes.
Purpose of the Study:
- To examine the association between self-reported cannabis use during pregnancy and psychological health in Black women.
- To assess depressive symptoms, perceived stress, and psychological well-being in relation to prenatal cannabis consumption.
Main Methods:
- Prospective study (2017-2022) of 1,066 pregnant Black women across three US states.
- Utilized Center for Epidemiologic Studies Depression Scale (CES-D), Cohen's Perceived Stress Scale, and Psychological General Well-Being (PGWB) Index.
- Controlled for demographic, social, and behavioral confounders.
Main Results:
- Over 20% of participants reported cannabis use during pregnancy, primarily for stress and nausea relief.
- Cannabis use was associated with significantly higher depressive symptoms (β = 3.44) and perceived stress (β = 2.78).
- Prenatal cannabis use correlated with lower psychological well-being (β = -4.5).
Conclusions:
- Findings underscore the need for healthcare provider awareness of prenatal cannabis use and its impact on maternal mental health.
- Further prospective research is crucial to understand factors influencing cannabis use in pregnancy and mitigate adverse outcomes.
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