Breast milk Δ9-tetrahydrocannabinol in cannabis users during the postpartum period: correlation between breast milk, maternal urine and saliva samples during early lactation - Scorecard - MDSpire

Breast milk Δ9-tetrahydrocannabinol in cannabis users during the postpartum period: correlation between breast milk, maternal urine and saliva samples during early lactation

  • By

  • Miguel Sandonís

  • Maia Brik

  • Clara Ramirez

  • Laura Castellote

  • Anna Creus

  • Gemma Parramón

  • Anna Suy

  • Josep Antoni Ramos-Quiroga

  • Raul Felipe Palma-Álvarez

  • Constanza Daigre

  • June 30, 2026

  • 0 min

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Clinical Scorecard: Analysis of Δ9-tetrahydrocannabinol Levels in Breast Milk of Cannabis Users During Early Lactation: A Study of Correlations with Maternal Urine and Saliva Samples

At a Glance

CategoryDetail
ConditionCannabis use during lactation
Key MechanismsAssessment of Δ9-THC concentrations in breast milk, saliva, and urine
Target PopulationPostpartum women with cannabis use at delivery
Care SettingVall d’Hebron University Hospital, Barcelona, Spain

Key Highlights

  • Δ9-THC concentrations in breast milk decreased rapidly after postpartum cannabis cessation.
  • Urinary THC-COOH concentrations remained quantifiable longer than breast milk Δ9-THC.
  • Salivary Δ9-THC showed limited concordance with breast milk Δ9-THC.

Guideline-Based Recommendations

Diagnosis

  • Assessment of cannabis use through urine testing at delivery.

Management

  • Counseling on the potential risks of cannabis use during breastfeeding.

Monitoring & Follow-up

  • Regular monitoring of Δ9-THC levels in breast milk and urine.

Risks

  • Potential psychotropic effects on infants due to Δ9-THC exposure.

Patient & Prescribing Data

Postpartum women who used cannabis at delivery.

Abstinence from cannabis during breastfeeding is recommended.

Clinical Best Practices

  • Provide evidence-based counseling to breastfeeding women regarding cannabis use.
  • Monitor Δ9-THC levels in breast milk for women with recent cannabis use.

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