References

Alonso MB, Feo ML, Corcellas C Toxic heritage: maternal transfer of pyrethroid insecticides and sunscreen agents in dolphins from Brazil. Environ Pollut. 2015; 207:391-402

Anastasiou A, Karras SN, Bais A, Grant WB, Kotsa K, Goulis DG Ultraviolet radiation and effects on humans: the paradigm of maternal vitamin D production during pregnancy. Eur J Clin Nutr. 2016; https://doi.org/https://doi.org/10.1038/ejcn.2016.188

Borradale D, Isenring E, Hacker E, Kimlin MG Exposure to solar ultraviolet radiation is associated with a decreased folate status in women of childbearing age. J Photochem Photobiol B. 2014; 131:90-5 https://doi.org/https://doi.org/10.1016/j.jphotobiol.2014.01.002

Cancer Council Australia. Clinical Guidelines. 2017. http://tinyurl.com/lsx86n9 (accessed 2 May 2017)

Cancer Research UK. Skin cancer statistics. 2017. http://tinyurl.com/ncypwk8 (accessed 2 May 2017)

Cordero AM, Crider KS, Rogers LM, Cannon MJ, Berry RJ Optimal serum and red blood cell folate concentrations in women of reproductive age for prevention of neural tube defects: World Health Organisation guidelines. MMWR Morb Mortal Wkly Rep. 2015; 64:(15)421-3

Czeizel AE, Dudás I, Vereczkey A, Bánhidy F Folate deficiency and folic acid supplementation: the prevention of neural-tube defects and congenital heart defects. Nutrients. 2013; 5:(11)4760-75 https://doi.org/https://doi.org/10.3390/nu5114760

D'Orazio J, Jarrett S, Amaro-Ortiz A, Scott T UV radiation and the skin. Int J Mol Sci. 2013; 14:(6)12222-48 https://doi.org/https://doi.org/10.3390/ijms140612222

De-Regil LM, Palacios C, Lombardo LK, Peña-Rosas JP Vitamin D supplementation for women during pregnancy. Sao Paulo Med J. 2016; 134:(3)274-75 https://doi.org/https://doi.org/10.1590/1516-3180.20161343T2

Farrar MD, Webb AR, Kift R Efficacy of a dose range of simulated sunlight exposures in raising vitamin D status in South Asian adults: implications for targeted guidance on sun exposure. Am J Clin Nutr. 2013; 97:(6)1210-16 https://doi.org/https://doi.org/10.3945/ajcn.112.052639

Geraghty S, Godwin H, Oliver K Balancing the risks and benefits of sun exposure for infants: skin protection and vitamin D uptake. Journal of Health Visiting. 2015; 3:(6)314-20 https://doi.org/https://doi.org/10.12968/johv.2015.3.6.314

Gilaberte Y, Carrascosa J Sun protection in children: realities and challenges. Actas DermoSifiliogr (English Edn). 2014; 105:(3)253-62 https://doi.org/https://doi.org/10.1016/j.adengl.2013.05.006

Jhaveri M, Driscoll M, Grant-Kels J Melanoma in Pregnancy. Clin Obstet Gynecol. 2011; 54:(4)537-45 https://doi.org/https://doi.org/10.1097/GRF.0b013e318236e18b

Kearney JM, Khadrawi I, Harastani R Vitamin D supplementation practices in pregnancy and during infancy and other behaviors related to vitamin D status among a sample of Muslim women in Ireland and Saudi Arabia. J Nutr. 2015; 2:(1)11-26

Kim S, Choi K Occurrences, toxicities, and ecological risks of benzophenone-3, a common component of organic sunscreen products: a mini-review. Environ Int. 2014; 70:143-157 https://doi.org/https://doi.org/10.1016/j.envint.2014.05.015

Maipas S, Nicolopoulou-Stamati P Sun lotion chemicals as endocrine disruptors. Hormones (Athens). 2015; 14:(1)32-46

National Institute for Health and Care Excellence. 2014. http://tinyurl.com/kf3fsgu (accessed 2 May 2017)

National Institute for Health and Care Excellence. 2016. http://tinyurl.com/n2aq7de (accessed 2 May 2017)

