Medication Safety in Pregnancy and Breastfeeding. By Gideon Koren, MD. Whitby, ON: McGraw-Hill Ryerson, 2007. ISBN 0071448284, 9780071448284, 623 pages. $121.95.
This valuable reference book, edited by the director of the renowned Motherisk Program at Toronto’s Hospital for Sick Children, comes in two parts. Part 1 comprises 23 chapters on topics in maternal fetal toxicology, while part 2 comprises MASTER (the Motherisk Archives of Systematic and Evaluative Reviews), which includes previously published systematic reviews covering methodologic aspects, maternal morbidities, alcohol, caffeine, cocaine, and environmental exposure, and maternal use of vitamins, contraceptives, and therapeutic drugs.
It would be difficult to imagine a more comprehensive or useful resource in this area, apart from setting the entire Motherisk team to work to answer your own specific clinical concern. I tried to think of bizarre and outrageous exposures to potential toxins that a pregnant woman might describe, but could not come up with anything that has not been covered here. Even microwave ovens (around them, not in them) and alfalfa have been considered and the risks from exposure thoughtfully dissected.
Anyone providing care for pregnant women really should keep a copy of this book close by. By the time you have sifted through the answers that Google might give you, this book will have provided the information you seek and be waiting for more challenges. It’s a very impressive collection.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org