A pediatrician trained in Western and Ayurvedic medicine along with a celebrity doula advise against use of CBD while breastfeeding. Learn why inside. When it comes to life for a new mom, there are a ton of questions both during pregnancy and after. How much does what you put in your body affect your baby? What’s considered safe? What isn’t? And are there natural alternatives that are better for you and your child than prescription medications that may […] 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
Taking CBD While Breastfeeding Poses Risks—Here’s What You Need to Know
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In This Article
Cannabidiol, or CBD, is everywhere, from topical salves to tinctures. The so-called organic Xanax is being touted by wellness enthusiasts as a panacea to pain, anxiety, depression, and insomnia. Nature’s supposed cure-all might seem like a miracle treatment to sleep-deprived, delirious new mothers, especially those who are breastfeeding and feeling energetically depleted. But despite the widespread availability of CBD, as of 2021, the Food and Drug Administration (FDA) has only approved one CBD drug, leaving many questions around its safety for breastfeeding mothers unanswered. What may seem like natural stress relief to help navigate the many mental and physical challenges of motherhood, especially in trying times, might end up exposing your child to risks that research has yet to uncover.
Nursing offers an unparalleled host of benefits to both mother and child. According to a comprehensive 2013 review, the nutritional, immunological, and anti-inflammatory properties of breastmilk provide health advantages to a nursing baby, including reduced risks of asthma, obesity, type 2 diabetes, ear and respiratory infections, and sudden infant death syndrome (SIDS). Nursing mothers experience a lowered risk of disease, including hypertension, type 2 diabetes, and ovarian and breast cancer, according to a Centers for Disease Control and Prevention (CDC). But that’s not all. Breastfeeding is credited with positive psychosocial outcomes, most noticeably through the bond that develops between mother and child. As such, leading organizations from the American Academy of Pediatrics to the American College of Obstetricians and Gynecologists endorse breastfeeding for at least 12 months of a child’s life. Such consensus around the benefits of breastfeeding have resulted in an uptick in mothers who nurse, with the CDC reporting 58.3% of infants breastfeeding at 6 months in 2017.
Increased duration of breastfeeding does, however, extend the postpartum period, which, as you probably know, may result in fatigue, interrupted sleep, and the emotional pressure that can accompany feeding a little one 24/7. As wonderful as breastfeeding may be, it can also be overwhelming, leaving nursing mothers exhausted and in need of relief; after all, being a source of unconditional comfort is draining. Widely available CBD might seem like a godsend, offering an instant feeling of calm without a hangover or any of the psychoactive effects of marijuana. But here’s the rub: Even though CBD is natural, we don’t yet know how CBD affects a developing baby and child, and what the longterm effects might be to a baby who has been exposed to CBD through breastmilk.
Ahead, our experts help us sift through what we do know about using CBD when breastfeeding, so nursing mothers can make informed choices.
Meet the Expert
- Natalie Geary, MD, is a pediatric and family doctor based in Miami and New York and the founder and Medical Director of vedaHEALTH and vedaPURE. A Harvard trained physician, Geary integrates Ayurvedic and allopathic medicine in her practice.
- A celebrity wellness maven and birth doula, Latham Thomas is the founder of Mama Glow, a global maternal health and doula education company, instructing doula-trainees from around the world. Thomas is a graduate of Columbia University and Institute for Integrative Nutrition, and author of two best-selling books, Own Your Glow: A Soulful Guide to Luminous Living and Crowning The Queen Within and Mama Glow: A Hip Guide to Your Fabulous Abundant Pregnancy.
What the Data Says About CBD and Breastfeeding
There is a lack of published research on the safety of using CBD while breastfeeding. Most of the data surrounds maternal use of tetrahydrocannabinol (THC), derived from marijuana. However, CBD and THC are both classified as cannabinoids, which the data suggests enters breastmilk after maternal consumption:
A 2018 study surrounding THC and breastfeeding, published in the Journal of the American Academy of Pediatrics, indicates that THC is measurable in breastmilk for up to six days after maternal marijuana use. Cannabinoids love to adhere to fat, and breastmilk is viscous as it contains long chain polyunsaturated fatty acids.
This means you can’t pump and feel confident the CBD is out of your system, like you might after say, drinking a glass of wine. “CBD takes longer to metabolize and process through the body than alcohol,” says Thomas. “We know that cannabinoids stick to the fatty parts of breast milk and hang out longer.“
Geary adds, “Every mother’s metabolism is different; the absorption into the blood stream is different, and the actual dosage of the CBD listed is not considered accurate or reliable.” She also brings up a point about the lack of regulation surrounding CBD products. In March of 2020, the FDA issued a statement promising to advance regulatory practices of CBD, admitting wide gaps in data and a lack of market transparency. The same report notes, “we are also not at a point where we can conclude that unapproved CBD products are safe for use.” Thomas adds that for reliable data, we’ll need to evaluate a couple thousand people over at least 15 years. Current data doesn’t meet either of those criteria.
