Date Approved


Graduate Degree Type


Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Christina Quick DNP, APRN, CPNP-AC/PC, CHSE

Second Advisor

Allison Reynolds DNP, CPNP-AC/PC, CCRN

Academic Year



Introduction Maternal marijuana use during pregnancy and breastfeeding is increasing. Maternity patients may not be adequately educated on potential harms marijuana use poses to the neonate. This project aimed to decrease neonatal exposure by promoting maternal cessation of marijuana use while breastfeeding. Methods The project utilized components of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model to respond to post-partum maternal marijuana use. Providers received an educational presentation, talking points, and a workflow. Results Pediatric providers were compliant with screening, documentation of ICD-10 codes, and brief intervention 80-85% of the time. Referrals to MSW were always completed, yet referrals to treatment for marijuana cessation were low. Most maternal patients received marijuana cessation education in the post-partum period. Conclusion Utilizing SBIRT was a low-cost, evidence-based process to educate maternity patients and encourage abstinence from marijuana while breastfeeding. Prenatal application of SBIRT process could further reduce neonatal marijuana exposure.

Available for download on Sunday, April 25, 2027