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Complete Guide to Everyday Risks in Pregnancy and Breastfeeding »

Book cover image of Complete Guide to Everyday Risks in Pregnancy and Breastfeeding by Gideon Koren

Authors: Gideon Koren, Susan Santiago
ISBN-13: 9780778800842, ISBN-10: 0778800849
Format: Paperback
Publisher: Rose, Robert Incorporated
Date Published: October 2004
Edition: (Non-applicable)

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Author Biography: Gideon Koren

Gideon Koren, MD, FACMT, FRCP(C) is the director of the Motherisk program at the Hospital for Sick Children, as well as a Professor of Pediatrics and Clinical Pharmacology at the University of Toronto.

Book Synopsis

A reference guide to the risks of medication, disease, environmental toxins, herbal remedies, food, alcohol, cigarettes, recreational drugs and such taken or exposed to expectant or breastfeeding mothers. Includes practical advice on avoidance of risks.

Library Journal

The Motherisk Program at Toronto's Hospital for Sick Children has counseled women about pregnancy risks since 1985. Koren, the current and founding director of Motherisk, provides a readable and reliable book addressing these issues, including the safety of medications (over-the-counter as well as prescription), exposure to disease and to the environment, foods, nutritional supplements, herbs, and exercise during conception, pregnancy, and breastfeeding. Through narrative, Q&A, and tabular forms, the author presents information about fetal risks and then ranks them as safe, probably safe, possibly safe, unsafe, unknown, or unclear where appropriate. Although several commonly prescribed medications are not mentioned at all (e.g., Fosamax) or not listed in the index by brand name (e.g., Ativan, Lexapro), this book nonetheless serves as an important reference tool for mothers-to-be and new mothers. Recommended for consumer health collections.-Linda M.G. Katz, Drexel Univ. Health Sciences Libs., Philadelphia Copyright 2005 Reed Business Information.

Table of Contents

The Ten Commandments for a Safe and Healthy Pregnancy6
Helpful Terms9
Quick Guide to Selected Drugs and Chemicals Unsafe in Pregnancy10
Eight-Step Program for Planning a Safe and Healthy Pregnancy14
Chapter 1Introduction18
Pregnancy Paranoia18
The Motherisk Program19
Calling a Teratogen Service Helpline22
Risk Assessment and Management23
Using this Book24
Chapter 2Frequently Asked Questions26
Assessing Risk27
Morning Sickness27
Prescription Drugs28
Over-the-Counter Medications28
Herbal Products and Natural Medicines28
Alcohol, Cigarette Smoking, and Drug Abuse29
Chemical and Radiation Exposure30
Medical Conditions and Infections31
Food, Nutritional Supplements, and Dieting32
Work, Exercise, and Sex33
Breastfeeding and Drugs33
Chapter 3Research Questions and (Some) Answers34
Congenital Malformations34
Teratogen Transfer37
Unknown Mechanisms37
Chapter 4Assessing Risk40
Prenatal Screening and Diagnostic Tests40
Maternal Tests41
Fetal Tests44
Guide to Selected Fetal Genetic Disorders47
Testing the Newborn49
Testing Women for HIV50
Chapter 5Morning Sickness52
Causes of Morning Sickness52
Prevalence of NVP53
Coping Strategies54
Medications for Treating NVP57
Chapter 6Prescription Drugs60
Understanding Drug Safety60
Warfarin Use63
Anti-Anxiety Drugs64
Acid-Suppressing Drugs66
Hypertension Medications69
Managing Hypothyroidism72
Guide to Safety/Risk of Prescription Drugs in Pregnancy74
Chapter 7Over-the-Counter Medications116
Treating Common Health Conditions118
Chapter 8Herbal Products and Natural Medicines122
Lack of Regulation123
Guide to Safety/Risk of Herbal Products and Natural Medicines in Pregnancy124
Treating Depression with St. John's Wort129
Using Echinacea for Colds131
Chapter 9Alcohol, Smoking, and Drug Abuse132
Alcohol132
Smoking135
Drug Abuse138
Chapter 10Chemical and Radiation Exposures140
Chemical Exposures at Home140
Poisoning in Pregnancy141
Cosmetic Hair Treatments142
Chemical Exposures at Work144
Guide to Safety/Risk of Common Occupational Chemicals146
Occupational Exposure to Mercury148
Radiation and Electromagnetic Exposures152
Exposure to Electromagnetic Fields154
Electric Shock155
Chapter 11Medical Conditions and Infections158
Risk Assessment158
Exposure to Chicken Pox160
Fifth Disease161
Influenza Vaccination164
CMV Infection166
Cancer Chemotherapy168
Bacterial Vaginosis170
Untreated Depression172
Guide to Safety/Risk of Medical Conditions in Pregnancy175
Chapter 12Food, Nutritional Supplements, and Dieting184
Balanced Diet184
Vitamin and Mineral Supplements190
Weight Management190
Dieting190
Low-Carb Diets and Folic Acid191
Eating Fish192
Chapter 13Work, Exercise, and Sex196
Strenuous Work197
Exercise and Sports197
Sexual Intercourse199
Chapter 14Breastfeeding and Drugs200
5% Guideline201
Guide to Medications and Agents that May Not be Safe for Nursing Infants201
Guide to Selected Medications Compatible with Breastfeeding202
Drinking Alcohol while Breastfeeding204
Chapter 15Resources207
Teratogen Information Centers and Resources207
Index212

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