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Biomedical subjects

D E Wiklund

Publications and source records attributed to D E Wiklund.

6 recordsLinked to original sources

Placental transfer of cadmium.

Cadmium levels in blood have been determined in mother-newborn pairs from the surroundings of a copper smelter and a control area in Northern Sweden. The smelter's cadmium emissions to the air have decreased substantially since the 1970s, and in 1989 the emission was one ton. Venous blood was sampled from the mothers during delivery and from the umbilical cords, and analysed for cadmium by flameless atomic absorption spectrophotometry. There were no significant differences in cadmium levels, as between exposed women and controls, and blood levels were low, even in an industrial area. The most important environmental exposure seemed to be smoking. There was, however, a significant increase in cadmium levels during pregnancy among non-smoking women in both groups, p < 0.01. The cadmium levels in the newborn babies were about 70% of those in the mothers. Cadmium levels in the babies of non-smoking mothers were significantly higher in the vicinity of the smelter than in the control area (p < 0.05).

Cadmium

Perinatal mortality in a Swedish county 1980-1984. Mortality pattern and its amenability.

A retrospective, community based study on perinatal mortality was performed in a sparsely populated county with decentralized antenatal and maternity care. Neither level of care nor domicile showed any relation to perinatal mortality. A substantial underreporting of perinatal deaths was revealed. Death causes were classified according to the modified Aberdeen classification. One child per 2,000 births is stillborn due to asphyxia during delivery. Maternal age outside the optimal age range for reproduction was a significant risk factor. A suboptimal standard of care was identified in 33% of the perinatal deaths.

Adult

Risk determinants of perinatal mortality in a Swedish county, 1980-1984.

A retrospective case-referent study was performed to analyse risk factors of perinatal mortality. Overweight defined by body mass index, smoking greater than 10 cigs/day, infertility, earlier birth weight, earlier perinatal death were significant risk determinants of the obstetric history. Overweight and smoking, measured by the etiologic fractions, had the greatest impact on perinatal mortality. Significant risk factors of the present pregnancy were low weight gain, pre-eclampsia, cervical incompetence, and late hemorrhage. Intra-uterine growth retardation had the highest etiologic fraction. High risk assessment at the first antenatal visit had a sensitivity of 45%, increasing to 72% when adding supervening pregnancy complications. Although the positive predictive value of high-risk classification was very low, 2/3 of the perinatal deaths occurred among high-risk cases.

Birth Weight

[FHR-variability].

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Delivery, Obstetric

Low dose pelvimetry with biplane digital radiography.

The digital moving slit technique as used by most CT scanners for overview images, was used for antero-posterior and lateral views of the pelvis for pelvimetry. The method was evaluated in phantom experiments and clinical examinations were performed in 23 patients. The method was compared with conventional pelvimetry in 14 patients. Estimated ovarian dose was reduced by a factor of 14.2. The discrepancy in measurements of the pelvic diameters by computed tomography compared with conventional pelvimetry was considered to be without practical importance from an obstetric point of view. Digital pelvimetry is easier for the patient, faster and the need for repeated exposures is eliminated. Based on these facts it is suggested that digital pelvimetry should replace the conventional method whenever possible.

Female