Bad Obstetric

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Bad Obstetric History?

What is Bad Obstetric History?

Bad Obstetric History (BOH) means a woman who had unfavorable pregnancy conditions in the past. Unfavorable conditions are — stillbirth, miscarriage, intrauterine fetal demise, consecutive abortions, early neonatal deaths and others. Pregnancy loss puts couples in distress. It stands as a challenge for doctors and clinicians as well. It can also push mothers to depressive states. During the stages of pregnancy, issues can arise anytime. Thus regular check-ups are recommended.
Emotional issues happen due to consecutive pregnancy losses. An inspection of the uterus environment will uncover the reasons for miscarriage. Around one percent of pregnancies go through repetitive miscarriages. A little more than five percent of pregnancies have BOH.

 

About Vaginal Infection

Vaginal Infection

The treatment approach for a poor obstetric history is mostly determined by the underlying reason. There are a few standard therapy methods. These are the things that

  • When endocrine factors are to blame for BOH, prolactin levels, anti-thyroid antibodies, and Thyroid Stimulating Hormone levels in the body must be monitored.
  • BOH may be caused by certain antibodies. The TORCH test is required to screen for infection in this procedure.
  • In addition to this, Karyotype analysis is an effective therapy for women who have a pattern of aborting their babies. We can determine the number of chromosomes and their structure using this procedure. In the identification of anomalies, it may be helpful. When it comes to habitual abortion, it puts both the parents and the aborted child to the test.
  • They may benefit from taking a Vitamin D supplement.
  • Bromocriptine therapy and the hypothyroidism issue must be addressed.
  • These are the approaches physicians use when treating women with a history of miscarriage or stillbirth.

Different factors contribute to Bad Obstetric History (BOH). Here they are:

  • Stillbirth
    After the time of viability, the infant who has stopped breathing is said to have given birth to a still. He/she does not exhibit any signs of life after birth. Trauma during pregnancy and birth hypoxia is to blame.
  • Low-weight baby
    Insufficient placenta, infection, and excessive choriodecidual hemorrhage are all possible causes of low birth weight, as are maternal stress, aberrant placentation, uterine abnormalities, and chronic medical conditions. Hemorrhage in the brain and pulmonary syndrome are all possible side effects.
  • Intrauterine death
    This means that the baby has died within the uterus and that the mother has met her death. Women normally feel the baby’s movements by the 20th week of pregnancy, but in this instance, they are unable to. Stillbirth differs fundamentally from intrauterine death. Stillbirth implies that the baby does not react after birth, however, if the baby dies within the mother’s uterus, it does not respond after delivery. Genetic disorders may be to blame.
  • Prolonged labor
    There’s a good explanation behind this. Fetopelvic disproportion, tumor n pelvic, male proportion malposition, and congenital abnormalities in fetuses are all examples of this. Low oxygen levels and irregular heart rhythms in the newborn are side effects of labor that lasts too long.
  • Recurrent loss of a pregnancy
    It shows that there have been more than two spontaneous miscarriages. It results in hypertension, endocrine dysfunction, cervical dysfunction, and a blood clotting disorder called syndrome thrombophilia. A monoclonal antibody against phospholipids. It’s also possible that this is hereditary.

The vaginal infection can be treated with the help of an antifungal medication that is further used to combine the overgrowth of the yeast and to bring them in a balanced form in the body.
The antifungal medication further includes two types of medications naming the oral or tropical. Oral medications are something that can be consumed with the help of the mouth whereas topical medications are applied directly in the affected area.
Boric acid, nystatin, miconazole, or clotrimazole are the common types of topical medications. Your doctor will further provide all the details related to the medications and will also direct you on how you can properly use the medications. They will also inform you about the various types of fungus and the causes of the infection.
All you have to do is to follow the guidance of your doctor to see a visible result and you should also be careful while using the medications to ensure that they don’t come back to your body. 

Recurrent abortions may be caused by an infection in the urine, and the BOH panel is looking for the common agents that are causing this. It may be used in cases of ectopic pregnancy, sudden abortions, and mysterious deaths.

  • You must fast overnight before taking this exam since it is required by the rules.
  • You must complete the Coagulation Requisition form.
  • Doctors have advised on how to prevent having your findings tainted. Oral anticoagulants and heparin must be stopped for seven days and one day, respectively. Consult your treating physician if you want to put an end to this.
  • It includes an anti-nuclear antibody, phospholipid antibodies panel, lupus anticoagulant by dRVVT, TSH ultrasensitive, and cardiolipin antibodies panel. These are the many components of the check.
  • EIA, CLIA, and electromechanical clot detection are all acceptable techniques of testing.