Updates

The "Motherisk Update" is a regularly featured article in the Canadian Family Physician Journal. Check this section of the Motherisk website site each month for our on-line reprint of the latest Update.

• April 2013
  Is caffeine consumption safe during pregnancy?
  Sara Morgan, RPh, Gideon Koren, MD, FRCPC, FACMT, and Pina Bozzo
• March 2013
  Water by the spoonful - Children of addiction
  Gideon Koren, MD, FRCPC, FACMT
• February 2013
  Treating morning sickness PRN?
  Gideon Koren, MD FRCPC FACMT
• January 2013
  Reproductive outcomes after assisted conception
  Gal Neuman, MD and Gideon Koren, MD FRCPC FACMT
• December 2012
  Myasthenia gravis during pregnancy
  Shahnaz Akhtar Chaudhry, MD, Biruthvie Vignarajah and Gideon Koren, MD
• November 2012
  Maternal cocaine use during breastfeeding
  Alex M. Cressman, M.Sc., Gideon Koren, MD, FRCPC, FACMT, Anna Pupco, MD, Eunji Kim, MScCH, Shinya Ito, MD, FRCPC and Pina Bozzo
• October 2012
  Is ondansetron safe for use during pregnancy?
  Gideon Koren, MD, FRCPC
• September 2012
  Health Canada advisory on domperidone
  Pina Bozzo, Gideon Koren, MD, FRCPC, FACMT and Shinya Ito, MD, FRCPC
• August 2012
  Treating constipation during pregnancy
  Magan Trottier, MSc, Aida Erebara, MD and Pina Bozzo
• July 2012
  Fetal safety of calcium channel blockers
  Fatoumah Alabdulrazzaq, MD and Gideon Koren, MD, FRCPC, FACMT
• June 2012
  Topical corticosteroid use during pregnancy
  Fatoumah Alabdulrazzaq, MD and Gideon Koren, MD, FRCPC, FACMT
• May 2012
  Smoking cessation therapy during pregnancy
  Alex M. Cressman, Anna Pupco, MD, Eunji Kim, MSc, Gideon Koren, MD, FRCPC, FACMT and Pina Bozzo
• April 2012
  Identifying women who might benefit from higher doses of folic acid in pregnancy
  Deborah Kennedy, MBA, ND and Gideon Koren, MD, FRCPC, FACMT
• March 2012
  Human papillomavirus vaccine and pregnancy
  Andrea Narducci, RPh, Adrienne Einarson, RN and Pina Bozzo
• February 2012
  Is carbamazepine safe to take during pregnancy?
  Jeremy Matlow and and Gideon Koren, MD, FRCPC, FACMT
• January 2012
  Taking angiotensin-converting enzyme inhibitors during pregnancy - Is it safe?
  Almundher Al-Maawali, MD, Asnat Walfisch, MD and Gideon Koren, MD, FRCPC, FACMT
• December 2011
  Safety of azathioprine use during pregnancy
  Aniket Natekar, Anna Pupco, MD, Pina Bozzo and Gideon Koren, MD, FRCPC, FACMT
• November 2011
  Prophylactic use of antimalarials during pregnancy
  Marie-Helene Irvine, RPh, Adrienne Einarson, RN and Pina Bozzo
• October 2011
  Herpes zoster during pregnancy
  Anna Pupco, MD, Pina Bozzo and Gideon Koren, MD FRCPC FACMT
• September 2011
  H1N1 and influenza viruses - Why pregnant women might be hesitant to be vaccinated
  Kamelia Mirdamadi and Adrienne Einarson, RN
• August 2011
  Folic acid and colorectal cancer: unwarranted fears
  Gideon Koren, MD FRCPC FACMT
• July 2011
  Screening for depressive symptoms
  Asnat Walfisch, MD, Corey Sermer, Ilan Matok, PhD, Gideon Koren, MD, FRCPC, FACMT, Adrienne Einarson, RN
• June 2011
  Safety of skin care products during pregnancy
  Pina Bozzo, Angela Chua-Gocheco, MD and Adrienne Einarson, RN
• May 2011
  Vaccination during pregnancy
  Pina Bozzo, Andrea Narducci, RPh and Adrienne Einarson, RN
• April 2011
  Safety of antiviral medication for the treatment of herpes during pregnancy
  So-Hee Kang, RPh, Angela Chua-Gocheco, MD, Pina Bozzo and Adrienne Einarson, RN
• March 2011
  Are probiotics safe for use during pregnancy and lactation?
