Predicting Factor of BOH: How to Diagnosed?

Background: Bad obstetric history (BOH) a common complication pregnancy, defined as 3 consecutive pregnancy losses prior 20 weeks from last menstrual period. Case Presentation: A 33 years old woman, G4P1A3 hasn’t feel fetus movement since 2 weeks ago, didn’t experience blood coming out from her vagina or contraction on her stomach. Patient had miscarriage two times. In her first pregnancy, she experienced blood coming out of her vagina, bright red coloured. The ultrasound examination showed no vital signs in fetus and had to terminate her pregnancy with misoprostol. Conclusion: BOH affecting approximately 15% pregnancies. It is unknown whether miscarriage happened during pregnancy with a normal fetus or not. To diagnose recurrent miscarriage, several steps are taken, namely ensuring that all prerequisite conditions for pregnancy are met, ascertaining the type and cause of recurrent miscarriage, dealing with specific management, empirical therapy, and assisted reproductive technology.