Fish Consumption in Pregnancy and Fetal Risks of Methylmercury Toxicity
Overview
Public Health
Authors
Affiliations
Question: Because I practise in a rural area with a large number of lakes, I have patients planning pregnancy who consume relatively large amounts of fish harvested by their families. What should be my advice to them?
Answer: A recent Motherisk study has shown that fairly commonly these women's mercury levels exceed the threshold level for cognitive effects. Women should not consume excessive amounts of seafood in pregnancy (ie, no more than 2 weekly average size servings). Hair mercury level above 0.3 μg/g indicates a potentially excessive body burden.
Bjorklund G, Antonyak H, Polishchuk A, Semenova Y, Lesiv M, Lysiuk R Arch Toxicol. 2022; 96(12):3175-3199.
PMID: 36063174 DOI: 10.1007/s00204-022-03366-3.
Managing mercury exposure in northern Canadian communities.
Pirkle C, Muckle G, Lemire M CMAJ. 2016; 188(14):1015-1023.
PMID: 27435478 PMC: 5047817. DOI: 10.1503/cmaj.151138.
Preconception counseling for preventable risks.
Chandranipapongse W, Koren G Can Fam Physician. 2013; 59(7):737-9.
PMID: 23851536 PMC: 3710036.
Zhang Y, Bolivar V, Lawrence D Toxicol Sci. 2013; 133(1):101-11.
PMID: 23392568 PMC: 3693512. DOI: 10.1093/toxsci/kft023.
The plausibility of a role for mercury in the etiology of autism: a cellular perspective.
Garrecht M, Austin D Toxicol Environ Chem. 2011; 93(5-6):1251-1273.
PMID: 22163375 PMC: 3173748. DOI: 10.1080/02772248.2011.580588.