One of the best steps you can take when introducing a new supplement or medication in your health regimen is to take notes of your dose and how you respond to it during the course of the treatment. This will help you and your medical practitioner understand how the CBD or other supplement is working (or not).
CBD and THC are the two most common compounds in the cannabis plant. Both compounds are similar in structure — they even have the same molecular structure: 30 hydrogen atoms, 21 carbon atoms, and 2 oxygen atoms.
You can also use CBD oils topically for things such as skin irritations, inflammation, wounds, and muscle aches. This form of use has far fewer restrictions than other forms of supplementation and is the safest form of administration.
3. Keep Notes on Your Doses and Progress
But exactly what is CBD oil? How do you take it, and what effects can it have on your pregnancy? Read on to learn everything you need to know about taking CBD oil during pregnancy.
In basic terms — THC makes you high, CBD makes you feel better.
In order to conduct any research, especially on humans, a professional ethics board needs to approve the study parameters. These boards are especially strict when it comes to pregnancy and will often deny any research requests if there hasn’t already been enough proof that the substance is safe through other studies.
There are two main types of CBD product available — full-spectrum extracts and CBD isolate.
What Moms Say
When Frank herself was expecting in 2015, prior to joining the company, she says she suffered from hypermesis gravitum (HG), a condition marked by chronic, severe morning sickness. "I was getting sick 20-30 times a day, was unable to nourish myself or my baby, and was constantly flirting with dehydration," she tells Parents.com. "The medicine typically prescribed for this has a slew of potential side effects, so I refused it. My symptoms actually got worse with each passing month, to a point where my doctor was recommending bed rest in the fourth month."
What the Experts Say
Like Frank, Jennifer Farris, a health coach, yoga instructor, and mom who gave birth to her son just this past September, attests to the benefit of CBD use during pregnancy. "CBD oils noticeably reduced my anxiety during pregnancy and made it easy to fall asleep," she tells Parents.com. "They also helped lessen joint pain with all the changes in my body during pregnancy. I used Sunday Scaries CBD Gummies, and their products are third-party lab tested to ensure there are zero traces of THC."
That said, Congress is poised to lift a federal hemp ban this month, that, according to The Hill, "will for the first time allow lawmakers to develop and impose best manufacturing practices and standards for this nascent industry—policies that will ultimately lead to a safer and better-quality product for consumers."
Presently the safety of marijuana in pregnancy has not been demonstrated and its use is advised against by many professional societies. While it is possible that risks of untreated HG are higher than previously thought (Koren et al., 2018), this issue will have to be addressed by future research and fetal cannabis exposure cannot be assumed to be safe for HG.
She experienced HG starting at 7 weeks of gestation. Her PUQE score was 15. The use of cannabis was associated with major improvement in nausea and vomiting. Her PUQE score improved to 8. For religious reasons she did not used cannabis on Saturdays, resulting in nausea and lack of appetite. She was also treated with 5 amino salycilic acid and citalopram for her colitis and fibromyalgia. Her Quality of Life scale improved from 1 to 6.
In her 2nd pregnancy HG started at 4 weeks with up to 70 bouts of vomiting a day necessitating repeated hospitalizations and use of a nasogastric tube and parenteral nutrition. She was continuously hospitalized with her vomiting responding to Diclectin and ondansetron but with continued severe nausea, which prevented her from eating. Her PUQE score was at 15. While continuing Diclectin and ondansetron, she started at 14 weeks of gestation smoking cannabis, trying 3 different types containing 18–20% THC and 0.1% CBD. Two-three puffs resulted in total relief of nausea and vomiting, ability to eat and keeping the food down. Each round of puffs sustained its effect for 3–4 h, and for the remaining of her pregnancy she was not hospitalized despite continuation of her symptoms. Her PUQE score decreased to 7. Her Quality of Life score increased from 2 to 7. She experienced a mild sedative effect with the different types of cannabis, and hypotension with the Sativa. She asked to be delivered at 36 weeks due to her symptoms of HG, and a healthy baby boy of 2Kg was born, who, at 1 year of age appears to meet his developmental milestones.
Nausea and Vomiting of Pregnancy (NVP) affect up to 80% of pregnant women and is characterized by varying severity of symptoms that in most women subside by the end of the first trimester of pregnancy. At the severe end of NVP, Hyperemesis Gravidarum (HG) affects between 1 and 2% of pregnant women and is characterized by severe and protracted nausea and multiple vomiting, weight loss, dehydration and electrolyte imbalance, responding only partially to standard antiemetic medications (Dean et al., 2018). Most women experiencing HG need hospitalization for rehydration and nutritional support. Cannabis has been known to possess antiemetic effects and there are several medicinal cannabinoids used as anti -emetics for cancer chemotherapy (Mersiades et al., 2018). A narrative review of PubMed, EMBASE, Cochrane and social media has revealed large numbers of American women claiming favorable effects of cannabis on their HG symptoms (Facebook, 2019). However, these uncontrolled reports are difficult to evaluate due to the unstructured methods of data collection and reporting. In parallel, several epidemiological studies have reported on cannabis use in pregnancy. In Hawai, 2.6% of women reported using marijuana during pregnancy between 2009 and 2011. The 21.2% of women who reported severe nausea during pregnancy were significantly more likely to report marijuana use during gestation (Robertson et al., 2014). To the best of our knowledge, to date there has not been direct clinical research documentation of cannabis effects in HG. We describe four cases of cannabis use among women who called and were followed up by a medical a service focusing on providing information and counseling for pregnant women suffering from HG .
A healthy 2.6 Kg baby girl was born at term. At 4 years of age she is healthy and appears to be developing well.
A 32 year old woman who experienced HG between weeks 6–14 of her first pregnancy. She was treated with metoclopramide but developed an allergic reaction.
A 32 year old physician in her third pregnancy. Her first pregnancy was characterized by HG between weeks 6–20, with no response to Diclectin (doxylamine and pyridoxine) and partial response to intravenous ondansetron. A healthy 3.4 Kg baby boy was born at 40 weeks. Her second pregnancy was also complicated by HG between weeks 6–16, again with no response to Diclectin and partial response to ondansetron. A healthy 3.14 Kg aby girl was born at 40 weeks.