Do I Need to Disclose Past Abortions During Pregnancy Checkups? - Obstetrics and Gynecology

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Obstetrics and Gynecology


Doctor, I have had three previous abortions, and I am currently one month pregnant and planning to carry this pregnancy to term.
However, I do not want my husband to know about my past abortions.
Should I inform my doctor about my previous abortions during my prenatal check-ups? I am concerned that if I tell the doctor, my husband might find out as well.
What should I do now? Thank you!

jessie, 30~39 year old female. Ask Date: 2000/11/07

Dr. Li Guanghan reply Obstetrics and Gynecology


You may privately inform the physician and request that they and the relevant healthcare personnel keep the information confidential.

Reply Date: 2000/11/07

More Info


When it comes to disclosing past abortions during pregnancy checkups, it is essential to understand the importance of transparency in your medical history for the sake of your health and the health of your baby. While it may feel uncomfortable to share this information, especially if you are concerned about your partner finding out, it is crucial to prioritize your health and the well-being of your pregnancy.

Firstly, healthcare providers are bound by confidentiality laws, meaning that they cannot disclose your medical history without your consent. This means that even if you share your past abortions with your doctor, they are legally obligated to keep that information private. However, it is still in your best interest to disclose this information to your healthcare provider. Here’s why:
1. Medical History Relevance: Past abortions can provide valuable context for your current pregnancy. They may influence your risk factors, potential complications, and the approach your healthcare provider takes in monitoring your pregnancy. For instance, if you have had multiple abortions, your doctor may want to monitor your pregnancy more closely for signs of complications.

2. Understanding Risks: Knowing your complete medical history allows your healthcare provider to assess any potential risks associated with your pregnancy. This includes understanding any possible effects on your reproductive health, such as uterine scarring or complications that could arise from previous procedures.

3. Tailored Care: Each pregnancy is unique, and having a full understanding of your medical history allows your healthcare provider to tailor their care to your specific needs. This might include additional screenings, more frequent check-ups, or specific advice regarding your health and lifestyle during pregnancy.

4. Emotional Support: Pregnancy can be an emotional time, especially if you have a complicated history. Sharing your past with your healthcare provider can open the door to receiving emotional support and counseling if needed. They can provide resources or referrals to mental health professionals if you are struggling with feelings related to your past abortions.

5. Building Trust: Establishing a trusting relationship with your healthcare provider is vital for a healthy pregnancy. Being open about your medical history fosters a more honest and supportive environment, allowing you to feel more comfortable discussing any concerns that may arise during your pregnancy.

If you are still hesitant about disclosing this information, consider discussing your concerns with your healthcare provider. You can express your worries about confidentiality and the potential impact on your relationship with your partner. A good healthcare provider will understand your concerns and work with you to ensure that you feel comfortable while still receiving the best possible care.

In conclusion, while it may be difficult to share your past abortions with your healthcare provider, it is in your best interest to do so for the sake of your health and your baby’s health. Remember that your healthcare provider is there to support you, and being open about your medical history can lead to better outcomes for your pregnancy. If you have any further concerns or questions, don’t hesitate to reach out to your healthcare provider for guidance.

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