American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S373-S383, December 2008

The clinical content of preconception care: reproductive history

  • Phillip G. Stubblefield, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Boston University Medical Center, Boston, MA
    • Corresponding Author InformationReprints: Phillip G. Stubblefield, MD, Boston Medical Center, DOB 720 Harrison Ave, Suite 1105, Boston, MA 02118
    • ,
  • Dean V. Coonrod, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Maricopa Medical Center, Phoenix, AZ
    • ,
  • Uma M. Reddy, MD, MPH

      Affiliations

    • Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
    • ,
  • Raja Sayegh, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Boston University Medical Center, Boston, MA
    • ,
  • Wanda Nicholson, MD, MPH, MBA

      Affiliations

    • Department of Obstetrics and Gynecology, Johns Hopkins School of Medicine, Baltimore, MD
    • ,
  • Daniel F. Rychlik, MD

      Affiliations

    • Fertility Treatment Center, Tempe, AZ
    • ,
  • Brian W. Jack, MD

      Affiliations

    • Department of Family Medicine, Boston University School of Medicine, Boston, MA

Received 17 June 2008; received in revised form 15 October 2008; accepted 17 October 2008.

A history of previous birth of a low birthweight infant, previous cesarean sections, multiple previous spontaneous abortions, prior stillbirth, or uterine anomaly identifies women at increased risk for recurrent abortion, preterm birth, or stillbirth. We review the evidence for the potential benefit of reproductive history in identifying strategies for evaluation and treatment to prevent recurrent adverse pregnancy outcome. We offer evidence-based recommendations for management of women with these histories.

Key words: low birthweight, preconception, preterm birth, reproductive history

 

 The views expressed herein are those of the authors and do not necessarily reflect those of the Eunice Kennedy Shriver National Institute of Child Health and Human Development or the National Institutes of Health.

 Conflict of Interest: Phillip G. Stubblefield, MD; Uma M. Reddy, MD, MPH; Raja Sayegh, MD; Wanda Nicholson, MD, MPH, MBA; Daniel F. Rychlik, MD; and Brian W. Jack, MD have no conflict of interest including grants, honoraria, advisory board membership, or share holdings. Dean V. Coonrod, MD, MPH is a Grant Recipient from the March of Dimes Arizona Chapter to develop an internatal Care Clinic and has funding from CMS (#1HOCMS030207 101) working on compliance with the 6 week postpartum visit as a strategy to improve preconception care.

PII: S0002-9378(08)02075-9

doi:10.1016/j.ajog.2008.10.048

American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S373-S383, December 2008

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