Do my prior pregnancies impact the one I'm planning to have?


Yes. Obstetrical history is very important. If you have had a difficult time conceiving in the past, the same factors may come into play (if your tubes were blocked and you needed assisted reproductive technology like IVF, you will likely need it again, if you have never had regular menstrual cycles and needed ovulatory assistance in the past, you may need it again).

If you had an ectopic pregnancy in the past your risk of having another is much higher (one in ten) and this is critical information for your doctor to have. You will need to take a pregnancy test as soon as you suspect you are pregnant, and once confirmed, you must alert your doctor right away and blood levels of pregnancy hormone must be followed regularly, along with appropriate sonography to confirm that the pregnancy is in the uterus. An undiagnosed, untreated ectopic pregnancy can be a life threatening situation.

If you have had pregnancy losses in the past, testing and evaluation should be carried out preconceptually and the pregnancy should be followed closely from its inception.

Wendy Fried, M.D., FACOG, FACS, is an OB/Gyn with Northern Obstetrics and Gynecology, PC in North Hills, New York

Disclaimer: The information provided in this document is for educational purposes only. It is not medical advice and is not intended as a substitute for medical advice. Only your own physician knows all the important details of your specific medical and personal history and should be the only one to give you advice regarding your own medical care. You should never disregard medical advice or delay seeking medical advice or treatment because of something you have read herein. If you have any questions whatsoever about your medical health or believe you have a medical problem or disease, you should contact your medical doctor or healthcare provider.