CBD and Breastfeeding: Is It Safe?
Curiosity around the therapeutic uses for CBD has reached a fever pitch, but is it safe when you’re nursing? Here’s what experts say.
Maressa Brown is a seasoned lifestyle journalist, writer, and astrologer. In addition to being a regular contributor to Parents.com, her bylines appear on InStyle, Shape, What to Expect, Cosmopolitan, et al. She is the author of a forthcoming parenting title to be published by Artisan Books in early 2023. A graduate of Emerson College, she’s based in Los Angeles.
Pregnancy is one thing, but postpartum life often comes with a variety of mental and physical challenges. As many as one in five women suffer from postpartum depression, according to the Centers for Disease Control and Prevention (CDC). Other concerns include anxiety, chronic pain, and insomnia, all compounded by the lack of sleep and hormonal shifts that naturally occur after giving birth. It’s no wonder more new parents are gravitating to CBD, or cannabidiol, a component of either a marijuana or hemp plant that is non-psychoactive (unlike THC, or tetrahydrocannabinol, which only comes from marijuana).
CBD has been touted as the active ingredient in a variety of therapeutic products that boast anti-inflammatory, antioxidant, anti-psychotic, anti-convulsant, and antidepressant properties. But is it safe to use CBD while breastfeeding? Here’s what nursing parents need to know about CBD.
- RELATED: Which Medications Are Safe While Breastfeeding?
What the Science Says About Using CBD While Breastfeeding
Research has focused primarily on THC, as opposed to CBD, in breast milk, and the conclusion is that it is possible to pass low levels of the psychoactive ingredient to your baby while nursing. A study published in the journal Obstetrics and Gynecology looked at samples of breast milk from eight anonymous test subjects who regularly use cannabis and found that babies who were three to five months old and who were breastfed exclusively ingested an estimated 2.5 percent of the maternal dose of THC. (Researchers didn’t, however, take blood samples from the infants to see if they had measurable levels of THC in their bodies.)
And trying to “pump and dump” doesn’t work for cannabis products, as chemicals from cannabis that entered the body days or weeks prior to breastfeeding can make their way into breast milk, according to Medical News Today. In fact, other research published in the journal Pediatrics found that low levels of THC may be found in breast milk for up to six days after smoking cannabis or eating an edible.
Granted, this research was done on marijuana and THC, not hemp and CBD. But experts are concerned about the effect of any cannabinoid on an infant’s brain development.
“We truly do not know what short- or long-term impact on the baby it may have,” says Felice Gersh, M.D., a board-certified obstetrician and gynecologist and author of PCOS SOS: A Gynecologist’s Lifeline To Naturally Restore Your Rhythms, Hormones, and Happiness.
Is CBD Safe While Breastfeeding?
“Having a new baby is stressful, and some may wish to turn to cannabis products,” Dr. Gersh notes. But the limited data on its safety—and the fact that it will pass into breast milk—makes it difficult for many experts to advise its use for nursing parents. “Unfortunately, there is no safety data to allow a doctor to recommend the use of cannabis or CBD,” says Dr. Gersh.
Mary Clifton, M.D., an internal medicine doctor in New York City agrees, stating, “If a new parent is breastfeeding, it’s probably not wise to use CBD. The medical community doesn’t support the use of CBD in these settings, because proper studies can’t be completed on the effect on the baby or infant.”
Despite the lack of published research, new parents have used cannabinoids for thousands of years, notes Robert Flannery, Ph.D, owner of Dr. Robb Farms. “Yes, THC and CBD are expressed in small quantities in breast milk,” Dr. Flannery says. And while he doesn’t feel comfortable suggesting CBD for a new parent who is breastfeeding, he acknowledges the use of cannabis in the past.
“We do not have enough research to make claims one way or another on how that breast milk would affect the milk-fed babies,” says Dr. Flannery. “Cannabis is a medicine that has been used specifically for pregnant and breastfeeding parents for millennia. I will never make a claim without the science to back it up, but we should understand that anecdotal evidence can be used to formulate testable hypotheses to validate the use of cannabis at this time in a one’s life.”
