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Motherisk E-Learning Centre

Welcome to the Motherisk E-Learning Centre. This first series of video tutorials was developed to help health professionals assess the treatment and counseling needs of their pregnant patients. We hope you find the training offered in these programs helpful in your professional practice.

The content of these tutorials reflects the consensus on emerging clinical and scientific advances as of the date issued and may be subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. All of the references used to develop these programs are provided in a PDF that accompanies each video tutorial.

To view the tutorials you will need the Flash Player installed on your computer. If you don't have Flash you can download Flash here.

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Immunology Summit 2013: Management of Conception and Pregnancy in Immunological Disease

Dr. Koren's lecture and slides are available on the Immunology Summit 2013 website

Motherisk Update 2012: Treating Depression, Schizophrenia and Addiction During Pregnancy and Lactation

New Webcast Online

On May 23, 2012, SickKids' Motherisk Program held its annual Motherisk Update. The Keynote Address was delivered by Mary Motz, PhD, C.Psych, Clinical Psychologist, Mothercraft/Breaking the Cycle. Dr. Motz' presentation: Breaking the Cycle: Advances in Secondary Prevention of In Utero Drug and Alcohol Exposure is now available online on the Ontario Telemedicine Network.

The presentation can be found on http://webcast.otn.ca/

  • Click here to view the video (opens in new window)
  • Mac users will need to use Safari and the Microsoft Silverlight player plugin. If you don't have the plugin installed, click on the link to the video and you'll be guided through the download and installation process.

Presentation synopsis:

Through the case of a substance-exposed child involved in early intervention services with her biological mother at Mothercraft's Breaking the Cycle, this presentation highlights:

  1. The importance of integrated and comprehensive interventions to reduce the risk and enhance the development of substance-exposed children by addressing maternal substance use issues and the mother-child relationship.
  2. Research demonstrating the importance of intervening through the mother-child relationship on the development and mental health of substance-exposed children.

Motherisk Educational Program, Vol. 2, September 2008

This section examines important maternal-fetal issues such as:
  • Diabetes in Pregnancy
  • Depression in Pregnancy
  • Maternal Nutrition and Supplementation
  • Substance Abuse in Pregnancy

The content of this section was developed by the Motherisk Program of The Hospital for Sick Children, Toronto.

General Principles of Teratology

Teratology is the science that studies abnormal fetal development due to different factors. Teratogenesis refers to abnormal development of fetal organ(s) and a teratogen is defined as an agent that may have harmful effects on the developing fetus. This section examines important maternal-fetal issues such as:
  • Baseline risk
  • Exposure to teratogens
  • Critical time period
  • Types of teratogenicity
  • Causes of congenital malformations

The content of this section was developed by the Motherisk Program of The Hospital for Sick Children, Toronto.

The Management of Nausea and Vomiting of Pregnancy (NVP)

Many women who have to cope with nausea and vomiting of pregnancy endure tremendous physical hardship. This suffering may have a profound impact on family, work, and social life. Therefore, it is important for health professionals to realize that pregnant women who complain about nausea or vomiting are coming for help. This section looks into the various aspects of NVP and its management approach namely:
  • Prevalence and impact on women's health and well-being
  • Problems in clincal practice, treatment algorithm and case study

Diagnosis of Fetal Alcohol Spectrum Disorder

Research continues to uncover the effects of drinking during pregnancy on the developing fetus and the impact throughout the lifetime of affected individuals. Fetal Alcohol Spectrum Disorder (FASD) is one of the major known preventable birth defects among Canadian children. This tutorial examines FASD issues and outcomes such as:
  • Epidemiology
  • Diagnostic criteria
  • Evidence of impairment
  • Alcohol related birth defects
  • Secondary disabilities
  • The cost of FASD in Canada
  • FASD - Major challenges

The content of this section was developed by: Gideon Koren, Director, Motherisk Program and Ivey Chair in Molecular Toxicology, University of Western Ontario.

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* - "MOTHERISK - Treating the mother - Protecting the unborn" is an official mark of The Hospital for Sick Children. All rights reserved.

The information on this website is not intended as a substitute for the advice and care of your doctor or other health-care provider. Always consult your doctor if you have any questions about exposures during pregnancy and before you take any medications.

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The Hospital for Sick Children (SickKids) is a health-care, teaching and research centre dedicated exclusively to children; affiliated with the University of Toronto. For general inquires please call: 416-813-1500.

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