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Previous pregnancy problems 

Previous pregnancy problems
Chapter:
Previous pregnancy problems
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0022
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date: 30 October 2020

Several problems that occurred in a previous pregnancy could recur or have a direct impact on the management of a subsequent pregnancy and/or mode of delivery, thus making the current pregnancy ‘high risk’. This chapter covers a wide range of such events including previous history of Caesarean section, obstetric anal sphincter injuries (OASIS), shoulder dystocia, postpartum haemorrhage, pre-eclampsia/eclampsia, preterm delivery, second-trimester pregnancy loss and previous perinatal mortality. Factors predisposing to recurrence, key information to be obtained from the history and/or notes of the previous pregnancy, identification of multifactorial aetiology, results of pertinent investigations and strategies to reduce the risk of recurrence are presented under each topic in a format compatible for use in busy clinical settings. Key risk management and best-practice principles are illustrated with emphasis on good documentation and communication. Fact files and care pathways for each condition are based on national guidelines and good-practice evidence from literature.

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