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In this presentation, Dr. Meredith Vanstone, an associate professor at McMaster University and Canada Research Chair in Ethical Complexities in Primary Care, discusses her research on decision-making around cannabis use during pregnancy and lactation. The talk highlights the complexities pregnant and lactating individuals face when deciding whether to use cannabis, emphasizing the lack of clear evidence on its safety and the perceived benefits many users experience. Dr. Vanstone shares findings from systematic reviews and qualitative interviews, revealing that many pregnant individuals use cannabis for symptom management (e.g., pain, anxiety, nausea) and coping, rather than recreational purposes. She also explores the challenges clinicians face in counseling patients due to limited knowledge and the stigma surrounding cannabis use. The presentation underscores the need for more research, clearer public health guidance, and non-judgmental conversations between healthcare providers and patients to support informed decision-making. The talk concludes with a call for better communication strategies to provide credible information to pregnant and lactating individuals about cannabis use. Key Topics Covered: Decision-making around cannabis use during pregnancy and lactation. Reasons for cannabis use (symptom management, coping, recreation). Challenges in clinical counseling and patient-provider communication. Lack of clear evidence on risks and benefits of cannabis use during pregnancy. Need for more research and public health guidance. Strategies for harm reduction and informed decision-making. This presentation is essential for healthcare providers, researchers, and anyone interested in the ethical and practical complexities of cannabis use during pregnancy and breastfeeding. Cannabis Marijuana Weed use during pregnancy Cannabis and lactation Pregnancy and marijuana Cannabis decision-making Risks of cannabis in pregnancy Benefits of cannabis during pregnancy Cannabis for symptom management Prenatal cannabis use Breastfeeding and cannabis Cannabis harm reduction Ethical complexities in primary care Cannabis research in pregnancy Cannabis and fetal health Cannabis and postpartum Cannabis and mental health in pregnancy Cannabis and chronic pain in pregnancy Cannabis and nausea during pregnancy Cannabis and anxiety in pregnancy Cannabis and public health guidelines Cannabis stigma and pregnancy --- Full talk title - Making decisions about cannabis use during pregnancy and lactation: Patient and clinician perspectives. Presented by Meredith Vanstone. Filmed during the Cannabis and Women’s Health Half day on May 16, 2023 at McMaster University in Hamilton Ontario. This event explored current research topics on cannabis and women’s health, with a focus on cannabis use during pregnancy and lactation. The Michael G. DeGroote Centre for Medicinal Cannabis Research is a multidisciplinary leader in medicinal cannabis research. The Centre is led by the Michael G. DeGroote School of Medicine Initiative for Innovation in Healthcare at McMaster University in Hamilton, Ontario, Canada. This initiative leverages McMaster University’s world-renowned expertise in health research and evidence-based medicine to create a hub for evidence-based data and innovative research. The Centre is a partnership between McMaster University, St. Joseph’s Healthcare Hamilton, the Peter Boris Centre for Addictions Research and the Michael G. DeGroote School of Medicine.