OB and X-rays ============= þ X-ray effects on fetus - Fetal exposure to 1 rad (1000 millirads) of radiation is associated with a 1/1000 risk of fetal anomaly. Ref: Rosen 3rd ed. p 1999 - at 15,000 millirads, start seeing mental retardation, childhood malignancies, and microcephaly. - fetus most sensitive during organigenesis: before 9 weeks. - little risk if beam directed more than 10 cm away from fetus. þ X-ray dosages (in millirads = mR) - skull 1 mR - cervical spine 1 mR - thoracic spine 1 mR - chest 5 mR - femur 50 mR - extremities 1 mR each - lumbar spine 300 mR - hip 370 mR - IVP 900 mR - abdomen 200 mR - CT head or chest 1000 mR - CT abdomen to 2 cm above uterus 3000 mR - CT abdomen and pelvis 3000-9000 mR Ref: Rosen 3rd ed. p 1999