The term Bad Obstetric History indicates the woman who has issues in previous and present pregnancies. These pregnancy issues include stillbirth, miscarriage, and other unwanted conditions. According to WHO, previous fatal outcomes of more abortions, intrauterine growth restriction, and fetal death are implied by Bad Obstetric History (BOH). In this article, we are going to discuss the cause, history, treatment, and tests of Bad Obstetric History.
Causes Bad Obstetric History (BOH)
The causes of Bad Obstetric History (BOH) depend on different reasons. These are –
Stillbirth : The still birth indicates the newborn who does not breathe after the period of viability. After the delivery, he/she does not show any sign of life. The cause behind it is trauma pregnancy and birth asphyxia.
Baby with low weight : The reason behind low weight is maternal stress, abnormal placentation, uterine abnormality, chronic medical condition, insufficiency of the placenta, infection, and heavy bleeding in Choriodecidual space, etc. It can result in pulmonary syndrome, fatal shock, dehydration, respiratory problem, and cerebral hemorrhage.
Intrauterine death : It implies the death of the baby in the uterus and a fatal demise. In the 2oth week of pregnancy, women can feel the movements of the baby but in this case, they cannot feel that. There is a basic difference between stillbirth and intrauterine death. Stillbirth indicates the baby doesn’t respond after birth but in case of intrauterine death, the baby doesn’t respond in the uterus of the mother. This can happen due to genetic abnormalities.
Prolonged labor : It has a huge reason behind it. The disproportion of contracted pelvis fetopelvic, tumor n pelvic, malposition and male proportion and in fetus congenital anomalies. Too long labor causes low oxygen levels and abnormality in the heart rhythm in the baby.
Recurrent loss of a pregnancy : It indicates more than two spontaneous pregnancy losses. It causes hypertensive disease, endocrinal, cervical incompetence, and syndrome- thrombophilia Antiphospholipid antibody. This can be genetic as well.
