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Howard G. Smith, M.D. is a former radio medical editor and talk show host in the Boston Metro area. His "Medical Minute" of health and wellness news and commentary was a regular weekday feature on WBZ-AM, WRKO-AM, and WMRE-AM. His popular two-way talk show, Dr. Howard Smith OnCall, was regularly heard Sunday morning and middays on WBZ.

Dr. Smith has adopted audio and video podcasting as conduits for HEALTH NEWS YOU SHOULD USE. Based on the latest medical, health, and wellness literature these reports provide practical information you can use to keep yourself and your family healthy. Many reports have video versions, and Dr. Smith’s YouTube Channel may be found at: http://bit.ly/2rNw6XQ

Trained at Harvard Medical School and a long-time faculty member at Boston Children’s Hospital, he practiced Pediatric Otolaryngology for 40 years in Boston, Southern California, and in central Connecticut.  He is now based in New York City.

If you have questions or suggestions about this content, please email the doctor at drhowardsmith.reports@gmail.com or leave him a message at 516-778-8864.  His website is: www.drhowardsmith.com.

Please note that the news, views, commentary, and opinions that Dr. Smith provides are for informational purposes only. Any changes that you or members of your family contemplate making to lifestyle, diet, medications, or medical therapy should always be discussed beforehand with personal physicians who have been supervising your care.

Apr 5, 2019

Vidcast: https://youtu.be/KDuBlo4yEKs

If you’re pregnant and work two night shifts in any given week, you significantly increase your chances of suffering a miscarriage.  Danish occupational medicine specialists reviewed the data from nearly 23,000 pregnant women a for a study recently published online.

The data revealed that, after the 8th week of pregnancy, women who worked two or more night shifts in any given week had a 32% higher risk of miscarriage by the following week.  The risk of miscarriage escalated as the number of night shifts and the number of consecutive night shifts increased.

Again, this study only unearths an association, and the cause of this phenomenon is unproven.  The investigators do add that night work disrupts the body’s circadian rhythms and diminishes melatonin release.   Melatonin is known to be a factor in normal placental function.

If you are on the night shift and considering becoming pregnant, ask your managers if you can join the day crew.  This is crucial if you have a history of miscarriages or high-risk pregnancies.

Luise Moelenberg Begtrup, Ina Olmer Specht, Paula Edeusa Cristina Hammer, Esben Meulengracht Flachs, Anne Helene Garde, Johnni Hansen, Åse Marie Hansen, Henrik Albert Kolstad, Ann Dyreborg Larsen, Jens Peter Bonde. Night work and miscarriage: a Danish nationwide register-based cohort study. Occupational and Environmental Medicine, 2019 DOI: 10.1136/oemed-2018-105592

#Nightshift #miscarriage #highriskpregnancy #pregnancy #obstetrics #circadianrhythm #melatonin