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Counselling regarding paternal exposures: Can we do better?
Helen Elizabeth Ritchie1, Diana Joy Oakes1, Elizabeth Hegedus1
1Discipline of Biomedical Science, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
Summary
Paternal exposures to teratogens are rare but concerning. MotherSafe data reveals gaps in public information, highlighting the need for expert guidance on paternal exposures during pregnancy and breastfeeding.
Area of Science:
- Reproductive Toxicology
- Environmental Health
- Maternal-Fetal Medicine
Background:
- MotherSafe provides free telephone counseling on pregnancy and breastfeeding exposures.
- Paternal exposures, though less common, cause significant distress.
- This review addresses concerns and available information regarding paternal exposures.
Purpose of the Study:
- To analyze MotherSafe calls concerning paternal teratogen exposures from 2000-2015.
- To identify trends and changes in these calls over time.
Main Methods:
- Retrospective analysis of prospectively collected MotherSafe call data (2000-2015).
- Identification of drugs of concern for paternal exposures.
- Review of existing consumer and product information on paternal exposures.
Main Results:
- Paternal exposure calls constituted 0.4% (1072/253103) of total MotherSafe calls.
- Top concerns included immunomodifiers (19%), hair loss products (11%), and antidepressants.
- Information on paternal exposures in consumer and product materials was often deficient or misleading.
Conclusions:
- Paternal exposures are a minor but significant concern in teratogen counseling.
- There is a critical need for accurate, evidence-based information on paternal exposures.
- Teratogen Information Services play a vital role in providing reliable guidance to the public and healthcare providers.
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