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.

Fetal growth restriction or IUGR is a condition when baby does not grow properly according to her or his age in the uterus and this is quite common condition its incidences are around 10% and it is diagnosed by the clinical examination.

So if mother comes with the history of Habitual abortion or recurrent pregnancy loss we have to do the full checkup of the mother to find out any abnormality in maternal health. Similarly we have to do few investigations in the mother like she should not suffer from any medical disorder like blood pressure, diabetes, hypothyroidism hypoprolactinemia.

Habitual abortion or recurrent pregnancy loss are the same thing. And by definition we call it habitual abortion when the number of the abortions are more than two or more than three by some guidelines and its incidence is around 1%.

Natural cycle IVF and conventional IVF. The theme is same but in natural cycle we don't give much medicines we depend on the natural growth of the follicle and when follicle is grown properly we take out the follicle fertilize it and put into the uterus.

When infertility couple comes for the treatment we basically do the routine investigation and checkup of the couple and if we find any abnormality in them we start treatment. For example if she's having infection in the vagina we treat the vagina. We take papsmear.