What is the Treatment for bad obstetric history?

To solve the problem of bad obstetric history the patient should come before planning the pregnancy to the gynecologist. So we do full checkup and investigations to find out the cause of BOH and if the cause is found it should be treated before planning the pregnancy the treatment of the BOH depends on the cause of the BOH. For example if the couple has some genetic problem we can do the IVF and chromosomal test of the fertilized egg. If the mother is having any infection or any medical disorder we have to treat it before planning pregnancy. If mother is having any Anatomy IAL disorder in the uterus ovary or cervix surgically we can treat it before planning pregnancy. Lifestyle changes in the mother like good exercises healthy diet and the pre-pregnancy folic acid supplementation if she is taking some drugs for blood pressure they are harmful to the baby we can change it to better drugs. If sugars are not control and HBC is high we should control the sugar and bring HBC less than 6 similarly if patient is hypothyroid we give thyroxin to bring the TSH approximately around 2.5. If patient is having high BMI we should reduce it by exercise and diet to less than 25. If patient is underweight BMI is less than 80 we have to increase her weight to get a better results of the pregnancy.