Prenatal cannabis screening and counseling practices by state recreational legalization status: A multi-state examination of PRAMS data (2017–2020)

Abstract Objective: Despite increased recreational cannabis legalization (RCL) in the US in recent years, little is known about cannabis advice received at prenatal care visits. We aimed to examine cannabis screening and counseling occurring at prenatal care visits, including adherence of advice to current clinical guidelines and variations by RCL status. Methods: In this repeated cross-sectional study, we used 2017–2020 Pregnancy Risk Assessment Monitoring System data for 9 states to calculate weighted prevalence estimates of cannabis screening and advice received