Bad Obstetrics History

The term bad obstetric history (BOH) is loosely used to signify that a woman has previously had problems in previous pregnancies. This may include miscarriage, stillbirth or any other adverse and unwanted conditions. Knowing in detail about BOH is important to prevent similar situations and to increase the chances of a successful pregnancy and live birth.

Classification of BOH:

Women with a history of the following cases during a previous pregnancy may be classified under BOH:

  • Intrauterine demise: The mother loses the baby in the uterus.
  • Repeated abortions, especially in the first or the second trimester.
  • Preterm labour.
  • Anomalies in the foetus.
  • Neonatal demise: Which is the death of a new-born baby within a month.
  • Severe intrauterine growth restriction (IUGR) or foetal growth restriction.

What causes BOH:

There are multiple causes which can lead to BOH. Some of the common causes are:

  • Genetic causes: genetic reasons are one of the most common causes of BOH. Genetic reasons often lead to habitual abortions, especially during the first or the second trimester.
  • Conditions like thyroid dysfunction during pregnancy may also be a factor of BOH.
  • Anatomical factors related to the uterus or the cervix.
  • Infections can also cause BOH.
  • Pre-eclampsia, which is a condition characterised by high blood pressure in women.
  • Acquired or inherited thrombophilia.

Identifying the root cause of BOH is extremely important to take appropriate steps to minimize the risk.

Management and treatment:

The treatment method adopted for BOH mostly depends on the cause of BOH. Some commonly adopted treatment procedures are:

  • Karyotype analysis: It is done in case of habitual abortions. Karyotype analysis involves evaluating the number and structure of chromosomes to detect abnormalities. In cases of habitual abortions, the karyotype analysis is done for both the parents as well as the aborted foetus.
  • If the BOH is due to endocrine causes, doctors monitor the levels of prolactin, Thyroid Stimulating Hormone (TSH), and anti-thyroid antibodies in the body.
  • In cases of infections, the TORCH test is usually done to screen for the presence of various antibodies which may be causing BOH.

At Motherhood Hospitals, we understand how difficult pregnancy can be for someone with a bad obstetric history. Our experts are well-trained and have many years of experience in enabling patients with BOH to successfully deliver healthy babies. We also have state-of-the-art infrastructure to provide you with the best possible treatment and care.

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The hospital is good, thanks to Dr. Sunil Eashwar sir for helping us to make our dream come true with his excellent advice and on time treatment. Motherhood has helped me embrace a journey to become a mother. Thanks to all the staff.

Vanitha K

Dr. Sunil Eashwar is a very good doctor. I’m happy to be guided by doctor and such a professionalist. I feel he is the best doctor. Firstly, I met Dr. Eshwar and he told me to get HSG test. I got to know that my fallopian tubes were blocked. Later, I underwent laproscopic hystonomy and […]

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Sunil Eashwar is very nice and friendly doctor. Me and my husband wanted a child for 8 years. With the doctor’s guidance, I conceived in 6 months. I am very thankful to Miss Noor for her help. Thankyou Motherhood Hospital.

Mrs. Anitha Murali

I am Syed Sidra. We had come to Motherhood, Indiranagar from Tukur. I delivered a baby girl but after 4 days, the baby developed chest infection. Few of my relatives told me about this hospital and so we got my baby to Motherhood. On the way, baby’s condition became worse. It was then Dr Ankur […]

Syeda Sidra

We just want to thank Dr Madhav Reddy for her great support. She was very caring and supporting for normal delivery. We got our little one through normal delivery without any issues.

Indrani Singh

I was very much blessed and pleased with my experience with Dr Regina, an obstetrician and gynaecologist at Motherhood Hospitals. The doctor responded to all of our queries. Our family is delighted. I would like to tell this to other mothers. On behalf of my newly born little champion and my family, I salute and […]

Uma Kamal

The hospital has well-experienced doctors and expert gynaecologists and paediatricians. The staff professionalism is exhibited in their duty with compassionate care towards the patient. I would like to share an experience with Dr Aarthi Bharath. I am very happy with Dr Aarthi mam as she is one of the excellent doctors. I have been consulting […]

Shashirekha

The doctors are very friendly. The hospital facilities are good and the staff is helpful and took good care of me. I have recovered and feel healthy now. The nurses took care of me. Thank You doctors, nurses and hospital staff for taking care of me.

Ananya Banerjee

My due date was 3rd April and my husband had made arrangements in Motherhood- HRBR, as we had a good experience during our earlier visit for my mother’s surgery. On 9th March 8pm, we were informed that an emergency delivery would be needed. My husband contacted Ms Rama from Motherhood, who scheduled the delivery for […]

Nishi Ravi

I am Mrs Kavitha Sathyavelu living in Bangalore, Banaswadi. I had a great experience @ Motherhood Hospital. On my first delivery we had a good support from all the staff and doctors who had supported in all ways. Specially this hospital was referred by Dr Merlin. I thank to Dr Merlin who made my dream […]

Mrs Kavitha
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