Nguyen K, Geller A, Lin JY Improvements and continued challenges in the early detection of skin cancers. Expert Review of Dermatology. 2012; 7:(5)459-71 https://doi.org/http://doi.org/10.1586/edm.12.46

Paller AS, Hawk JL, Honig P, Giam YC, Hoath S, Mack MC, Stamatas GN New insights about infant and toddler skin: implications for sun protection. Pediatrics. 2011; 128:(1)92-102 https://doi.org/https://doi.org/10.1542/peds.2010-1079

Richtig G, Byrom L, Kupsa R Pregnancy as driver for melanoma. Br J Dermatol. 2016; https://doi.org/https://doi.org/10.1111/bjd.15124

Rosen CJ, Adams JS, Bikle DD The nonskeletal effects of vitamin D: an Endocrine Society scientific statement. Endocr Rev. 2012; 33:(3)456-92 https://doi.org/https://doi.org/10.1210/er.2012-1000

Skin Cancer Foundation. Sun Protection. 2017. http://tinyurl.com/kwscymc (accessed 4th May 2017)

Song Y, Chou EL, Baecker A, You NC, Song Y, Sun Q, Liu S Endocrine-disrupting chemicals, risk of type 2 diabetes, and diabetes-related metabolic traits: A systematic review and meta-analysis. J Diabetes. 2015; 8:(4)516-32 https://doi.org/https://doi.org/10.1111/1753-0407.12325

Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A Global cancer statistics, 2012. CA Cancer J Clin. 2015; 65:(2)87-108 https://doi.org/https://doi.org/10.3322/caac.21262

Trakatelli M, Siskou S, Proby C The patient journey: a report of skin cancer care across Europe. Br J Dermatol. 2012; 167:(s2)43-52 https://doi.org/https://doi.org/10.1111/j.1365-2133.2012.11086.x

Van Zutphen AR, Lin S, Fletcher BA, Hwang SA A population-based case-control study of extreme summer temperature and birth defects. Environ Health Perspect. 2012; 120:(10) https://doi.org/https://doi.org/10.1289/ehp.1104671

Webb AR Who, what, where and when—influences on cutaneous vitamin D synthesis. Prog Biophys Mol Biol. 2006; 92:(1)17-25 https://doi.org/https://doi.org/10.1016/j.pbiomolbio.2006.02.004

Zhang T, Sun H, Qin X, Wu Q, Zhang Y, Ma J, Kannan K Benzophenone-type UV filters in urine and blood from children, adults, and pregnant women in China: Partitioning between blood and urine as well as maternal and fetal cord blood. Sci Total Environ. 2013; 461:49-55 https://doi.org/https://doi.org/10.1016/j.scitotenv.2013.04.074

Providing sun safety advice: The midwife's role

02 June 2017
Clinical Practice
02 June 2017
Volume 25 · Issue 6

Abstract

There is currently a global increase in women being diagnosed with melanoma during their childbearing years. Many women are delaying motherhood and pregnancy, and starting their families later in life, after completing education and establishing careers. As melanoma incidences increase with age, more women could be faced with developing melanoma before or during pregnancy. Therefore, midwives play an intrinsic role in proving information and education regarding sun safety for themselves, their newborns and families.

Of all the different types of cancer diagnosed globally, skin cancer is the most prolific (Nguyen et al, 2012), and melanoma remains the major cause of death from skin cancer (Trakatelli et al, 2012). The incidence of melanoma skin cancer in the UK is projected to rise by 7% between 2014 and 2035, to 32 cases per 100 000 people by 2035 (Cancer Research UK, 2017). These figures suggest that 1 in 54 people will be diagnosed with malignant melanoma during their lifetime. There is a significant rise in the incidence of melanoma being diagnosed in childbearing women, accounting for 25% of all cancers in pregnant women (Jhaveri et al, 2011). Ultraviolet B (UVB) radiation, caused by the exposure of sunlight to unprotected skin, causes erythema (redness) and oedema (swelling), leading to inflammation and sunburn (D'Orazio et al, 2013).

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Sun safety
Midwives
Pregnancy