1. Q1 Preterm Labor
A Gravida 2 para 1, at 20 weeks pregnancy presents to the clinic. Her last delivery was at 31 weeks due to spontaneous preterm labor. Transvaginal ultrasound shows cervical length of 20 mm. What is the next most appropriate step?
Offer a choice of prophylactic vaginal progesterone or prophylactic cervical cerclage to women who have both:
•
a history of spontaneous preterm birth (up to 34+0 weeks of pregnancy) or mid-trimester loss (from 16+0 weeks of pregnancy onwards) AND
- results from a transvaginal ultrasound scan carried out between 16+0 and 24+0 weeks of pregnancy that show a cervical length of 25 mm or less.
