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Is it safe to have an X-ray during pregnancy?
Answer From Yvonne Butler Tobah, M.D.


Kruskal JB. Diagnostic imaging in pregnant and nursing women. https://www.uptodate.com/contents/search. Accessed Nov. 1, 2019.
X-rays, pregnancy and you. U.S. Food and Drug Administration. https://www.fda.gov/radiation-emitting-products/medical-x-ray-imaging/x-rays-pregnancy-and-you. Accessed Nov. 1, 2019.
American College of Obstetricians and Gynecologists. Committee Opinion No. 723: Guidelines for diagnostic imaging during pregnancy and lactation. Obstetrics & Gynecology. 2017; doi:10.1097/AOG.0000000000002355.



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X-ray during pregnancy - Is it safe




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The possibility of an X-ray during pregnancy causing harm to your unborn child is very small. Generally, the benefits of the diagnostic information from an X-ray outweigh the potential risk to a baby. However, if you received a large number of abdominal X-rays over a short period before you were aware of your pregnancy, your baby could be affected.
Most X-ray exams — including those of the legs, head, teeth or chest — won't expose your reproductive organs to the direct X-ray beam, and a lead apron can be worn to provide protection from radiation scatter.
The exception is abdominal X-rays, which expose your belly — and your baby — to the direct X-ray beam. The risk of harm to your baby depends on your baby's gestational age and the amount of radiation exposure. Exposure to extremely high-dose radiation in the first two weeks after conception might result in a miscarriage. However, these dose levels aren't used in diagnostic imaging.
Exposure to high-dose radiation two to eight weeks after conception might increase the risk of fetal growth restriction or birth defects. Exposure between weeks 8 and 16 might increase the risk of a learning or intellectual disability. But the typical dose of a single radiation exposure associated with a diagnostic X-ray is much lower than the high dose associated with these complications.
Before having an X-ray, tell your doctor if you are or might be pregnant. Depending on the circumstances, it might be possible to postpone the X-ray or modify it to reduce the amount of radiation. In addition, if you have a child who needs an X-ray, don't hold your child during the exam if you are or might be pregnant.
If you had a diagnostic X-ray before you knew you were pregnant, talk to your health care provider.
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Reviewed by Dany Paul Baby, MD on April 20, 2022
X-rays during pregnancy have long been considered unsafe. The radiation could potentially harm your baby, even causing birth defects. 
Sometimes, however, getting an x-ray while you are pregnant may be necessary. If you've hurt your leg in a car crash, for example, your physician may need it. 
Does an x-ray affect pregnancy? Are the effects of radiation exposure during pregnancy truly dangerous? Is there any way to mitigate the potential risks?
X-rays are electromagnetic waves with wavelengths falling between ultraviolet light and gamma rays. They're classified as ionizing radiation. 
Much of our knowledge of the dangers of radiation in pregnancy has come from the nuclear explosions in World War II. However, x-rays used in medicine do not produce that level of radiation exposure to mother or baby.
Because of the effects seen after the massive radiation exposure, x-rays have been feared during pregnancy, but now, scientists have found that a single x-ray of your limbs or teeth can be quite safe for your baby.
The developing baby is largely protected from the radiation by the abdominal wall and the uterus, but some radiation does get through. Developing babies are very sensitive to it. 
Moreover, the radiation of multiple x-rays adds up in its effects. If radiation exposure is significant, the results can be:
Though these dangers are known, they are also rare. For example, the projected risk of later cancer is 2% greater in later life, but that projection follows a radiation dose equal to about 500 x-rays of the chest.
The risk for brain effects is greatest at weeks 10 to 17 of pregnancy. Procedures using high doses of radiation should, consequently, be avoided during this period.
Extremely high doses of radiation will have severe effects on fetuses, though. Microcephaly (small head with brain malformation), microphthalmia (small eyes), genital and skeletal malformations, cataracts , and low birth weights can result from such massive radiation exposure. 
These doses are far higher than those used by doctors, though.
Yes, you can, as long as it isn't of your belly, which would expose your baby. Your baby is especially at risk in the first few weeks of pregnancy. 
X-rays of your limbs, teeth, head, and chest tend to be safe enough, though. They do not expose your baby to direct radiation. 
X-rays of the belly, pelvis, kidneys, or lower back, on the other hand, do expose your baby to radiation and should be avoided. 
High-dose x-rays administered early in pregnancy can affect your baby. In the first two weeks of pregnancy, a miscarriage may result from such exposure. 
At this time, the embryo is only a few cells, and damage or death of even one or two cells will cause the death of the embryo.
Babies exposed between the second and eighth week, meanwhile, are likely to experience reduced growth, as well as birth defects. 
Babies exposed between 8 and 16 are at a higher risk for intellectual and learning disabilities.