Risks Vs. Benefits of CBD While Breastfeeding
Ultimately, because CBD “has been shown to be little risk to both adults and children” and therefore, “may not pose a problem,” it is important to weigh the risk versus benefits for the breastfeeding parent and the infant, says Hilary Peckham, the co-founder of Etain Health, the only all-women, family owned medical marijuana dispensary company in New York.
For instance, many new parents suffer from postpartum depression, anxiety, fatigue, mood swings and detachment from the infant. “Many sufferers start a treatment of antidepressants which may not be appropriate for breastfeeding and may need to be discontinued,” Peckham says. “Starting CBD may still allow the parent to breastfeed and prolong the bonding time with the infant. That said, you should speak to your doctor before starting CBD, especially if you are breastfeeding.”
The Bottom Line
The American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists (ACOG) recommend physicians counsel parents to abstain from all cannabis products—including CBD—if they wish to breastfeed. However, given the minimal amount of the substance that make its way into breast milk, and the fact that research has yet to confirm the exact effects on an infant, anyone interested in trying CBD while nursing would do well to speak to their doctor.
Can I Take CBD While Breastfeeding? Is It Safe?
There are a lot of reasons why a new mother may want to use cannabidiol (CBD) supplements after giving birth.
Some of the most common reasons include anxiety, postpartum depression, pain, or insomnia — all of which are more common in the first few weeks after giving birth while adjusting to the many changes in routines.
It’s important to remember that any of the CBD you take while breastfeeding will result in the transmission of some of that CBD to the baby.
Some mothers will take CBD or other supplements for their baby — especially for excessive crying and aggravation or to address inflammatory conditions the baby may be experiencing.
In this article, we’ll cover the most popular reasons why a mother may want to use CBD for herself or her baby — and discuss the safety around using CBD and other related cannabinoids while breastfeeding.
Potential Uses of CBD While Breastfeeding
There are many reasons a woman may consider using CBD while breastfeeding. This is a delicate time in a woman’s life because, for many, it marks the start of a new phase of life. This can be stressful for many new moms, as it forces them to change many of their daily routines and habits.
This change can negatively affect sleeping patterns, stress levels, and much more, leading to symptoms such as anxiety, depression, and insomnia — all of which can be addressed by CBD.
Additionally, one of the best ways to deliver active compounds to a baby is through =breast milk. So whether you’re taking the supplement for yourself (leading to dosing of the baby as a side-effect), or dosing yourself as a side-effect to dosing the baby — the results will be the same.
Here’s a breakdown of the most common reasons a woman may want to use CBD while breastfeeding, and how CBD may provide some relief for those symptoms.
1. Sleeping Issues
Insomnia is both a symptom and a condition. It’s one of the most common health conditions in the world, especially among new parents.
There are many causes for postpartum insomnia, such as the frequent waking in the night to feed your baby as well as the widespread neurological changes happening as your body adjusts to a new lifestyle.
Babies are less likely to experience insomnia, but this is still entirely possible.
CBD is an excellent supplement for use with insomnia because of its sedative and relaxing effects.
Studies have shown that people taking doses larger than 200 mg of CBD can fall asleep sooner, stay asleep longer, and report feeling more refreshed the following morning than the control group taking nothing to help their sleep.
Postpartum depression is common — affecting roughly one in ten women. This condition can range in its severity — some women experiencing minor symptoms for a few weeks after giving birth; others can progress to chronic depression lasting several years.
CBD offers some unique benefits towards depression — however, you should always consult with your doctor before using anything to support depression — even herbal supplements, including CBD. There are several different causes for this condition, so it’s essential to understand the cause before you start taking anything.
With that said, CBD does offer some powerful benefits to different causes of depression. There are also a few phase 2 clinical trials currently underway investigating the effects of CBD for different types of depression.
