The clinical content of preconception care: environmental exposures
Abstract
Environmental origins of disease risk and harm to health have been increasingly acknowledged for numerous outcomes, in both adult and pediatric populations. Adverse reproductive and developmental effects have also been linked to environmental exposures. In addition to the current queries about a patient's alcohol and smoking history, key determinants of a future pregnancy outcome should also be elicited during the preconception visit. These determinants include: (1) mercury intake via fish consumption; (2) nitrate exposure from well water sources; (3) exposure to chemical, physical, or biologic hazards on the job; and (4) lead and other toxic exposures--possibly from hobbies or the use of lead-glazed dinnerware in the home. Eliciting a detailed environmental history permits tailored recommendations to optimize the woman's health and that of her future pregnancy.
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Maternal exposure to methylmercury from predatory fish can harm foetal development.
“Maternal methylmercury exposure through eating predatory fish can affect foetal development (McDiarmid 2008).”
From Preconception lifestyle advice for people with infertility (2021) · cites this paper as McDiarmid 2008
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- Authors
- McDiarmid, M. A., Gardiner, P. M., & Jack, B. W.
- Affiliations
- Boston University (US)
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2008-12
- Volume
- 199
- Issue
- 6
- Pages
- S357-S361
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2056500361
- Cited by
- 60
- References
- 22
- Citations by year
- 2024: 1 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 4 · 2013: 1 · 2012: 5
- FWCI
- 5.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
- Keywords
- preconception care, environmental exposure, pregnancy outcomes, mercury exposure, fish consumption, nitrate exposure, well water, occupational hazards, lead exposure, reproductive toxicity, developmental toxicity, environmental history
- MeSH terms
- Adult, Environmental Exposure, Female, Humans, Pregnancy, Pregnancy Outcome, Preconception Care, Maternal Exposure
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