However, higher doses of x-rays are used during a computed tomography (CT) scan or a nuclear medicine scan. A nuclear medicine scan involves injecting a radioactive substance that the camera is able to see. The radiation dose is much higher than a single x-ray. 
A CT scan of the pelvis or belly during the early weeks of pregnancy is also a hazard. The baby has an increased risk of childhood cancer following such procedures.
A barium enema involves pushing a liquid containing barium into your rectum and then taking a series of x-ray pictures. During this procedure, the radiation exposure to your baby is much higher than a single x-ray, so this test should be avoided when you're pregnant.
Always let your physician know if you are, or might be, pregnant. They will decide on the appropriate precautions.
If your medical issue is not urgent, they may postpone taking x-rays until after the birth of your baby.
If the pregnancy x-ray is of the limbs, head, or neck, they will give you a lead apron. This apron covers your belly and doesn't allow the x-rays to reach your baby. 
Alternatively, your doctor may decide to use another imaging method. Ultrasound and magnetic resonance imaging (MRI) do not use ionizing radiation. They are considered safe to use during pregnancy.
What if you had an x-ray of the belly before discovering that you were pregnant? 
You should inform your doctor. The radiation from a single x-ray is tiny, though, so your doctor is unlikely to be overly concerned. 
What about a high-dose radiation x-ray procedure? 
Barium enemas and CT scans use higher doses of radiation than single x-rays. Some cardiac procedures and orthopedic operations are also done under x-ray guidance. They use doses of radiation that should be avoided in pregnancy.
If you have had such exposure before learning you were pregnant, talk to your doctor. 
To avoid such occurrences, some hospitals test all women above the age of 12 years for pregnancy before undergoing any such procedure.
It's not desirable to be x-rayed while you are pregnant, but there's no need to be terrified. Modern x-ray units use low doses of radiation. The amount of radiation for a single x-ray, in fact, is not likely to harm your baby at all. If your physician decides you need an x-ray, the risk of not getting one is probably greater than that posed by the radiation.
The timing of the x-ray is also important. Before 18 weeks of pregnancy, babies are very sensitive to radiation. They're likely to be harmed by it. Beyond 26 weeks of pregnancy, though, your baby has the same sensitivity to radiation as a newborn baby.
Your physician will probably avoid taking an x-ray while you're pregnant, but sometimes, an x-ray is needed to diagnose and treat an illness. Such treatment is sometimes necessary to keep you and your baby healthy. 
SOURCES:
Centers for Disease Control and Prevention: "Prenatal Radiation Exposure," "Radiation and Pregnancy: A Fact Sheet for the Public," Radiation and Your Health."
Mayo Clinic: "Is it safe to have an X-ray during pregnancy?"
National Health Service: "Pregnancy testing before certain types of X-rays." The Obstetrician and Gynaecologist : "Safety of diagnostic imaging in pregnancy. Part 1: X-ray, nuclear medicine investigations, computed tomography and contrast media."
University of Rochester Medical Center: "Should Pregnant Women Worry About X-Rays?"
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Watch Ray J and Pregnant Wife Princess Reveal Sex of Second Child with the Help of a Helicopter
Ray J (L) and Princess Love with daughter Melody | Ray J/ Instagram
Ray J and Princess Love's sex reveal | Ray J/ Instagram
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Ray J and Princess Love have given “blue skies ahead” a whole new meaning!
The rapper, 38, and his wife announced on Tuesday that their second child on the way will be a boy, enlisting the help of their 17-month-old daughter Melody Love — and a helicopter! — for the big reveal.
“We’re about to hop on the chopper. They’re going to lay down the smoke. It could be pink or blue,” Ray J said in a video on his Instagram account. “We’re going to find out right now, way up in the air.”
The Love & Hip Hop: Hollywood star ended up boarding the helicopter without his family since the noise “was too loud for” Melody’s ears, and got the surprise of his life once he was airborne.
Want all the latest pregnancy and birth announcements, plus celebrity mom blogs? Click here to get those and more in the PEOPLE Parents newsletter .
A post shared by Princess Love Norwood (@princesslove) on Oct 22, 2019 at 7:31am PDT
“I already took a peek, and Ray’s gonna go find out,” Love said, before the clip cut to the dad-to-be inside the chopper, where he told the camera, “Are we having a boy or a girl ? We’ll know in a second!”
Soon, the slowed-down footage showed blue smoke pouring from beneath the helicopter as mountains, winding roads and a blue sky could be seen among the picturesque backdrop.
“Whoa! We’re having a boy! Hey! ” said the excited star. “We’re having a boy!”
RELATED VIDEO: “Two Under 2!” Ray J and Princess Love Are Expecting Their Second Child Together
The couple announced Love’s pregnancy in August , revealing that their second child on the way will be joining the family in January 2020 with a series of adorable family photos showing off Love’s growing belly.
“Baby #2 on the way! @MelodyLoveNorwood your [sic] about to be a big sister! #Godisthegreatest ,” the excited father wrote alongside his post on Instagram .
“Somebody’s gonna be a big sis 👶🏽🍼 New addition arriving Jan 2020 @melodylovenorwood @rayj #2under2 #Blessed ,” Love shared on her own Instagram feed .
Love and Ray J tied the knot in August 2016 after four years of dating, and welcomed Melody, their first child together, in May 2018.
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