Journal ArticleDOI
Diagnostic Radiation in Pregnancy: Perception Versus True Risks
Raanan Cohen-Kerem,Irena Nulman,Maria Abramow-Newerly,Damien Medina,Ronnen Maze,Robert L. Brent,Gideon Koren +6 more
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TLDR
Available data suggest that current diagnostic radiation procedures are not teratogenic, and significant numbers of therapeutic abortions are performed for radiation-exposed pregnant women.Abstract:
Significant numbers of therapeutic abortions are performed for radiation-exposed pregnant women because of concerns about the teratogenic risk. However, available data suggest that current diagnostic radiation procedures are not teratogenic.read more
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Evolving knowledge of the teratogenicity of medications in human pregnancy
TL;DR: The safety during pregnancy of 172 drugs approved by the US Food and Drug Administration from 2000 to 2010 is reviewed using the TERIS risk rating system and a more active approach to post‐marketing surveillance for teratogenic effects is necessary.
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Perception of risk regarding the use of medications and other exposures during pregnancy.
TL;DR: Women overestimate the risk of drug use and other exposures during pregnancy, and it is important for health care providers to use evidence-based information, to reduce unnecessary anxiety, and to ensure safe and appropriate treatment during pregnancy.
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Saving lives and changing family histories: appropriate counseling of pregnant women and men and women of reproductive age, concerning the risk of diagnostic radiation exposures during and before pregnancy
TL;DR: Examples of appropriate and inappropriate counseling will be presented to demonstrate how counseling can save lives and change family histories.
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The treatment of Hodgkin's and non-Hodgkin's lymphoma in pregnancy.
TL;DR: In the vast majority of cases, when lymphoma is diagnosed during the first trimester, treatment with a standard chemotherapy regimen, following pregnancy termination should be recommended, but evidence exists suggesting that full-dose chemotherapy can be administered safely without apparent increased risk of severe adverse fetal outcome.
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Proceedings From the American College of Rheumatology Reproductive Health Summit: The Management of Fertility, Pregnancy, and Lactation in Women With Autoimmune and Systemic Inflammatory Diseases
Arthur Kavanaugh,John J. Cush,Mahmoud Ahmed,Bonnie L. Bermas,Eliza F. Chakravarty,Christina D. Chambers,Megan E.B. Clowse,Jeffrey R. Curtis,Kathryn H. Dao,Gary D.V. Hankins,Gideon Koren,Seoyoung C. Kim,Larissa Lapteva,Uma Mahadevan,Thomas R. Moore,Martha R. Nolan,Zhaoxia Ren,Lisa R. Sammaritano,Sally Seymour,Michael H. Weisman +19 more
TL;DR: The management of pregnancy in autoimmune diseases is complex, benefitting optimally from a multidisciplinary approach that takes into consideration: prepregnancy counseling; treatments received prior to, during, and after pregnancy; early recognition of both obstetric complications and medical complications relating to the underlying disease.
References
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Journal ArticleDOI
Utilization of developmental basic science principles in the evaluation of reproductive risks from pre- and postconception environmental radiation exposures.
TL;DR: The subject of the reproductive toxicity of various forms of radiation can be anxiety provoking to the public on two accounts, since reproductive failure engenders an unusual level of guilt and anger in the affected families, and radiation effects are misunderstood and feared by the public.
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Fetal doses from radiological examinations.
Ernest Osei,K Faulkner +1 more
TL;DR: A retrospective study of 50 pregnant women accrued over a period of 10 years, finding that most of these women were not aware of pregnancy at the time of their radiological examinations and subsequently discovered that they were pregnant and sought advice from their physicians on fetal dose and risk.
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Medical Radiation Exposure of Pregnant and Potentially Pregnant Women
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The effects of embryonic and fetal exposure to x-ray, microwaves, and ultrasound.
TL;DR: The animal and human data support the conclusion that no increases in the incidence of gross congenital malformations, intrauterine growth retardation, or abortion will occur with exposures less than 5 rad, that does not mean that there are definitely no risks to the embryo exposed to lower doses of radiation.
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Drug Labeling and Risk Perceptions of Teratogenicity: A Survey of Pregnant Canadian Women and Their Health Professionals
TL;DR: It was concluded that in general, four different versions of reassuring text describing a scientifically proven safe drug in pregnancy did not lead expecting parents to believe they were safe.