THURSDAY, April 3 (HealthDay News) -- Women veterinarians have
double the risk of miscarriage, apparently the result of being
exposed to anesthetic gases, radiation and pesticides in their line
of work, a new study found.
Not only do veterinarians need to be fully aware of the risks,
but veterinary offices and labs need to be managed better, the
researchers said.
"We found that not all practices complied with safety
guidelines," said study lead author Adeleh Shirangi, honorary
research associate in the department of epidemiology and public
health at Imperial College London, England. "Lead shields,
protective thyroid collars and lead glasses are examples of
established protective equipment which are not frequently used by
veterinarians."
Dr. Richard Jones, assistant professor of obstetrics and
gynecology at Texas A&M Health Science Center College of
Medicine, said: "The good thing about this study is that it
basically confirms and reminds us of what we already knew about
exposures. This makes a valuable contribution to the evidence
already in the U.S. recommending limitations of exposure of women
of childbearing age to anesthetic gases, radiation and
pesticides."
Jones, who's also director of the maternal fetal medicine
program at Scott & White Hospital in Temple, Texas, added that
the information in the new study didn't come as a surprise to him.
Already in hospitals, many procedures are in place to protect
personnel from the harmful effects of radiation and other
exposures. The veterinary world, however, is not as rigorously
regulated, he said.
The study was published online April 3 in the journal
Occupational and Environmental Medicine.
Previous research has linked miscarriages to exposure to
anesthetic gases, radiation and pesticides during pregnancy.
One study by the same authors behind the new research found
anesthetic gas exposure during surgeries in 92 percent of
small-animal practices and 42 percent of large-animal practices.
Twenty-two percent of women veterinarians in small practices and 34
percent of women in mixed practices (both large and small animals)
did not have anesthetic gas scavengers, which trap and remove extra
gases.
Exposure to pesticides was seen in 54 percent of mixed-animal
practices, 47 percent of small-animal practices and 17 percent of
large-animal practices, the researchers said.
Exposure to X-rays was found in 90 percent of small- and
mixed-animal practices, compared with 37 percent of large-animal
practices. Fifty-six percent of women vets reported having to
physically restrain animals while taking X-rays, while only one in
five used film holders and lead screens to protect themselves.
For the new study, Shirangi and her colleagues looked at women
participating in the Health Risks of Australian Veterinarians
study. All people who had graduated from Australian veterinary
schools from 1960 to 2000 were sent questionnaires. Only women who
were pregnant or became pregnant while employed and were working
only in a clinical practice were analyzed. Of 1,355 pregnancies,
940 were included in the final analysis.
The researchers found an almost 2.5-fold increase in the risk of
miscarriage in women exposed to unscavenged anesthetic gases (those
not filtered out) for more than one hour a week.
Female veterinarians who reported performing more than five
X-rays a week had almost double the risk of miscarriage, as did
those who used pesticides.
According to Shirangi, the same chemicals are used in veterinary
offices around the world.
There appeared to be no link between number of hours worked and
miscarriage, although the study authors aren't ruling out such an
association.
"Properly ventilating the workplace (using scavenging systems),
minimizing the amount of exposure through radiation protection
devices such as masks, shoes, lead aprons, thyroid protectors, lead
gloves, lead screens or film holders, is of vital importance,"
Shirangi said.
In addition, she said, "All anesthesia machines and their
scavenging systems should be checked with each use and maintained
regularly by trained technicians. Each institution should provide a
system whereby an employee can report a work-related health
problem."
More information
For more on a healthy pregnancy, visit the
March of Dimes.