Around 4–11% of women during the postpartum period are diagnosed with anxiety — but many more remain undiagnosed. The fact of the matter is that anxiety is common among new parents in general, but especially women in the first few weeks immediately preceding the birth.
Some babies can experience different forms of anxiety — characterized by excessive crying, lack of sleep.
The most common cause of infant anxiety is anxious or stressed parents — babies are receptive to emotions. CBD is useful for anxiety-related symptoms because it’s able to enhance the binding ability of a neurotransmitter known as GABA — GABA essentially acts as the brake pedal for the nervous system. When we start moving too fast (such as during an anxiety attack), GABA works to slow down neurological activity and help us relax.
Top-Rated CBD Oils For New Mothers
Not all CBD is created equal. There’s a significant degree of difference when it comes to the quality of different CBD products.
If using this supplement while breastfeeding, it’s essential to find something as high quality as possible, and preferably in lower potency.
Here Are Our Top 3 Recommended Products That Fit That Criteria:
1. Royal CBD Oil (250 mg Bottle)
Get 15% off all Royal CBD products. Use code “CFAH” at checkout.
Royal CBD is a leader in manufacturing premium CBD oils — offering high-quality products made using organically-grown American hemp. A sample from each batch produced by this company is sent to independent labs for testing. This is used to prove the quality and safety of every bottle sold.
This company prefers to keep things simple, offering three key potencies to suit the needs of people using low-doses (such as breastfeeding mothers), moderate, and high doses(for more severe symptom management).
I would recommend going with the lower potency option (250 mg per ounce) — as it’s better to use lower potencies of CBD while breastfeeding — especially if you’ve never used CBD before.
2. Hemp Bombs CBD Oil (300 mg Bottle)
Hemp Bombs isn’t as well-known for the quality of oils as a manufacturer like Royal — however, they do a great job of providing excellent quality on a large scale. This company sells every form of CBD you can imagine, from CBD oils and capsules to more obscure products like CBD syrups and tattoo ointments.
In general, Hemp Bombs is going to offer more affordable CBD options and the cost of some of the quality. With that being said, these products are still sent through the same quality control standards as the other top-rated brands on our list. They provide third-party testing on their oils, which assess the product for heavy metal contamination, pesticide and solvent residues, and measure the product for its cannabinoid levels.
3. CBDistillery CBD Gummies
CBDistillery is a Colorado-based company with a diverse product lineup. Out of all their products, my favorite is their CBD gummies — which come in three primary forms; full-spectrum, isolate, and nighttime formula (containing melatonin).
I recommend starting with the isolate-based CBD gummies as they’re designed to be completely free from THC and other cannabinoids.
At 30 mg per gummy, the dose may be a little high for some users, and too high for breastfeeding mothers just starting. The reason I included this product on the list is that as a gummy, it’s easy to split the dose into two 15 mg halves. You can even split the gummy into thirds if you want a lower 10 mg dose of CBD instead.
Look For CBD Oils with Third-Party Testing
Should you decide to use CBD post-pregnancy, here are some of the top-rated CBD brands to look out for.
It’s critical that if you’re using CBD anywhere near infants that the oils are confirmed to be free from heavy metal contaminants, pesticides, or solvents that may have been leftover from the manufacturing process.
Although CBD itself isn’t thought to be unsafe for infants, these compounds most certainly are and should be avoided at all costs.
Low-quality CBD products often contain contaminants, so it’s vital that you find a high-quality manufacturer that provided transparency through third-party testing with all of their products.
I recommend going with a company like Royal CBD when shopping for products online. This is an excellent example of a company with strong integrity for keeping harmful compounds out of their oils — and keeping everything transparent for every batch.
This company does extensive testing throughout the manufacturing process, before finally sending a sample for the final product off to an independent lab for testing.
Third-party labs provide a non-biased analysis of products to look for everything from heavy metals and pesticides, to microbial contaminants such as bacteria and fungi. They also have the cannabinoid levels tested to ensure the THC content is well below the safe threshold of 0.3%.
