Association of Cannabis with Apneic Episodes in a Breastfed Infant: A Case Study.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Breastfeeding Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-12 DOI:10.1089/bfm.2024.0047

Emily F Kaplan, Courtney N Link, Scott Schmalzried, Amanda Rosenblatt, Ann Kellams, Eliza Holland

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引用次数: 0

Abstract

Background: The use of cannabis and its perceived safety among pregnant and breastfeeding women has increased in the context of expanding legalization. Current guidelines recommend abstaining from the use of cannabis while pregnant or breastfeeding due to the potential for harm, although there is still much that is unknown in this field. Case Presentation: A 5-week-old infant presented with recurrent apneic episodes and a positive urine delta-9-tetrahydrocannabinol (THC) screening test. The infant's mother reported regular cannabis use for treatment of depression and anxiety while pregnant and breastfeeding. The infant was subsequently transitioned to formula feedings, and the infant's condition improved. Conclusion: Cannabis and its active metabolites can be transferred into breast milk and may have deleterious neurologic effects on infants. However, a causal relationship between cannabis exposure and short- or long-term neurologic sequelae has not yet been definitively established. Further studies are warranted to assess the safety of maternal cannabis use for breastfed infants.

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大麻与母乳喂养婴儿窒息发作的关系：案例研究。

背景：在大麻合法化不断扩大的背景下，孕妇和哺乳期妇女使用大麻以及对其安全性的认识有所提高。由于大麻可能造成危害，现行指南建议孕妇和哺乳期妇女禁用大麻，但这一领域仍有许多未知因素。病例介绍：一名 5 周大的婴儿反复呼吸暂停，尿液中 delta-9-tetrahydrocannabinol (THC) 筛查呈阳性。婴儿的母亲称在怀孕和哺乳期间经常使用大麻治疗抑郁和焦虑。婴儿随后转为配方奶喂养，病情有所好转。结论大麻及其活性代谢物可进入母乳，并可能对婴儿的神经系统产生有害影响。然而，接触大麻与短期或长期神经系统后遗症之间的因果关系尚未得到明确证实。有必要开展进一步研究，以评估母亲吸食大麻对母乳喂养婴儿的安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS

CiteScore

4.20

自引率

11.10%

发文量

130

审稿时长

6-12 weeks

期刊介绍： Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.