[ RadSafe ] In utero dose

[Keith Welch]

Thanks, Kim.  Why didn't I think of that?  I quick review has already 
provided some answers.  If anyone can recommend a concise guidance 
document on the subject, I'd appreciate it.

Thanks again.

McMahan, Kimberly L. wrote:

>I certainly don't claim to be an expert in this area, but if you have
>not already browsed the HPS' Ask the Expert section on Pregnancy and
>Radiation, you may find some helpful information there.
>
>http://hps.org/publicinformation/ate/cat4.html
>
>
>Kim McMAHAN    ORNL External Dosimetry    865.576.1566
>
>-----Original Message-----
>From: radsafe-bounces at radlab.nl [mailto:radsafe-bounces at radlab.nl] On
>Behalf Of Keith Welch
>Sent: Tuesday, April 18, 2006 9:49 AM
>To: radsafe at radlab.nl
>Subject: [ RadSafe ] In utero dose
>
>I have some questions for you medical experts.  I'm curious what 
>guidelines are used when there is a case requiring x-rays of a pregnant 
>female.  Let me give you a hypothetical case.  Let's say a woman is 
>injured in an auto accidedent, has some internal injuries and broken 
>bones.  She's 12 weeks pregnant.  To treat her injuries, she needs 
>surgery and a series of radiographs.  Are there generally accepted and 
>well known standards that physicians refer to in order to advise 
>patients and determine a course of treatment?  ARe there risk-based 
>guidelines in place and widely known to general surgeons and 
>practicioners?  How common is it for a surgeon to seek the advice of an 
>HP or MP to assess the risks of such procedures?   My impression of the 
>handling of "routine" x-rays is that if a woman is pregnant, x-rays are 
>always postponed, just to be conservative.  But in a case where there is
>
>a pressing need to preserve health, how is the decision to conduct the 
>x-rays arrived at?  How are these risks weighed?  What is the typical 
>"standard of care"?  Is there an agreed dose at which the patient is 
>advised to terminate the pregnancy?
>
>Thanks.
>Keith Welch
>
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