Marijuana use among pregnant women has exponentially increased over the last 20 years. According to the American College of Obstetricians and Gynecologists (ACOG), pregnant women, especially those from high-income countries like the United States, have reported use ranging from 3.9% to 22.6%. This change in the landscape of substance use is observed in states like Michigan where both medical and recreational marijuana are legal. As access expands and perception shifts, researchers are racing to understand the number of pregnant women using marijuana and what factors shape that decision.

A recent study from the University of Michigan analyzed data of self-reported marijuana use and urine toxicology testing from 1,100 mothers in Michigan between 2017 and 2023, finding that 1 in 6 pregnant mothers used marijuana and in some parts of the state, that number is as high as 1 in 4.

Other key findings include:

  • 25% reported using marijuana 3 months prior to becoming pregnant
  • 12.3% self-reported using marijuana while pregnant
  • 13.3% tested positive from urine toxicology testing

When self-reported use was considered together with urine toxicology results, the prevalence reached 16.8%, substantially higher than the national average of 9.8%. This study also found that single pregnant individuals, those with lower educational attainment, individuals who presented with symptoms of depression, or who had a history of Adverse Childhood Experiences (ACEs) had a higher likelihood of prenatal marijuana use.

Why are pregnant women turning to marijuana?

  • Perceived safety: nearly 1 in 5 pregnant women believed that weekly marijuana use poses “no risk”
  • Affordability: Michigan’s cannabis market is one the largest in the country, with prices dropping from ~$267 to $65/ounce in 2025
  • Symptom relief: 81.5% reported using it to relieve stress, anxiety
  • Ease of acquisition: 91.7% of pregnant users said that it was easy to obtain

The increased prevalence of marijuana use discovered in this and many other studies, suggest that many pregnant individuals may not fully understand the risks or may be using marijuana for symptom relief without the guidance of their healthcare provider.

To learn more about the risks of marijuana use during pregnancy and parenthood, visit marijuanaknowthetruth.org/marijuana-and-pregnancy for science-based resources, including fast facts, videos, and the latest research.

To further deepen your understanding of marijuana and its impacts on health and safety, enroll in a free, short online course by using the code DFAF_FL-MJ23 at lms.preventionmastery.com/self-signup.

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