Am J Med Genet 59: 536 - 545, 1995. doi: 10.1002 / ajmg.1320590428 History During the initial visit, clinicians should obtain a full medical history, including Previous and current disorders Drug use (therapeutic, social, and illicit) Risk factors for complications of pregnancy (see table Pregnancy Risk Assessment) Obstetric history, with the outcome of all previous pregnancies, including maternal and fetal complications (eg, gestational diabetes, preeclampsia, congenital malformations, stillbirth) Family history should include all chronic disorders in family members to identify possible hereditary disorders (genetic evaluation).