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Faculty have requested this content not be shared on social media
Faculty have requested this content not be shared on social media
CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
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Poster Session 2

(423) Self-Perceptions and Decision-Making Factors regarding CBD Use among Pregnant People

Thursday, January 30, 2025
4:00 PM – 6:00 PM  
Objective: To understand perceptions of risks and benefits, and factors influencing CBD use among pregnant people given limited data regarding CBD use during pregnancy.

Study Design: Participants were drawn from a parent study at UNC-CH on CBD use and reproductive genetics. Eligible participants were pregnant within the last 3 years, had a history of CBD use, or were willing to discuss hypothetical scenarios of CBD use during pregnancy. One on one semi structured interviews were conducted by a single interviewer, recorded, coded, and transcribed. Domains of the interview guide included experience with CBD or other substances, decision making influences, and information seeking behaviors. Interviews were coded using grounded theory methods by three coders (MH, SHB, AT) using Dedoose software. Sampling for interviews was completed once thematic saturation was achieved.

Results: Ten participants were interviewed (Table 1), including one who used CBD during pregnancy and five who used CBD when not pregnant and chose not to continue during pregnancy.  Five major themes emerged: (1) Risk and benefit perceptions, (2) identifying trustworthy resources, (3) disclosure, (4) suggestions for practice, and (5) differences between pregnancies (Table 2). Importantly, participants reported frequently receiving discordant opinions when seeking information from various sources, identifying a gap in available data given the prevalence of CBD use. Additionally, participants revealed how relationship with an obstetric provider and perceptions of how a provider will receive information about CBD use, determined revealing use.

Conclusion:

This study highlights the myriad of factors influencing pregnant patients' decisions on CBD use. These findings underscore the need for more research on CBD safety during pregnancy given the prevalence of use around gestation and first trimester exposure and can inform the development of educational tools for obstetric providers to better discuss CBD use with reproductive-aged patients.