黑料吃瓜网

When Jenna Sauter's youngest son, Axel, tested positive for THC 鈥� marijuana's active ingredient 鈥� after he was born, she got a home visit from local social services. Sauter says she and her friends don't smoke near their children. (Sarah Varney/KHN)

Two-year-old Maverick Hawkins sits on a red, plastic car in his grandmother鈥檚 living room in the picturesque town of Nevada City, Calif., in the foothills of the Sierra Nevada. His playpal Delilah Smith, a fellow 2-year-old, snacks on hummus and cashews and delights over the sounds of her Princess Peppa Pig stuffie.

It鈥檚 playtime for the kids of the provocatively named Facebook group 鈥淧ot smoking moms who cuss sometimes.鈥�

Maverick鈥檚 mother, Jenna Sauter, started the group after he was born. 鈥淚 was a new mom, a young mom 鈥� I was 22 鈥� and I was just feeling really lonely in the house, taking care of him,鈥� she said. She wanted to reach out to other mothers but didn鈥檛 want to hide her marijuana use.

鈥淚 wanted friends who I could be open with,鈥� Sauter said. 鈥淟ike, I enjoy going to the river and I like to maybe smoke a joint at the river.鈥�

There are nearly 2,600 members now in the Facebook group. Marijuana, which became legal for recreational use in California this month, is seen by many group members as an all-natural and seemingly harmless听听for everything from morning sickness to postpartum depression.

Delilah Smith鈥檚 mom, Andria, is 21 and a week away from her due date with her second child. She took umbrage when an emergency room physician recently suggested she take 鈥渉alf a Norco鈥濃�� a pill akin to Vicodin, an opioid-based painkiller 鈥� for her excruciating back pain.

Smith was disdainful. 鈥淪he was like, 鈥榃e know more about Norco and blah, blah, blah and what it can do to you, but we don鈥檛 that much about marijuana,鈥欌�� Smith said.

鈥淚 was like, 鈥楾est me!鈥� I was like, 鈥極bserve me. My kid could count to 10 before she was even 2 by herself, and I smoked pot throughout my whole pregnancy. She鈥檚 not stupid! There is no third eye growing.鈥欌��

The number of women in the United States who use marijuana during pregnancy has been difficult to gauge, partly because some women are reluctant to tell their doctors; at least 24 states consider substance use during pregnancy a form of child abuse, so divulging such information can have serious consequences.

Still, a number of听听nationally suggest there鈥檚 been a sharp jump in pot use among pregnant women. Younger mothers, especially, were reported using marijuana during pregnancy.

Andria Smith and Sauter both told their doctors of their marijuana use, and after they gave birth, their babies were tested for signs of marijuana鈥檚 chief active ingredient,听.

Because their babies tested positive, Sauter and Smith were visited at home by county social service workers, who gave the women information about the effects of marijuana use during pregnancy and breastfeeding.

Researchers say psychoactive compounds in marijuana easily听, exposing the fetus to perhaps 10 percent of the THC 鈥� tetrahydrocannabinol 鈥� that the mother receives, and higher concentrations if the mom uses pot repeatedly.

, a research obstetrician and gynecologist at the University of California-San Francisco who also treats patients, said studies听have shown marijuana听听or .

Gossett cited some听听that suggests children exposed to marijuana while growing in the womb can have poorer performance on visual-motor coordination 鈥� tasks like catching a ball or solving visual problems like puzzles.

And studies also show, she said, these kids may have behavioral problems at higher rates than other children by age 14, and are at greater risk for initiating marijuana use.

鈥淭hat is biologically plausible,鈥� Gossett said, 鈥渂ecause the effects of THC in the brain may actually prime that child for addictive behavior, not just to marijuana but to alcohol as well.鈥�

There has been little research on the effects of THC passed to a baby via breastfeeding. But because there isn鈥檛 enough evidence to determine the risk, the American College of Obstetricians and Gynecologists (ACOG)听, and warns breastfeeding moms to avoid eating or smoking marijuana or inhaling its secondhand smoke 鈥� since some amount of THC, just like alcohol, can pass into the baby that way.

To Smith鈥檚 point that her daughter, Delilah, is just as smart as her peers, studies do show that, in general, children exposed to marijuana in utero don鈥檛 score worse on reading or mathematics as they get older.

Jenna Sauter said many parents she knows are uncertain if they can get in trouble using pot now in California.听(Sarah Varney/KHN)

Sauter said she and her friends don鈥檛 smoke near their children, nor do they spend their days stoned to oblivion.

鈥淚t鈥檚 not like being totally out of it,鈥� Sauter said. 鈥淚鈥檓 completely aware of my surroundings. I鈥檓 watching my kid, watching my friends鈥� kids. I鈥檓 hanging out. You totally know what鈥檚 going on.鈥�

Sauter said many parents she knows are uncertain if they can get in trouble using pot now in California. Indeed, child protection laws in most states remain at odds with liberal marijuana laws. Some moms on the Facebook page will not go to the doctor 鈥� even when they鈥檙e sick.

鈥淭hey don鈥檛 want to get tested,鈥� Sauter said. 鈥淎nd that鈥檚 dangerous. We should be able to be open about it. Because if something does go wrong, we鈥檝e got to know.鈥�

ACOG does not endorse mandatory testing for THC in pregnant women or newborn babies 鈥� out of concern that women could be jailed or have their babies taken from them. Instead, the organization urges obstetricians to ask pregnant women about drug use during prenatal visits, counseling these patients against substance use and helping them alleviate their nausea, back pain or postpartum depression with medications deemed safe by federal drug regulators.

But with听听in at least eight states and the District of Columbia,听physicians like Gossett are worried that newborns and young children, whose brains are rapidly developing, constructing billions of neural connections, will come to know the world in an altered state.

鈥淭hey鈥檙e learning what things look like and how things move and how to respond to the world,鈥� Gossett said. Marijuana鈥檚 psychotropic effects, she added, will change 鈥渁 child鈥檚 ability to interpret the world around him.鈥�

黑料吃瓜网 News鈥� coverage of children鈥檚 health care issues is supported in part by the .