Skip to content

Health & Pregnancy

Doctors Overestimate Radiation Risk to Fetus

Survey Shows Some Would Recommend Pregnancy Termination
Font Size
A
A
A
By
WebMD Health News

May 18, 2004 -- The risk of having a child born with a major birth defect is much lower than many doctors think for women who undergo abdominal X-rays or CT scans during early pregnancy, and doctors may be giving poor advice to their pregnant patients as a result, new research suggests.

Investigators from the University of Toronto's Hospital for Sick Children surveyed 273 family doctors and obstetricians in Ontario and found that about a third overestimated the risk of major birth defects from a simple abdominal X-ray and about half overestimated the risk from a CT scan.

The doctors were informed about the1%-3% risk for major birth defects associated with these procedures and were asked whether they would recommend that a woman undergo an abortion because of radiation exposure from these procedures.

One percent said they would recommend an abortion to a woman who had abdominal X-rays and 6% said they would recommend an abortion following an abdominal CT scan.

A typical abdominal X-ray or abdominal CT scan contains radiation levels that are generally considered to pose little risk of permanent injury to a developing fetus.

"A big misperception exists among physicians about the risk to a fetus from diagnostic X-rays," study researcher Gideon Koren, MD, tells WebMD. "With the levels of radiation used today, there is little risk of a diagnostic procedure endangering the fetus."

Cancer Risk a Greater Concern

Fred Mettler, MD, a member of the International Commission on Radiation Protection and the U.S. representative to the U.N. on radiation effects, tells WebMD getting five or 10 CT scans during pregnancy could result in enough exposure to radiation where there might be a risk for developmental problems in the fetus.

A greater concern to most radiation experts is the long-term cancer risk to children and fetuses exposed to radiation, he says. Radiation-related cancer risk is generally believed to be three times higher for children and fetuses than for adults.

"Many people believe that a child's risk of leukemia doubles at fairly low levels of exposure," he says. "But you are still talking about a risk of one in 2,000, and that is still pretty small."

Pregnancy Week-By-Week Newsletter

Delivered right to your inbox, get pictures and facts on
what to expect each week of your pregnancy.

Today on WebMD

hand circling date on calendar
Track your most fertile days.
woman looking at ultrasound
Week-by-week pregnancy guide.
 
Pretty pregnant woman timing contaction pains
The signs to watch out for.
pregnant woman in hospital
Are there ways to do it naturally?
 
slideshow fetal development
Slideshow
pregnancy first trimester warning signs
Article
 
What Causes Bipolar
Video
Woman trying on dress in store
Slideshow
 
pregnant woman
Article
Close up on eyes of baby breastfeeding
Video
 
healthtool pregnancy calendar
Tool
eddleman prepare your body pregnancy
Video