Is CBD Safe to Use While Breastfeeding?
Now that we know why someone may consider using CBD while breastfeeding, here comes the big question — is it safe for the baby?
Some substances will transfer from the bloodstream into the breast milk, which will of course, then go on to affect the baby.
Breast Milk is high in fatty substances, so compounds that dissolve in fat will transfer into breast milk much easier than water-soluble compounds.
CBD is a fat-soluble compound, meaning that it will easily transfer through breast milk and into the baby’s digestive tract. Of course, the amount that transfers into the breast milk is minimal, but enough that it’s something we need to consider before giving the green light.
So how does CBD affect babies?
Research is Limited & Opinions Vary
Unfortunately, there’s almost no research currently available exploring the interaction between CBD supplementation in babies.
Older research exploring the interaction of other cannabinoids like THC has shown less than ideal results.
THC is considered unsafe for babies, so psychoactive forms of cannabis such as marijuana, THC-oils, or pharmaceutical preparations containing THC or THC-derivatives should be avoided while breastfeeding.
But CBD is another story altogether.
This compound isn’t psychoactive and doesn’t have the same interaction with neurotransmitters in the brain like serotonin — which is one of the main reasons why THC is not advised for babies or small children.
CBD works through entirely different mechanisms, acting as more of a balancing agent — helping to support homeostasis within the body rather than pushing the body in one direction or another.
What the Experts Say
Doctors’ opinions on the use of CBD in infants will vary. Most doctors err on the side of avoiding the substance due to the lack of research to prove the substance is safe.
On the other hand, this is a problem we face with many supplements and medications.
Just because we don’t have the research to prove something is safe, doesn’t mean it’s dangerous — so some doctors will exhibit caution while using supplements with small children and babies as long as there are no obvious signs that the supplement may be dangerous.
Despite many women using CBD while breastfeeding, there are virtually no reports of any direct consequences of this practice.
No negative case studies and certainly no clinical trials showing a negative effect have surfaced to date. This suggests the substance is safe to use while breastfeeding — but demands close observation by a pediatrician to keep an eye out for any signs of trouble.
There are even some studies showing CBD safe for small children (not infants) — even in high doses while being used to treat seizure disorders.
Moderation & Observation is Key
It’s at your own discretion and the discretion of your doctor to decide whether or not CBD is the right supplement for you — especially while breastfeeding.
We recommend you mention your intentions to your doctor to get their opinion. Depending on why you want to use CBD, your doctor may give you the okay — especially if the benefits of the supplement outweigh any slight negatives.
However, even if your doctor does give you the okay to start using CBD while you continue to breastfeed, they’ll likely recommend you to keep it in moderation.
Use the oils to support symptom flare-ups to help make your life more comfortable, but it’s best to avoid the supplement when you don’t need it.
Final Thoughts: Is CBD Safe While Breastfeeding?
There are many reasons why someone may choose to use CBD — from sleeping issues and anxiety to depression and inflammation.
Any of the CBD you take while breastfeeding can make its way into breast milk, and therefore your baby.
There are no clear indications that CBD is unsafe for babies — especially compared to some of the other cannabinoids like THC, which have been proven to be unsafe for newborns and young children.
Nevertheless, CBD still hasn’t been proven safe either — which is why many doctors err on the side of avoiding the supplement.
If you choose to use CBD supplements for yourself or to treat your baby through breast milk, we highly recommend first consulting with your doctor to discuss your intentions.
Have you used CBD while breastfeeding? What was your experience like? Leave your comments below.
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Livvy is a registered nurse (RN) and board-certified nurse midwife (CNM) in the state of New Jersey. After giving birth to her newborn daughter, Livvy stepped down from her full-time position at the Children’s Hospital of New Jersey. This gave her the opportunity to spend more time writing articles on all topics related to pregnancy and prenatal care.
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