Preterm labor

Question 1

What is suspected PTL

Answer 1

Suspected - symptoms of PTL with clinical assessment suggestive of PTL

Question 2

Diagnosed PTL

Answer 2

Diagnosed - suspected PTL with positive diagnostic test for PTL

Question 3

Established PTL

Answer 3

Established - regular uterine contractions with progressive cervical dilatation from 4 cm

Question 4

How many preterm births are planned births?

Answer 4

25%

Question 5

Who are at risk of PTL ?

Answer 5

Previous preterm births <34 wks
Previous pregnancy loss from 16 wks onwards
Previous PPROM
History of cervical trauma
Current pregnancy CL <=25 mm

Question 6

For whom to Offer prophylactic vaginal progesterone or prophylactic cervical cerclage?

Answer 6

• a history of spontaneous preterm birth (up to 34+0) or loss (from 16+0 onwards) AND
• TVS carried out between 16+0 and 24+0 that show a cervical length of 25 mm or less

Consider prophylactic vaginal progesterone for women who have either of the above two