BOH(Bad Obstetric History) 1st or 2nd Trimester Miscarriages ? Still Births / Neonatal Deaths ? Pre Term Labour ? Fetal Anomalies ?
Overall the patient has got previous diappointments with childbearing ? We are looking at someone with BOH !!!! Etiologies Pre eclampsia , Acquired/Inherited Thrombophilia , Parental genetic Disorders, Anatomical Factors , Endocrine Factors , Infections, Rh Isoimmunization Investigation Panels •Pre Eclampsia Prediction Exclusion of Renal Disease , Diabetes , Essential Hypertension Uterine Doppler – Still controversial 20 weeks or 24 weeks Placental Growth Factor – novel marker – single blood sample – cost effective – picks up PIH in first trimester itself Infectious Etiologies Amsel criteria – smear from posterior fornix to detect Bacterial Vaginosis Complete Torch Panel Evaluation Toxoplasma - IgM & IgG , Cytomegalovirus – IgM & IgG , HSV Type I and…
