The medical history (history of illness) represents an important component in the review of potential risk and thus in the diagnosis of threatened preterm birth.
Social history
- Age <18 years, >30 years
- Single mother
- Physical stress
- Low social status
Vegetative anamnesis including nutritional anamnesis.
- Smoking
- Alcohol
- Other drugs
Self-history
- Pre-existing conditions, e.g.:
- Diabetes mellitus
- Hypertension (high blood pressure)
- Infections
- Kidney diseases
- Thyroid diseases
- Uterine diseases/disorders of the uterus (malformations, fibroids/benign muscular tumors).
- Condition after infertility treatment (IVF/ICSI).
- Operations
- Condition after surgery on the uterus, for example:
- Malformation surgery
- Instrumental abruptio (termination of pregnancy).
- Conization – operation on the cervix in which a cone of tissue (cone) is excised from the cervix (cervix) and then examined under a microscope
- Myoma enucleation – removal of fibroids (uterine tumor) from the uterus while preserving the same.
- Any surgery during gravidity
- Condition after surgery on the uterus, for example:
- Pregnancy
- Cervical insufficiency (weakness of the cervix)
- Infections (general and especially ascending).
- Bleeding
- Multiple pregnancy
- Polyhydramnios (amount of amniotic fluid > 2 l)
- Placental insufficiency (placental weakness)
- Deep-seated placenta (placenta).
- Placenta previa marginalis (placental tissue reaches the inner cervix).
- Placenta previa totalis (placenta lies centrally above the internal cervix).
- Premature rupture of the membranes
- Premature labor
