When take an x-ray to pregnant lady, we use all of this method EXCEPT:
a- Digital x-ray.
b- High sensitive film.
c- Paralleling tech (Long cone) 16 inch.
d- Bisecting algle (short cone) 8 inch.***
e- Lead apron with thyroid collar.
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Risks of radiographs during pregnancy:
Although it is proven that the mother has to be exposed to large amounts of X-rays so that they can affect the development of the fetus, it is best to avoid X-rays whenever possible.
Is there any problem with having an x-ray while pregnant?
In general it is recommended not to be exposed to X-rays from the moment you can think that you are pregnant, although it has been shown that there should be an important exposure to X-rays so that it can affect the health of the embryo.
In general, it is recommended to postpone radiological tests after delivery, and only to perform those that are essential and with proper protection of lead in the abdomen.
The radiation dose considered to be risk for the embryo is 10 rads (unit of measurement of absorbed radiation); taking into account that an abdominal x-ray exposes you to 0.29 rads, if it is considered necessary (for example in the case of a major accident), an x-ray could be performed during pregnancy.
The use of medications during pregnancy:
Taking according to what medications during pregnancy can be harmful to the fetus, as a large majority of drugs cross the placenta, exposing the fetus to substances that could be detrimental to its development. Next, we explain in detail which medications to avoid, which ones can be taken and how to know.
Can medications be taken during pregnancy?
As a general rule, during pregnancy you should avoid taking any medication, whether pharmacological, homeopathic or natural, oral or topical, without first receiving the corresponding medical prescription. Recall that most drugs cross the placenta, so we expose the fetus at doses indicated for adults that could be detrimental to its development - it is the so-called teratogenic effect of drugs that, together with other external substances and agents, are capable of produce a congenital anomaly or increase the incidence of an abnormality in the embryo. Therefore, you should avoid taking medications as much as possible, only take them when strictly necessary and always under medical prescription.
However, it should also be borne in mind that when a doctor prescribes a medication that is necessary to cure a condition during pregnancy, it is essential to take it. Sometimes, moms do not take medication for fear of harming the baby, but this can also be harmful. For example, if there is an asthma crisis, the medication prescribed by the doctor should be taken, if the mother breathes better, the baby will also be better. The same, if there is an infection that requires it, antibiotic should be taken. As we explain below, there are safe drugs for the baby that can be taken safely during pregnancy.
When does taking medication carry more risk for the baby?
Undoubtedly, the stage during which the fetus is most sensitive to the action of the medications the mother is taking is the first trimester. During this phase it is when most of the organs begin their formation, and when the effect of the drug can affect them to a greater extent. However, during the rest of the pregnancy the risk of teratogenic effects also persists. We must think that, for example, the brain of the fetus will not stop developing throughout the pregnancy, and the drugs that act on it (opiates, benzodiazepines ...) can cause harm to the child even in the last stages of pregnancy .
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Risks of radiographs during pregnancy:
Although it is proven that the mother has to be exposed to large amounts of X-rays so that they can affect the development of the fetus, it is best to avoid X-rays whenever possible.
Is there any problem with having an x-ray while pregnant?
In general it is recommended not to be exposed to X-rays from the moment you can think that you are pregnant, although it has been shown that there should be an important exposure to X-rays so that it can affect the health of the embryo.
In general, it is recommended to postpone radiological tests after delivery, and only to perform those that are essential and with proper protection of lead in the abdomen.
The radiation dose considered to be risk for the embryo is 10 rads (unit of measurement of absorbed radiation); taking into account that an abdominal x-ray exposes you to 0.29 rads, if it is considered necessary (for example in the case of a major accident), an x-ray could be performed during pregnancy.
The use of medications during pregnancy:
Taking according to what medications during pregnancy can be harmful to the fetus, as a large majority of drugs cross the placenta, exposing the fetus to substances that could be detrimental to its development. Next, we explain in detail which medications to avoid, which ones can be taken and how to know.
Can medications be taken during pregnancy?
As a general rule, during pregnancy you should avoid taking any medication, whether pharmacological, homeopathic or natural, oral or topical, without first receiving the corresponding medical prescription. Recall that most drugs cross the placenta, so we expose the fetus at doses indicated for adults that could be detrimental to its development - it is the so-called teratogenic effect of drugs that, together with other external substances and agents, are capable of produce a congenital anomaly or increase the incidence of an abnormality in the embryo. Therefore, you should avoid taking medications as much as possible, only take them when strictly necessary and always under medical prescription.
However, it should also be borne in mind that when a doctor prescribes a medication that is necessary to cure a condition during pregnancy, it is essential to take it. Sometimes, moms do not take medication for fear of harming the baby, but this can also be harmful. For example, if there is an asthma crisis, the medication prescribed by the doctor should be taken, if the mother breathes better, the baby will also be better. The same, if there is an infection that requires it, antibiotic should be taken. As we explain below, there are safe drugs for the baby that can be taken safely during pregnancy.
When does taking medication carry more risk for the baby?
Undoubtedly, the stage during which the fetus is most sensitive to the action of the medications the mother is taking is the first trimester. During this phase it is when most of the organs begin their formation, and when the effect of the drug can affect them to a greater extent. However, during the rest of the pregnancy the risk of teratogenic effects also persists. We must think that, for example, the brain of the fetus will not stop developing throughout the pregnancy, and the drugs that act on it (opiates, benzodiazepines ...) can cause harm to the child even in the last stages of pregnancy .
The safety of medications in pregnancy:
There are multiple studies on the safety of numerous drugs during pregnancy. There are various classifications that indicate which medications are more or less safe during pregnancy. One of the most widespread is that carried out by the F.D.A. American (Food and Drug Administration), responsible for the authorization and monitoring of medicines in the United States. This classification groups drugs into five categories from least to greatest risk to the fetus:
- Category A. It is a safe drug during pregnancy that can be taken in peace of mind, since there are studies in humans that have proven its safety.
- Category B. It is a fairly safe drug that can be taken during pregnancy, since there are studies in animals that have not demonstrated adverse effects.
- Category C. It is a drug that should be avoided during pregnancy, there is no longer enough data from studies that demonstrate its safety in humans. They should only be used in exceptional situations where the risk compensates for the possible benefit.
- Category D. It is a drug that should be avoided during pregnancy as there are studies that demonstrate a teratogenic effect. They should only be used in exceptional situations where the risk compensates for the possible benefit.
- Category X. It is a drug that should be avoided during pregnancy as there are studies that show a clear harmful effect for the baby. The use of these drugs is clearly contraindicated during pregnancy.
Doctors always take these types of classifications into account before prescribing a medication, always trying to indicate drugs from groups A and B, and only in exceptional situations that the mother's health requires may medications from groups C and D be used. When in doubt, the classification of a specific medication can be found on the official FDA website (www.fda.gov).
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