1. Q3 Preterm labor
A primigravida comes to the A &E with labor pains at 32 weeks gestation. On abdominal examination- there are some uterine contractions. On speculum examination- the cervical os is closed. Transvaginal ultrasound shows cervical length to be 12 mm.
What is the diagnosis
If the clinical assessment suggests that the woman is in suspected preterm labour and she is 30+0 weeks pregnant or more, consider transvaginal ultrasound measurement of cervical length as a diagnostic test to determine likelihood of birth within 48 hours.
If cervical length is 15 mm or less, view the woman as being in diagnosed preterm labour.
