4.6 Review

Controversies in the prevention of spontaneous preterm birth in asymptomatic women: an evidence summary and expert opinion

Journal

Publisher

WILEY
DOI: 10.1111/1471-0528.16544

Keywords

Cerclage; cervical shortening; genital tract infection; pessary; preterm birth prevention; progesterone

Funding

  1. Harris-Wellbeing Research Centre, University of Liverpool

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This review addresses six important clinical questions about preterm birth prevention in areas such as 'low-risk' populations and screening for asymptomatic genital tract infection in women at high risk of preterm birth, as voted for by members of the UK Preterm Clinical Network.
Preterm birth prevention is multifaceted and produces many nuanced questions. This review addresses six important clinical questions about preterm birth prevention as voted for by members of the UK Preterm Clinical Network. The questions cover the following areas: preterm birth prevention in 'low-risk' populations; screening for asymptomatic genital tract infection in women at high risk of preterm birth; cervical length screening with cerclage or vaginal pessary in situ; cervical shortening whilst using progesterone; use of vaginal progesterone in combination with cervical cerclage; and optimal advice about intercourse for women at high risk of preterm birth.

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