Document Detail


Environmental toxicant exposure during pregnancy.
MedLine Citation:
PMID:  21689486     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This literature review is meant to serve as a brief reference for acute and chronic poisonings in pregnant women, specifically involving environmental toxicants commonly present in the home or workplace. These scenarios are familiar to primary care providers but cause great confusion for practitioners and anxiety in the pregnant patient. Herein, we review metals and metalloids, organic solvents, disinfectant byproducts, pesticides, plasticizers, and multiple air pollutants. Reviews of specific studies involving these toxicants are provided to assist practitioners in providing information to patients regarding potential sources, mechanism of action, current laboratory and epidemiological studies, and possible treatments. Literature-based associations with specific toxicants and various pregnancy outcomes are also outlined. Finally, a contact list of important federal and state toxicology support services is provided. Target Audience: Obstetricians & Gynecologists Learning objectives: After completing this CME activity, physicians should be better able to assess both acute and chronic consequences of various environmental toxic exposures in pregnancy; to evaluate possible pregnancy related specific events surrounding environmental pollutants; and to identify common exposure routes and implement therapeutic interventions where appropriate.
Authors:
Rebecca T Red; Sean M Richards; Carlos Torres; C David Adair
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrical & gynecological survey     Volume:  66     ISSN:  1533-9866     ISO Abbreviation:  Obstet Gynecol Surv     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-06-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401007     Medline TA:  Obstet Gynecol Surv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  159-69     Citation Subset:  IM    
Affiliation:
*Medical Student, Quillen College of Medicine, East Tennessee State University, Johnson City, TN; †Associate Professor, Biological and Environmental Sciences, University of Tennessee at Chattanooga, Chattanooga, TN; and ‡Assistant Professor, §Professor and Vice Chairman, Regional Obstetrical Consultants, Chattanooga, TN.
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