  Jackie Elias, RPh, Pina Bozzo and Adrienne Einarson, RN
• February 2011
  Diclectin for morning sickness
  Irena Nulman, MD, FRCPC and Gideon Koren, MD, FRCPC, FACMT
• January 2011
  Effect of methotrexate treatment of ectopic pregnancy on subsequent pregnancy
  Rinat Hackmon, MD, Sachi Sakaguchi, MD and Gideon Koren, MD, FRCPC, FACMT
• December 2010
  Antiepileptic drugs in pregnancy and hemorrhagic disease of the newborn - An Update
  Aleksey Kazmin, MD, Renee C. Wong, MB, BS, Mathew Sermer, MD, FRCSC and Gideon Koren, MD, FRCPC, FACMT
• November 2010
  Perinatal exposure to maternal lamotrigine - Clinical considerations for the mother and child
  Parvaz Madadi, PhD and Shinya Ito, MD, FRCPC
• October 2010
  Fish consumption in pregnancy and fetal risks of methylmercury toxicity
  Gideon Koren, MD FRCPC FACMT and John R. Bend, PhD
• September 2010
  Safety of using montelukast during pregnancy
  Gideon Koren, MD FRCPC FACMT, Moumita Sarkar, PhD and Adrienne Einarson, RN
• August 2010
  Paroxetine use in pregnancy and increased risk of heart defects - Evaluating the evidence
  Adrienne Einarson, RN
• July 2010
  Twenty-five years of counseling family physicians - What have we learned?
  Gideon Koren, MD FRCPC FACMT and Adrienne Einarson, RN
• June 2010
  Safety of triptans for migraine headaches during pregnancy and breastfeeding
  Silvia Duong, RPh, Pina Bozzo, Hedvig Nordeng, PhD and Adrienne Einarson, RN
• May 2010
  Safety of antihistamines during pregnancy and lactation
  Miranda So, RPh, Pina Bozzo, Miho Inoue, MD and Adrienne Einarson, RN
• April 2010
  Food-borne illnesses during pregnancy : Prevention and treatment
  Carolyn Tam, Aida Erebara, MD and Adrienne Einarson, RN
• March 2010
  FDA pregnancy risk categories and the CPS. Do they help or are they a hindrance?
  Ruth Law, Pina Bozzo, Gideon Koren, MD FRCPC FACMT and Adrienne Einarson, RN
• February 2010
  Treatment of heartburn and acid reflux associated with nausea and vomiting during pregnancy
  Ruth Law, Caroline Maltepe, Pina Bozzo and Adrienne Einarson, RN
• January 2010
  Treating pain during pregnancy
  Malaika Babb, PharmD, Gideon Koren, MD FRCPC FACMT and Adrienne Einarson, RN
• December 2009
  Exposure to fifth disease in pregnancy
  Arthur Staroselsky, MD, Chagit Klieger-Grossmann, MD, Facundo Garcia-Bournissen, MD and Gideon Koren, MD FRCPC FACMT
• November 2009
  Guidelines for maternal codeine use during breastfeeding
  Parvaz Madadi, PhD, Myla Moretti, MSc, Nada Djokanovic, MD MSc, Pina Bozzo, Irena Nulman, MD FRCPC, Shinya Ito, MD FRCPC and Gideon Koren, MD FRCPC FACMT
• October 2009
  In utero exposure to therapeutic radiation for Hodgkin lymphoma
  Chagit Klieger-Grossmann, MD, Nada Djokanovic, MD MSc, David Chitayat, MD and Gideon Koren, MD FRCPC FACMT
• September 2009
  Challenges to diagnosing colorectal cancer during pregnancy
  Mohammad Yaghoobi, MD MSc, Gideon Koren, MD FRCPC FACMT and Irena Nulman, MD FRCPC
• August 2009
  Pharmacologic treatment of hyperthyroidism during lactation
  Miguel Marcelo Glatstein, MD, Facundo Garcia-Bournissen, MD, Norberto Giglio, MD, Yaron Finkelstein, MD and Gideon Koren, MD FRCPC FACMT
• July 2009
  Hyperthyroidism during pregnancy
  Miho Inoue, MD, Naoko Arata, MD PhD, Gideon Koren, MD FRCPC FACMT and Shinya Ito, MD FRCPC
• June 2009
  Dental care during pregnancy
  Tanya Wrzosek and Adrienne Einarson, RN
• May 2009
  Safety of 14C-UBT for diagnosis of Helicobacter pylori infection in pregnancy
  Yedidia Bentur, MD, Doreen Matsui, MD and Gideon Koren, MD
• April 2009
  Use of hypoglycemic drugs during lactation
  Miguel Marcelo Glatstein, MD, Nada Djokanovic, MD MSc, Facundo Garcia-Bournissen, MD, Yaron Finkelstein, MD and Gideon Koren, MD FRCPC FACMT
• March 2009
  Vaginal yeast infection during pregnancy
  Derrick Soong and Adrienne Einarson, RN
• February 2009
  Prosthetic heart valves and management during pregnancy.
