Disparities in Substance Use and Psychological Distress During Pregnancy Among Pregnant Bisexual and Heterosexual Females in the United States, 2021–2023

Pregnant bisexual females experienced elevated risks of marijuana use and psychological distress compared with pregnant heterosexual females, and protective social resources appeared less impactful. These findings underscore the importance of inclusive, affirming perinatal care and highlight the need for research and interventions that address the unique stressors and contexts shaping bisexual women's perinatal experiences.