DR. CHAMBERS is associate professor of pediatrics and family and preventive medicine at the University of California, San Diego. She is director of the California Teratogen Information Service and Clinical Research Program. Dr. Chambers is a past president of the Organization of Teratology Information Specialists (www.otispregnancy.org) and past president of the Teratology Society. To respond to this column, e-mail her atobnews@elsevier.com.