Tanning and Pregnancy  

   Ultraviolet is an electromagnetic radiation found in sunshine and some artificial light sources including tanning beds.  This form of ultraviolet radiation is not strong enough to penetrate the uterus and there has been no documentation of developmental toxicity related to this form of electromagnetic energy.  As with any mechanism which elevates body temperature during pregnancy, there is concern for a possible risk for hyperthermic effects.  It is recommended that pregnant women not raise their body temperature above 38.9°C (102°F).  Thus the general recommendation is that pregnant women refrain from using hot tubs, saunas, and tanning beds.  If these facilities were to be used, it is recommended that a woman limit her time of exposure.  For example, she should spend only 15 minutes in 39°C water in a hot tub.
   In a letter to the editor in the American Journal of Medical Genetics, a physician reported 3 unrelated patients who gave birth to infants with neural tube defects who reported use of tanning beds early in pregnancy.  All 3 mothers were reportedly young, healthy, non-diabetic, and reported no additional exposures.  Although this observation does not demonstrate that the use of such equipment increases the risk of neural tube defects, a hyperthermic effect can not be ruled out.  Heat-related neural tube defects have been widely demonstrated and data exists suggesting that there is an increased risk for a neural tube defect in offspring of women exposed to heat in the form of hot tubs, saunas, and fevers in early pregnancy. 

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