Topical vs. Ingestible Use of CBD When Breastfeeding
When it comes to topical versus ingestible use of CBD, again, there’s a dearth of data on the longterm effects. However, Thomas says that topical CBD products are a bit safer because CBD isn’t entering your bloodstream in the same way. “Postpartum women might apply a CBD salve to a scar, achy muscles, or to ease sore nipples,” explains Thomas, adding that you should make sure to clean nipples before your baby latches.
Thomas warns to be skeptical of CBD products that are inexpensive. Seek out reputable brands that use conscious farming practices. “None of this stuff is cheap,” she says. “This is an expensive process.”
She says it’s crucial, however, that you bring the product you intend on using to your health care provider and discuss its use before trying it out. She also says it’s important to realize if you choose to use CBD topically when breastfeeding, it’s still considered experimental. “Never feel forced to use something just because you bought it,” she adds.
Risks of Using CBD When Breastfeeding
One reason you might think CBD is safe for nursing mothers is the fact that mother’s milk naturally contains cannabinoids, similar to CBD. These cannabinoids may help stimulate a newborn’s appetite. In fact, they work on the same receptors that are activated when people get the munchies from consuming THC. However, don’t assume a case of “the more the merrier,” says Thomas. Geary, too, warns there’s a big difference between what the body produces naturally and the “artificially imported chemicals” in commercial CBD. She adds, “Women have been breastfeeding forever. Mother’s milk contains no impurities, no chemicals or pesticides, and no chance of an overdose.”
CBD remains out of the purview of the FDA, leaving each company or brand in control of monitoring the product’s safety. “Some companies are able to afford testing and studies,” says Thomas. “Others aren’t.”
Geary adds, “A very real problem is that the products are unregulated and may be contaminated with harmful chemicals—such as pesticides, bacteria, fungus, and heavy metals—which can harm the fetus or baby.”
Geary (who notes that as a pediatrician with a license to provide medical marijuana —CBD and THC products—she’s not an anti-marijuana doctor), says using CBD when breastfeeding just isn’t a safe gamble. “During the time of the developing fetus, through until age three years of life, the infant’s brain reaches 80% of its full adult volume. Any unnecessary exposure, especially in those vulnerable first three years, is worth considering very seriously.”
Until we have more evidence, Geary says women who are expecting or breastfeeding should definitely err on the side of caution and avoid cannabis in all forms.
Try to use nursing sessions as a time to pause and reset, letting the oxytocin that’s released during breastfeeding help you enter a state of calm. Play soothing music or a guided meditation, practice deep breathing, and remember that this stage of life is temporary.
Thomas adds that although CBD can seem like a “pathway to self-care,” it’s only one of many wellness tools. She urges women to get to the “root of the stress or anxiety on the road to recovery.” Asking for help is critical. “When we think of stress and how to mitigate it because life is too much, that becomes a pathway for pain and trauma to embed,” she says. But it’s also an opportunity to do the work necessary to heal. “Reaching for a cure-all,” she says, “helps us turn away from a life we’ve created when we need to be so committed to it right now.”
If you or someone you know is struggling with postpartum depression, please see a physician or contact Postpartum Support International, a free helpline.
Byrdie takes every opportunity to use high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial guidelines to learn more about how we keep our content accurate, reliable and trustworthy.
Dieterich CM, Felice JP, O’Sullivan E, Rasmussen KM. Breastfeeding and Health Outcomes for the Mother-infant Dyad. Pediatr Clin North Am. 2013;60(1):31-48. doi:10.1016/j.pcl.2012.09.010
Centers for Disease Control and Prevention. Breastfeeding Benefits Both Baby and Mom. Updated July 27, 2021.
Bertrand KA, Hanan NJ, Honerkamp-Smith G, Best BM, Chambers CD. Marijuana Use by Breastfeeding Mothers and Cannabinoid Concentrations in Breast Milk. Pediatrics. 2018;142(3):e20181076. doi:10.1542/peds.2018-1076
Uvnäs Moberg K, Ekström-Bergström A, Buckley S, et al. Maternal Plasma Levels of Oxytocin During Breastfeeding – A Systematic Review. PLoS One. 2020;15(8):e0235806. doi:10.1371/journal.pone.0235806
CBD & Breastfeeding
When it comes to life for a new mom, there are a ton of questions both during pregnancy and after. How much does what you put in your body affect your baby? What’s considered safe? What isn’t? And are there natural alternatives that are better for you and your child than prescription medications that may have potentially dangerous side effects?
