Marijuana in Pregnancy; its Relationship to Nausea, Emesis, and Hyperemesis - Abstract
Background: Approximately 4.6 – 11% of patients admit to marijuana use during pregnancy. Marijuana is used both medicinally and recreationally. Historically, marijuana has been used as an anti-emetic. However, the growing literature of Cannabinoid Hyperemesis Syndrome necessitates attention to the paradoxical pro-emetic effects of this drug. As marijuana use increases, the effect on pregnancy and neonatal outcomes is a topic of ongoing investigation.
Case: We present a case of a 25-year-old female with twenty-eight hospital visits for hyperemesis during her pregnancy. On review of her case, she met criteria for diagnosis of Cannabinoid Hyperemesis Syndrome, which if diagnosed sooner, may have altered the course of her admissions and treatment.
Conclusion: Marijuana use is associated with nausea and vomiting in pregnancy.
However, whether it is the causative agent or the treatment option has yet to be established. Cannabinoid Hyperemesis Syndrome can be seen in pregnant patients and treatment during pregnancy remains the same as in the non-gravid state.