Strategies for Prevention or Treatment of Tobacco and Cannabis Use Disorder

Clin Obstet Gynecol. 2022 Jun 1;65(2):397-419. doi: 10.1097/GRF.0000000000000688. Epub 2022 Mar 23.


Tobacco and cannabis use in pregnancy are associated with increased adverse perinatal and long-term offspring outcomes. Products for both have evolved with various forms available on the market, challenging accurate counseling of risks and quantification of tobacco and cannabis usage during the perinatal period. Health care providers are recommended to screen for any type of use, provide consistent messaging of harms of tobacco and cannabis use in pregnancy, and offer individualized interventions. The journey to cessation can be complicated by barriers and triggers, lack of social supports, and mental health challenges that should be addressed to prevent relapse and withdrawals.

MeSH terms

  • Cannabis*
  • Female
  • Humans
  • Marijuana Abuse* / complications
  • Marijuana Abuse* / prevention & control
  • Nicotiana
  • Pregnancy
  • Smoking Cessation*
  • Substance-Related Disorders*