This study, Online Conversations on Perceived Stigma Among Pregnant Individuals Who Use Cannabis, explores how pregnant and postpartum individuals experience and respond to stigma related to perinatal cannabis use (PCU). Using qualitative analysis of 113 online discussion threads from a cannabis-focused pregnancy forum, the researchers identified three main themes: (1) experiencing stigma, particularly from family and society, leading to guilt and frustration; (2) contradictions in stigma, how cannabis use is more harshly judged than alcohol or tobacco use during pregnancy; and (3) challenging stigma, where forum participants provided peer support, shared personal successes, and questioned dominant narratives. The study highlights the complex relationship between stigma, cannabis use, and access to care, suggesting that a nonjudgmental, evidence-based approach to PCU may be more effective in reducing harm.
Reflection for FASD Prevention Conversation Facilitators
➤ Stigma is a barrier to support. Many individuals reported feeling judged by family, partners, and healthcare providers, which led them to hide their cannabis use rather than seek help.
➤ Cannabis is often used for symptom relief. Participants described using cannabis to manage nausea, pain, anxiety, and sleep issues—highlighting a perceived lack of safe, supportive alternatives.
➤ Messaging is inconsistent and confusing. Forum users pointed out the contradiction in how cannabis is stigmatized more harshly than alcohol or tobacco during pregnancy, which contributes to mistrust and confusion.
➤ Online communities offer judgment-free support. When trust in healthcare was low, individuals turned to online forums for validation and harm reduction advice—often prioritizing peer experience over professional input.