[Poisons for reproduction in work environment].
This article describes the lawful bases of the reprotoxic risk management in work environment, and sets out the recommendations of the French Société de Médecine du Travail (occupational medicine) for the medical supervision of pregnant wage-earners exposed to toxic substances as far as foetal development is concerned. We start with the description of the lawful bases, clarifying the various types of classification of toxic substances for reproduction, the particular regulation applying to reprotoxic categories 1 and 2, particularly with regard to the labelling of these products, the prohibition of availability to the general public, the principles of prevention and the guarantees of remuneration of the pregnant women exposed to this risk. Then, we present the recommendations worked out by the Société Française de Médecine du Travail, with regard to the medical supervision of pregnant wage-earners. They include: evaluation of the risk on the work place, evaluation of exposure, be it external or internal, presentation of methods of calculation of values guides and of recommendations transmitted to occupational doctors, before and during the pregnancy of their patients. To conclude, it is important to remain rigorous with this reprotoxic risk, by referring to the lawful bases at our disposal and supporting the scientific bases following epidemiologic studies. Adequate information must be given to women but also men pf procreation age. In spite of a well-defined lawful framework, watchfulness is required with the new products put on the market and the new scientific data.
Brochard
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Laboratoire santé travail environnement, EA 3672, université Victor-Segalen-Bordeaux-II, hôpital Pellegrin, place Amélie-Raba-Léon, bâtiment PQR entrée 2, 33076 Bordeaux cedex, France.
Cayrouse
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C
D005260:Female; D005602:France; D017408:Guidelines as Topic; D015386:Hazardous Substances; D006801:Humans; D008297:Male; D016273:Occupational Exposure / Q000009:adverse effects* / Q000331:legislation & jurisprudence; D009787:Occupational Medicine; D011247:Pregnancy; D012098:Reproduction; D012307:Risk Factors
D015386:Hazardous Substances