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Biomedical subjects

C Wood

Publications and source records attributed to C Wood.

At least 469 records · Page 26Linked to original sources

Sexual response following hysterectomy and oophorecomy.

This is a report of a retrospective study of 89 patients who had undergone hysterectomy and oophorectomy. The aims of this study were to identify factors associated with sexual deterioration attributed to the operation. In the sample interviewed, 33 patients (37%) complained of a deterioration of their sexual relationships, which they attributed to the operation. Preoperative expectations of sexual alteration were found to be significantly associated with subsequent sexual dysfunction, and specifically with loss of desire for sexual intercourse. Estrogen administration, while not affecting overall sexual behavior, was specifically associated with less dyspareunia. It was concluded that sexual dysfunction following hysterectomy and oophorectomy was mainly associated with psychologic factors.

Adult↗

Controlled trial of fetal intensive care.

A fetal intensive care unit was formed at the Queen Victoria Memorial Hospital in 1972. Because of some doubt concerning the value of fetal intensive care, a controlled clinical trial including all high-risk patients was performed. The trial clearly showed that intensive care is associated with improved neurologic and biochemical status of the neonate; however, it is possible that this improvement results from the use of fetal diagnostic tests or some other factor associated with intensive care. Sufficient evidence was gathered to warrant the continuation of fetal intensive care in this hospital, but in other contries, where funding is difficult to obtain, a controlled trial would appear justified.

Blood↗

Fetal acid-base balance. I. Interdependence of maternal and fetal PCO2 and bicarbonate concentration.

This paper presents the results of measurements of the acid-base and gaseous status of maternal and fetal capillary blood at the time of amniotomy, before the onset of labor. The correlation coefficient between maternal and fetal bicarbonate concentration is 0.6, and that between maternal and fetal PCO2 is 0.31. From the results obtained, as well as from a survey of other work in the field, it is proposed that the diffusion of carbon dioxide across the placenta could not explain some of the findings and that bicarbonate concentrations equilibrate across the placenta.

Acid-Base Equilibrium↗

The effects of narcotics on fetal acid base status.

This paper reports two randomized control trials on the effects of nalorphine, pethidine, morphine and heroin on fetal and maternal acid base status. The drugs decreased pH and increased pCO2 in the mother, and decreased pH and base excess in the fetus. The changes in the fetus were independent of the changes in the mother. In equivalent dosages, nalorphine increased maternal pCO2 more than pethidine and morphine. The effects of heroin were found to be greater than that of other drugs, and we suggest that heroin should be avoided where the fetus is already at risk.

Acid-Base Equilibrium↗