Radiation protection of female patients of reproductive capacity: A survey of policy and practice in Norway☆

Abstract 

The implementation of various policies related to female patients of reproductive capacity was investigated using a structured telephone interview of radiological departments in Norway. The findings suggest that 60% (n=35/58) of radiological departments have written guidelines regarding female patients of reproductive capacity. The 10-day rule is implemented for a range of examinations in 12% (n=7/58) of the radiological departments questioned, and in another 9% (n=5/58) it is only implemented for hysterosalpingography. Forty percent (n=23/58) of departments are familiar with rapid urine pregnancy tests and use them in certain circumstances. In conclusion, a lack of standardisation of approaches to radiation protection is apparent, and this raises concerns as national and international recommendations are not being correctly implemented. This may lead to confusion amongst patients and staff, and may have adverse consequences such as the accidental irradiation of the unborn child.

Keywords: 10-Day rule, 28-Day rule, Radiation protection, Foetal irradiation, Pregnancy status, Female patient of reproductive capacity