Question

A 33-year-old at 20 weeks with prior spontaneous preterm birth at 34 weeks asks about 17‑OHPC injections. Best counseling based on current guidance?

Accepted Answer

Do not use 17‑OHPC for prevention; consider vaginal progesterone only if cervix <25 mm

Answer

Start 17‑OHPC weekly until 36 weeks

Answer

Start vaginal progesterone regardless of cervical length

Answer

Cerclage is indicated in all with prior preterm birth

Answer

No intervention options exist

Practice question

A 33-year-old at 20 weeks with prior spontaneous preterm birth at 34 weeks asks about 17‑OHPC injections. Best counseling based on current guidance?