[ RadSafe ] In utero dose

[Jose Julio Rozental]

I would like to recommend the ICRP Educational Area, at
http://www.icrp.org/educational_area.asp
There those interested can find and download specific ICRP 84 dealing with
this subject
ICRP 84, Pregnancy and medical radiation  as well as others on medical
practices

Joseroze at netvision.net.il
Israel


> -----Original Message-----
> From: radsafe-bounces at radlab.nl [mailto:radsafe-bounces at radlab.nl] On
> Behalf Of Keith Welch
> Sent: Tuesday, April 18, 2006 8:49 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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