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| DOE-STD-1121-98
8.1.3 Control of Dose to the Embryo/fetus, Minors, and Students
Administrative controls should be established to protect the embryo/fetus for declared pregnant
women. This is necessary because of uncertainties in:
distribution and retention of radioactive materials in the embryo/fetus
dosimetry to embryo/fetus
associated risk (Sikov et al. 1996).
Example 8.1 illustrates sample dose management practices for declared pregnant women.
Example 8.1. Dose Management Practices Regarding Internal Dosimetry
Associated with Embryo/Fetus Dose Control
If a female radiological worker is on a routine bioassay schedule and submits a declaration of
pregnancy, the appropriate bioassay is obtained from the female radiological worker as soon
after the declaration as possible. This bioassay serves two purposes:
1)
If the declared pregnant worker will no longer be exposed to possible intakes during
the remainder of the gestation period, then this becomes an ending assignment
bioassay and is used to document the embryo/fetal internal dose (usually none) for
the period from conception to declaration.
2)
Even if the declared pregnant worker continues her present work assignment, this
declaration bioassay is reviewed using the embryo/fetal derived reference level, and
serves either to show that no internal dose has been incurred to date or to document
what internal dose has been incurred for the period of conception to declaration. The
worker and her supervisor should have a good understanding of what dose has been
received during the gestation period up to the time of declaration in order to make
decisions about her work assignments for the remainder of the gestation period. The
information gained from the declaration bioassay gives everyone a more complete
dose status at the time of declaration. Finally, if the declared pregnant worker
continues work where intakes are possible, a new bioassay schedule may be
necessary for the remainder of the gestation period. At the very least, an attempt is
made to obtain a bioassay after the pregnancy is concluded or as soon as the declared
pregnant worker ceases work involving exposure. The gestation period is treated as
a time separate from the declared pregnant worker's normal bioassay monitoring
period.
Enhanced control of intake to minors and students should be exercised since the effective dose
equivalent limits for these individuals are the same as for the general public.
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