Cervical shortening

Question 1

What is the definition of a short cervix?

Answer 1

Less than 2cm without history of preterm labor

Less than 2.5cm with history of preterm labor

Question 2

Describe how you measure a cervical length.

Answer 2

Empty bladder
Transvaginal
Measure from internal os to external os
3 measurements choose smallest measurement of the three

Question 3

Do you perform universal cervical length screening?

Answer 3

Yes

Question 4

When in gestation do you recommend a screening cervical length be performed?

Answer 4

18 weeks - 23 6/7 weeks

Question 5

What is the role of an abdominal cervical length assessment?

Answer 5

Can be used as a screening tool to assess if transvaginal US should be performed

Question 6

Do you perform cervical length screening on twins?

Answer 6

no

Question 7

How do you manage a patient with a short cervix at 20 weeks and no prior history of preterm birth?

Answer 7

Vaginal progesterone

Question 8

How do you manage a patient with a short cervix at 20 weeks and prior history of preterm birth?

Answer 8

Cerclage

Question 9

What is the role of progesterone in the management of a patient with a short cervix?

Answer 9

prevent preterm birth
neonatal morbidity
neonatal mortality