Document Detail

Twenty-five years of counseling family physicians: What have we learned?
MedLine Citation:
PMID:  20631272     Owner:  NLM     Status:  MEDLINE    
QUESTION: In 1985, for the first time I asked Motherisk for advice regarding a pregnant patient who, unaware of her pregnancy, had taken tetracycline. I was very concerned, as was my patient, who was ready to terminate a wanted pregnancy for fear that she had harmed her baby. As a direct result of your advice, this "fetus" is now a happy 25-year-old mother of a healthy son. Your answer to me was as follows: This woman was exposed to tetracycline long before the teeth buds were formed; therefore, there was no apparent fetal risk. What do you think is some of the most important information you have given to practising family physicians over the past 25 years?
ANSWER: Unfortunately, too many decisions regarding management of pregnant women are based on misinformation or misconceptions of teratogenic risk. It is critical to base therapeutic decisions regarding exposures during pregnancy on balancing risks of untreated maternal disease with the existing evidence-based information on fetal safety.
Gideon Koren; Adrienne Einarson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian family physician Médecin de famille canadien     Volume:  56     ISSN:  1715-5258     ISO Abbreviation:  Can Fam Physician     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-15     Completed Date:  2012-03-28     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0120300     Medline TA:  Can Fam Physician     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  655-6     Citation Subset:  IM    
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MeSH Terms
Abnormalities, Drug-Induced / prevention & control
Evidence-Based Practice
Family Practice*
Physician's Practice Patterns*
Pregnancy Complications / drug therapy*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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