  Farida Mary Jeejeebhoy, MD FRCPC FACC Cardiologist in Toronto, Ont
• January 2009
  Use of diuretics during pregnancy
  Mosa'b Al-Balas, RPh, Pina Bozzo and Adrienne Einarson, RN
• December 2008
  Methadone exposure during lactation
  Miguel Marcelo Glatstein, MD, Facundo Garcia-Bournissen, MD, Yaron Finkelstein, MD and Gideon
• November 2008
  Folic acid
  Gideon Koren, MD FRCPC FACMT, Y. Ingrid Goh and Chagit Klieger, MD
• October 2008
  Safety of hair products during pregnancy
  Angela Chua-Gocheco, MD, Pina Bozzo and Adrienne Einarson, RN
• September 2008
  Is air travel in pregnancy safe?
  Gideon Koren, MD FRCPC FACMT
• August 2008
  Mycophenolate mofetil: Emerging as a potential human teratogen
  Gideon Koren, MD FRCPC FACMT
• July 2008
  Effects and treatment of inflammatory bowel disease during pregnancy
  Harvinder Brar, PharmD and Adrienne Einarson, RN
• June 2008
  Urinary tract infections in pregnancy
  Monica Lee, RPh, Pina Bozzo, Adrienne Einarson, RN and Gideon Koren, MD FRCPC
• May 2008
  Treating the common cold during pregnancy
  Aida Erebara, MD, Pina Bozzo, Adrienne Einarson, RN and Gideon Koren, MD FRCPC
• April 2008
  Lead exposure during breastfeeding
  Jacquelyn Choi, Toshihiro Tanaka, MD, Gideon Koren, MD FRCPC and Shinya Ito, MD FRCPC
• March 2008
  Is the use of letrozole to induce ovulation teratogenic?
  Simerpal Kaur Gill, MSc, Myla Moretti, MSc and Gideon Koren, MD FRCPC
• February 2008
  Hemorrhoids in pregnancy
  Arthur Staroselsky, MD, Alejandro A. Nava-Ocampo, MD, Sabina Vohra and Gideon Koren, MD FRCPC
• January 2008
  Trastuzumab treatment for breast cancer during pregnancy
  Alon Shrim, MD, Facundo Garcia-Bournissen, MD, Cynthia Maxwell, MD, Dan Farine, MD FRCSC and Gideon Koren, MD FRCPC
• December 2007
  Treatment of nausea and vomiting in pregnancy - an updated algorithm
  Adrienne Einarson, RN, Caroline Maltepe, Rada Boskovic, MD and Gideon Koren, MD FRCPC
• November 2007
  Cancer in pregnancy: Motherisk on-line question and answer forum
  Sandy Grupp, Adrienne Einarson, RN and Gideon Koren, MD FRCPC
• October 2007
  When pregnant women are not screened for HIV
  Alon Shrim, MD, Facundo Garcia-Bournissen, MD, Kellie Murphy, MD FRCSC, Gideon Koren, MD FRCPC and Dan Farine, MD FRCSC
• September 2007
  Taking ACE inhibitors during early pregnancy
  Joel G. Ray, MD MSc FRCPC, Marian J. Vermeulen, MHSc and Gideon Koren, MD FRCPC
• August 2007
  Cost of fetal alcohol spectrum disorder in Canada
  Brenda Stade, PhD, Wendy J. Ungar, PhD, Bonnie Stevens, PhD, Joseph Beyen, PhD and Gideon Koren, MD FRCPC
• July 2007
  Exposure to attention deficit hyperactivity disorder medications during pregnancy
  Caitlin Humphreys, MD, Facundo Garcia-Bournissen, MD, Shinya Ito, MD FRCPC and Gideon Koren, MD FRCPC
• June 2007
  Teratogenicity of lamotrigine
  Sarit Shor, Gideon Koren MD FRCPC, Irena Nulman MD
• May 2007
  Omega-3 fatty acid supplementation during pregnancy
  Gal Dubnov-Raz MD MSC, Yaron Finkelstein MD, Gideon Koren MD FRCPC
• April 2007
  Breastfeeding and radiologic procedures
  Jack Newman MD FRCPC
• March 2007
  Are new agents used to treat rheumatoid arthritis safe to take during pregnancy?
