A 30-year-old woman, gravida 2 para 1, attends the GP at 8 weeks of gestation. Her first baby was born at 36 weeks following spontaneous preterm labou...

Question

A 30-year-old woman, gravida 2 para 1, attends the GP at 8 weeks of gestation. Her first baby was born at 36 weeks following spontaneous preterm labour. She asks whether anything can be done to reduce the risk of recurrence. According to NICE NG25, which is the single most appropriate intervention to discuss?

Accepted Answer

Referral for cervical length surveillance by transvaginal ultrasound from 16 weeks

Answer

Bed rest from 28 weeks

Answer

Prophylactic oral tocolysis with nifedipine from 24 weeks

Answer

Elective cervical cerclage at 12 weeks for all women with a previous preterm birth

Answer

Progesterone pessaries from 12 weeks in all cases

uk-drcog MCQ (SBA): Preterm Birth Prevention - Cervical Surveillance