Smoking
anything causes some chemicals to be absorbed into the blood in the place of oxygen, that's how the drugs are absorbed. Therefore, just as smoking tobacco is discouraged in pregnant women, so smoking marijuana should equally be discouraged, as it upsets the blood-oxygen supply to the foetus. This can mean the foetus doesn't get enough oxygen, and may be born lighter, smaller, and underdeveloped. Smaller babies have a higher risk of complications after birth; infections, severe jaundice, difficulty feeding, breathing problems, low blood sugar, difficulty regulating temperature, bleeding into the brain, and problems with vision are often related to low-birthweight children.
Notwithstanding chemical effects on the baby before, or after birth, while high on marijuana the mother's judgment may be impaired. Secondary behavioral changes may interfere with a mother's ability to care for her infant or to breastfeed adequately. THC and metabolite products HAVE been seen to reduce prolactin in breast milk, and when mother's have breastfed their child the same day as smoking those same THC metabolites have been detected in the child. Whether these metabolites cause learning defects or other problems is a matter that requires more study.
Howard, C.R., and Lawrence, R.A., "Breastfeeding and drug exposure.",
Obst. Gynecol. Clin. of Nth. Am. 25(1), pp. 195-217, (1998).
While it's difficult to find reliable studies based on actual marijuana smoking (as many women are
reluctant to admit to taking drugs during pregnancy), there HAVE been extensive studies involving Dronabinol - a man-made copy of delta-9-tetrahydrocannabinol (THC). Dronabinol is specifically indicated for treatment of anorexia and weight loss in AIDS patients (as an appetite stimulant), and to treat nausea and vomiting in cancer chemotherapy patients who don't respond to normal anti-emetics.
From RxList:
Pregnancy Category C. - Reproduction studies with dronabinol have been performed in mice at 15 to 450 mg/m², equivalent to 0.2 to 5 times maximum recommended human dose (MRHD) of 90 mg/m²/day in cancer patients or 1 to 30 times MRHD of 15 mg/m²/day in AIDS patients, and in rats at 74 to 295 mg/m² (equivalent to 0.8 to 3 times MRHD of 90 mg/m² in cancer patients or 5 to 20 times MRHD of 15 mg/m²/day in AIDS patients). These studies have revealed no evidence of teratogenicity due to dronabinol. At these dosages in mice and rats, dronabinol decreased maternal weight gain and number of viable pigs and increased fetal mortality and early resorptions. Such effects were dose dependent and less apparent at lower doses which produced less maternal toxicity. There are no adequate and well-controlled studies in pregnant women. Dronabinol should be used only if the potential benefit justifies the potential risk to the fetus.
Nursing Mothers - Use of Marinol is not recommended in nursing mothers since, in addition to the secretion of HIV virus in breast milk, dronabinol is concentrated in and secreted in human breast milk and is absorbed by the nursing baby.
OK so a lot of the information is fairly incomplete - however I personally feel that in the interests of Harm Reduction, a pregnant mother should avoid taking drugs that could cause harm to the unborn foetus. I mean, there's no research to say that smoking choof when you're pregnant makes your baby fitter, smarter and healthier... so if only for the reason that the chance of harm is unknown, drugs should be avoided during pregnancy.
Don't get me wrong, I think smoking marijuana is great, and it CAN be hard to stop for a regular, high-dose user. However, IMO taking drugs while pregnant is utterly selfish and immature, and conceptually amounts to the same thing as drugging someone without their knowledge, should the baby go to full term.
I can also provide a New Scientist article that points to a doubling of sudden infant death syndrome (SIDS) risk caused by marijuana smoking
fathers if anyone is interested.
BigTrancer