  Christina Chambers PHD, Gideon Koren MD FRCPC, Zuhre N. Tutuncu MD, Diana Johnson MS, Kenneth L. Jones MD
• February 2007
  Exposure to sibutramine during pregnancy
  Facundo Garcia-Bournissen MD, Alon Shrim MD, Gideon Koren MD FRCPC
• January 2007
  Safety of codeine during breastfeeding
  Parvaz Madadi, Gideon Koren, MD, FRCPC, James Cairns, MD, David Chitayat, MD, Andrea Gaedigk, PHD, J. Steven Leeder, PHARMD, PHD, Ronni Teitelbaum, MSC, Tatyana Karaskov, MD, Katarina Aleksa, PHD
• December 2006
  Preventing recurrence of severe morning sickness
  Gideon Koren, MD, FRCPC, Caroline Maltepe
• November 2006
  Compliance with prenatal vitamins
  Gideon Koren, MD, FRCPC, Nicholas Pairaideau, MD
• October 2006
  Changes in drug handling during pregnancy
  Gideon Koren, MD, FRCPC
• September 2006
  Exposure to alcohol-containing medications during pregnancy
  Facundo Garcia-Bournissen, MD, Yaron Finkelstein, MD, Massoud Rezvani, MD, Gideon Koren, MD, FRCPC
• July 2006
  Use of proton pump inhibitors during pregnancy and breastfeeding
  Alejandro A. Nava-Ocampo, MD, Elvia Y. Velazquez-Armenta, MSC, Jung-Yeol Han, MD, Gideon Koren, MD, FRCPC,
• June 2006
  Does vitamin K prophylaxis prevent bleeding in neonates exposed to enzyme-inducing antiepileptic drugs in utero?
  Massoud Rezvani, MD, ABP, Gideon Koren, MD, FRCPC
• May 2006
  Counseling pregnant women treated with paroxetine; Concern about cardiac malformations
  Adrienne Einarson, RN Gideon Koren, MD, FRCPC
• April 2006
  Major malformations with valproic acid
  Gideon Koren, MD, FRCPC Alejandro A. Nava-Ocampo, MD Myla E. Moretti, MSC Reuven Sussman Irena Nulman, MD
• March 2006
  Safety of gadolinium during pregnancy
  Facundo Garcia-Bournissen, MD, Alon Shrim, MD, Gideon Koren, MD, FRCPC
• February 2006
  Metformin use during the first trimester of pregnancy - Is it safe?
  Gideon Koren, MD, FRCPC Cameron Gilbert, MSC, Maria Valois, MD, FRCPC
• January 2006
  Toxoplasmosis during pregnancy
  Ariel Many, MD, Gideon Koren, MD, FRCPC
• December 2005
  Paternal use of ribavirin-interferon alpha 2B combination therapy before conception
  Nobuko Taguchi, MD Shinya Ito, MD
• November 2005 - Special Supplement
  Counseling pregnant women who are treated with paroxetine
  Adrienne Einarson RN and Gideon Koren MD
• September 2005
  Preventing fetal alcohol spectrum disorders. Preconception counseling and diagnosis help
  Suzanne C. Tough, PHD Margaret Clarke, MD Sterling Clarren, MD
• August 2005
  Taking antidepressants during late pregnancy - How should we advise women?
  S. Kalra, A. Einarson RN, Gideon Koren MD, FRCPC
• July 2005
  Nonsteroidal anti-inflammatory drugs for rheumatoid arthritis during pregnancy
  Ana Florescu MSC, Gideon Koren MD, FRCPC
• June 2005
  Pregnancy after stem cell transplantation
  Tal Schechter, MD Yaron Finkelstein, MD John Doyle, MD Gideon Koren, MD, FRCPC
• April 2005
  Pregnant 'DES daughters' and their offspring
  Tal Schechter, MD Yaron Finkelstein, MD Gideon Koren, MD, FRCPC
• March 2005
  Marijuana use and breastfeeding
  Josephine Djulus, MD Myla Moretti, MSC Gideon Koren, MD, FRCPC
• February 2005
  Low-molecular-weight heparins during pregnancy
  Ariel Many, MD Gideon Koren, MD, FRCPC
• December 2004
  Is it all right to drink a little during pregnancy?
