pregnant woman

Pregnancy and Psilocybin: Why Doctors Say No

Written by The Living Sacrament
Written by The Living Sacrament

This is one of those topics where people really want a clear yes or no, but the truth is simple: we don’t have enough research to call psilocybin safe during pregnancy. Medical groups treat it as something to avoid, and every major study on psilocybin excludes pregnant people completely. So while some users talk about emotional benefits or self-reflection, the science leans in one clear direction,  pregnancy is not the time to experiment.

I’ve read a lot of the research on psilocybin, and honestly, the silence around pregnancy says more than anything else. When scientists avoid testing magic mushrooms on pregnant volunteers, it’s because the risk is unknown, and that alone is reason enough to be cautious. Let me walk you through what we actually know in simple, everyday language.

What Research Says So Far

Every major clinical trial involving psilocybin, including the big ones from Johns Hopkins,  excludes pregnant people automatically. Not because psilocybin is confirmed harmful, but because no one knows how it affects fetal development. In medicine, “we don’t know” usually means “don’t do it.”

When researchers avoid a whole group, it’s to protect them. And pregnancy is one of those areas where safety comes first.

Why There Are No Proven Benefits During Pregnancy

Some people believe psilocybin can help with emotional healing, anxiety, or depression. And yes, psilocybin therapy has shown promise in adults dealing with those things. But none of those studies involve pregnant individuals. So even if mushrooms can help someone feel calmer or more connected, those benefits haven’t been studied in pregnant bodies.

The bottom line is: pregnancy changes everything,  hormones, metabolism, blood flow, stress levels,  and without data, no one can say the benefits outweigh the risks.

What the Risks Might Look Like

There’s one study from the NIH that looked at hallucinogen use during pregnancy, and while it’s older and not psilocybin-specific, the pattern wasn’t great. They found links to:

  • lower birth weight
  • early delivery
  • neonatal complications

It’s not proof, but it’s enough to pay attention. Psychedelics affect serotonin, heart rate, blood pressure, and emotional intensity. Those things might not seem like a big deal for a healthy adult, but for a developing fetus, they can matter a lot.

Why Doctors Say “Avoid It”

The American College of Obstetricians and Gynecologists places psychedelics under substances that shouldn’t be used during pregnancy. Not because they’re guaranteed harmful, but because:

  • there’s no known safe dose
  • effects on fetal development are unknown
  • emotional intensity during a trip could increase stress hormones
  • psychedelic research hasn’t included pregnant people

No doctor wants to gamble with unknowns when a baby is involved.

Emotional Stress and Pregnancy Don’t Mix Well

Even if someone’s past mushroom experiences were positive, pregnancy introduces a whole new layer. A trip can bring up deep emotions, amplify fears, and put a lot of pressure on the nervous system. That stress alone can affect sleep, eating, blood pressure, and mood,  all of which matter during pregnancy.

This isn’t about judging psychedelics. It’s about understanding how unpredictable a trip can be, especially when someone is already navigating major physical and emotional changes.

What People Should Consider Instead

If someone is struggling during pregnancy, anxiety, depression, mood swings, there are safe ways to get help:

  • therapy
  • mindfulness or breathing practices
  • pregnancy-safe medications if needed
  • support groups
  • talking with a prenatal specialist

Those options have data behind them. Psilocybin does not.

 

Summary

Psilocybin may help some adults with emotional healing in normal situations, but pregnancy is different. We don’t have enough research, and what we do know leans toward caution. Until scientists study psilocybin specifically in pregnant bodies, the safest move is to avoid it completely. Pregnancy is simply not the time to experiment.

Magic mushrooms should not be taken during pregnancy. There’s no evidence they’re safe, and major medical groups recommend avoiding them because the effects on a developing baby are unknown.

 

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Frequently Asked Questions

No. There’s no research showing psilocybin is safe for a developing baby, so medical groups advise against using it.

Psilocybin can help some adults with mood issues, but it hasn’t been studied in pregnant people, so it’s not considered safe.

Possible risks include low birth weight, early delivery, and stress-related complications, but the biggest issue is the lack of solid data.

No. Pregnant people are automatically excluded from all psilocybin clinical trials because safety is unknown.