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Biomedical subjects

W L Fielding

Publications and source records attributed to W L Fielding.

5 recordsLinked to original sources
PubMed1984

Continued pregnancy after failed first-trimester abortion.

By means of simple changes in the observation and recording process after induced first-trimester abortion, it has been possible to reduce the frequency of failed abortion to one third its former incidence. The operator is merely required to note whether the amniotic sac and fetal parts are actually seen on gross examination and flotation in fluid. This formal requirement appears to serve as an alert mechanism to ensure that women at risk will be effectively evaluated and managed.

Abortion, Induced↗
PubMed1984

Effect of vaginal bleeding in early pregnancy on outcome.

The effect of vaginal bleeding in the first half of pregnancy on fetal outcome is retrospectively analyzed in 523 cases and compared with a control group of 6706. Early-pregnancy bleeding was found to be associated with more preterm deliveries and lower birth weight. The frequency of congenital anomalies and growth-retarded infants was unaffected. Neonatal death and low Apgar scores were seen more often than expected, but stillbirth rates were not significantly increased. These data suggest that vaginal bleeding in early pregnancy is a useful indicator of risk for suboptimal outcome.

Apgar Score↗
PubMed1978

Comparison of women seeking early and late abortion.

The differential characteristics of 697 women desiring induced abortion were studied according to when in pregnancy they presented. Age, marriage, and level of formal education were inversely related, those with greatest delay tending to be young, unmarried, and minimally educated. Religion was relevant, but generally was not. Nulliparity was only a weak correlate of delay. Contributory factors of denial, ambivalence, fear, and preceding menstrual irregularity accounted for two thirds of cases; they were uniformly distributed over the range of gestational age, but constituted the greatest proportion of reasons among those delaying decision longest. Physician delay and laboratory error accounted for all but one tenth of the remainder; they were concentrated particularly among gravidas presenting for care in the early part of the midtrimester. Fear characterized the young, poorly informed noncontraceptors, and had the greatest relative impact in protracted delays; denial was more likely to be found among older and ostensibly better informed women.

Abortion Applicants↗
PubMed1978

Continued pregnancy after failed first trimester abortion.

Forty-six patients with unintentional continued pregnancy were detected among a series of 65,045 first trimester abortions. Patients at greatest risk are those with very early pregnancy and those with marked uterine anteversion or retroversion or with uterine anomaly. Attention to gestational duration and uterine size as related to the amount and character of the evacuated tissue, particularly stressing identification of villi and fetal tissues, may help avoid this problem.

Abortion, Induced↗