  Gideon Koren, MD, FRCPC Daniella Caprara, MSC Daphne Chan, PHD Sheila Jacobson, MD Kelly Porter
• October 2004
  Celiac disease during pregnancy
  Rebecca Hancock Gideon Koren, MD, FRCPC
• October 2004
  Celiac disease during pregnancy
  Rebecca Hancock Gideon Koren, MD, FRCPC
• August 2004
  Using corticosteroids during pregnancy: Are topical, inhaled, or systemic agents associated with risk?
  D. Oren, MSC, I. Nulman, MD, M. Makhija, MSC, S. Ito, MD, Gideon Koren, MD, FRCPC
• May 2004
  Multivitamin supplements for pregnant women: New insights
  Eric Ahn, Alejandro A. Nava-Ocampo, MD, MSC, Gideon Koren, MD, FRCPC
• March 2004
  Appendicitis during pregnancy
  Rachelle Guttman, Ran D. Goldman, MD, Gideon Koren, MD, FRCPC
• January 2004
  Risks of untreated depression during pregnancy
  Lori Bonari, Heather Bennett, Adrienne Einarson, RN, Gideon Koren, MD, FRCPC
• December 2003
  Hemophilia during pregnancy
  Ran D. Goldman, MD Victor Blanchette, MD, FRCPC Gideon Koren, MD, FRCPC
• July 2003
  Ionizing radiation during pregnancy
  Savithiri Ratnapalan, MBBS Nicole Bona Gideon Koren, MD, FRCPC
• May 2003
  Effect of methotrexate on male fertility
  Amy E. French Gideon Koren, MD, FRCPC
• March 2003
  Electric shock during pregnancy
  Ran D. Goldman, md, Adrienne Einarson, Gideon Koren, MD, FRCPC
• February, 2003
  Exposure to electromagnetic fields during pregnancy
  Gideon Koren, MD, FRCPC
• September, 2002
  Taking ginger for nausea and vomiting during pregnancy
  Kiran Chandra, MSC Adrienne Einarson, RN Gideon Koren MD, FRCPC
• January, 2002
  Drinking alcohol while breastfeeding: Will it harm my baby?
  Gideon Koren, MD, FRCP
• December, 2001
  Finasteride: Does it affect spermatogenesis and pregnancy?
  Meena Pole, MD Gideon Koren, MD, FRCPC
• September, 2001
  Can herbal products be used safely during pregnancy?:Focus on echinacea
  Michael Gallo Gideon Koren, MD, FRCPC
• March, 2001
  Discontinuing antidepressants and benzodiazepines upon becoming pregnant:
  Adrienne Einarson, RN; Peter Selby, MD; Gideon Koren, MD, FRCPC
• December, 2000
  Occupational exposure to inhaled anesthetic: Is it a concern for pregnant women?
  Samar Shuhaiber; Gideon Koren, MD, FRCPC
• May, 2000
  Can we use metronidazole during pregnancy and breastfeeding?: Putting an end to the controversy
  A. Einarson, RN; E. Ho; G. Koren, MD, FRCPC
• March, 2000
  Can we use anxiolytics during pregnancy without anxiety?: In moderation
  Antonio Addis, PHARMD; Lisa R. Dolovich, PHARMD; Thomas R. Einarson, PHD; Gideon Koren, MD, FRCPC
• November, 1999
  Folic acid and neural tube defects: Good news at last!
  Gideon Koren, MD, FACCT, FRCPC
• October, 1999
  Dextromethorphan: Extrapolation of findings from reproductive studies in animals to humans
  Adrienne Einarson, RN; Gideon Koren, MD, FRCPC
• February, 1999
  Young women taking isotretinoin still conceive: Role of physicians in preventing disaster
  Gordana Atanackovic, MD; Gideon Koren, MD, FRCPC
• December, 1998
  Do silicone breast implants affect breastfeeding?
  Gideon Koren, MD, FRCPC; Shinya Ito, MD
• January, 1998
  Fetal alcohol syndrome: Role of the family physician
  Gideon Koren, MD, FRCPC; Ronen Loebstein, MD; Irena Nulman, MD
• June, 1997
  Therapeutic abortions due to severe morning sickness Unacceptable combination
  Paolo Mazzota, BSC; Laura Magee, MD; Gideon Koren, MD, FRCPC
• May, 1997
  Periconception folic acid supplementation
  Gideon Koren, MD, FRCPC
• April, 1997
  Children of Neverland
  Gideon Koren, MD, FRCPC
• March, 1997
  Is the fetus safe when spermicides fail?
  Extrapolation of findings from reproductive studies in animals to humans
• August, 1996
  Tuberculosis during pregnancy
  Antonio Addis, Pharmd; Doug Blowey, MD; Gideon Koren, MD, FRCPC
• Read more in our Update Archive