We get asked questions like these a lot, and one thing most new moms want to know is whether or not it’s safe to take CBD while breastfeeding. Like the answer to every question regarding CBD, the answer starts with understanding more about the human body and its endocannabinoid system.
Understanding the Endocannabinoid System
The Endocannabinoid System (ES) plays a critical role in your body’s functioning and well-being. The Endocannabinoid System maintains a number of integral functions, including mental health and wellness, mood, appetite, nutrient transport, energy storage, immune function and the regulation of stress and pain perception.
When CBD enters the human body, it binds to CB receptors within the Endocannabinoid System. This can help to boost the endocannabinoids your body is already producing, and may help to improve the functions the ES is part of. You can learn more about the Endocannabinoid System here and see how CBD works in the body.
The Difference Between THC and CBD
By now, you probably know that THC and CBD are two of the most beneficial compounds found in hemp oil. CBD is a compound widely known for its beneficial properties that produces no psychoactive effects whatsoever. THC may also be useful in helping to treat various ailments, and it’s the compound responsible for creating the “high” associated with cannabis.
There’s been limited research done on the effects of CBD and THC on a developing fetus, but we discuss how to choose if taking CBD during pregnancy is right for you at length.
Taking CBD While Breastfeeding
When it comes to THC, research points to staying away from it while breastfeeding. However, there really hasn’t been enough research done to determine whether or not it’s safe to take CBD while breastfeeding. The truth is that many women who choose to take CBD during their time as a new mom have reported that they also enjoy powerful and natural relief from common postpartum symptoms.
Like any decision that involves your health or the health of your new baby, we strongly recommend talking with your doctor about whether CBD is the right option for you.
To learn more about the research out there and the arguments being made on taking CBD while breastfeeding, let’s dive into the ways CBD may be beneficial and the concerns about taking it.
A Natural Fighter of Anxiety and Depression
For the surprisingly high percentage of new moms struggling with postpartum depression and anxiety, CBD may be especially helpful. Studies suggest between 11% to 15% of women struggle with these challenges, though the true number could be much higher.
Women with postpartum depression often find it more difficult to bond with their babies or provide them with adequate care, potentially impacting a child’s psychological development and leading to problems down the road. Often, when women bring these symptoms to a doctor’s attention, the prescribed “solution” is an antidepressant, like Lexapro or Zyban. Once these drugs finally take effect weeks after the first dose, they can come with a host of side effects like insomnia, weight gain and dizziness. While newer antidepressants have thankfully been formulated so they won’t interfere with breastfeeding, these drugs simply aren’t guaranteed to work. For new mothers without the financial means to obtain these antidepressants, PPD can feel like an impossible challenge.
The most controversial aspect of taking CBD while breastfeeding is simply the lack of research. Most of the studies done on cannabis involve a targeted look at THC. And while this research does point to negative effects of THC on developing fetuses and newborns (like low birth weight), what this indicates is that women shouldn’t smoke marijuana or take THC-rich products while pregnant or breastfeeding. It doesn’t indicate anything negative about CBD.
However, there is one thing we do know for sure – breast milk already naturally contains cannabinoids.
Cannabinoids in Breast Milk
Yep, that’s correct – breast milk is already chock-full of cannabinoids crucial for a baby’s development. This is one of the most important and significant findings surrounding CBD and cannabinoids at large.
Endocannabinoids are incredibly important because they play various vital roles in a baby’s development. They help stimulate the process of suckling and promote appetite, teaching newborns the vital process of eating and getting essential nutrients. It has been widely observed that babies who drink breast milk are more calm after feeding. While we do know that cannabinoids are present in breast milk, scientists aren’t yet sure which cannabinoids are present. One of the challenges in determining which cannabinoids are in breast milk is that CBD binds closely with fat, making it near impossible to measure its amount.
In the future, researchers believe they’ll be able to figure out which cannabinoids are in breast milk – and in what amounts – through a process called “saponification,” which separates those compounds from the milk. All of these advancements are important in determining how CBD might affect a newborn and making progress in the larger picture of CBD as a potentially awesome natural alternative to prescription medications.
Is Taking CBD Worth the Possible Risk?
That’s ultimately a choice between you and your doctor. There simply isn’t enough information currently about the ways CBD could impact your breast milk or your baby for us to definitively state that it’s a completely safe option.
However, after consulting with their doctors and analyzing the benefits of CBD over certain prescription medications, many mothers make the decision that CBD is right for them. And we do know that CBD is regularly prescribed for children struggling with seizures as a safe, non-intoxicating and natural solution.
If I Choose to Take CBD, How Much Should I Take?
As always, we recommend starting small and taking CBD at a consistent time of day. If you’re new to CBD, we recommend starting with 25-50 mg a day and increasing the amount as needed. To learn more, check out this complete guide of how much CBD you should take.
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.