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Page Title: Transfer to the Fetus - Continued
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DOE-STD-1128-98
Guide of Good Practices for Occupational Radiological Protection in Plutonium Facilities
plutonium crosses the placenta (Okabayashi and Watanabe, 1973). However, placental
and fetal membranes appear to effectively trap a portion of the plutonium that might
otherwise reach the fetus.
The behavior of plutonium in the embryo/fetus changes with the development of the
embryo/fetus (Sikov, 1987; Sikov et al., 1992). Liver and bone surfaces are the principal
sites of plutonium deposition in the embryo/fetus, accounting for approximately 80% of
the deposited plutonium (ICRP 48, 1986). Plutonium that deposits on bone surfaces
following prenatal or neonatal exposure gradually moves into the bone matrix during
subsequent bone-remodeling processes.
The radiation doses produced in the embryonic stage are assumed to be relatively homo-
geneous and represent a small fraction of the doses received by the pregnant woman
when averaged over all tissues. The dose to the fetus would constitute an even smaller
fraction of the maternal dose to any tissue in which there was specific deposition (Sikov
et al., 1992). As gestation progresses, there is an increase in the relative plutonium
concentration in specific fetal tissues, namely the bone and liver (Sikov et al., 1992).
Although limited information is available, experimental animal and human data suggest
that the average concentration is higher in the fetus during the second or third trimesters
than in soft tissues of the pregnant woman, exclusive of the liver, yet significantly less
than in maternal tissues of primary deposition, i.e., the bone and liver.
Because placental structures, including the yolk sac, effectively trap plutonium,
progenitor cells of the gametes and hematopoietic lines that appear initially in the blood
islands of the yolk sac are irradiated while they are primitive stem cells. However, the
dose received by the early embryonic cells and the detriment produced is not currently
known.
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