{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T12:32:21Z","timestamp":1759581141869,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"\n Objective\u2003The objective of this study was to survey national utilization of cervical length (CL) ultrasound on labor and delivery (L&D) for the evaluation of preterm labor (PTL) and identify provider attitudes and barriers to utilization.<\/jats:p>\n Study Design\u2003Survey was emailed to Obstetrics and Gynecology Residency and Maternal-Fetal Medicine Fellowship program and advertised via links on obstetric-related Facebook interest groups. The survey was open from August 4, 2020 to January 4, 2021. Characteristics between respondents who did and did not report the use of CL ultrasound for PTL evaluation were compared with chi-square analysis.<\/jats:p>\n Results\u2003There were 214 respondents across 42 states. One hundred and thirty-four respondents (63%) reported any use of CL in the evaluation of PTL and eighty (37%) denied it. There was a significant difference in practice location, practice type, delivery volume, and region between those who did and did not utilize CL ultrasound on L&D. Those who did use CL ultrasound were more likely to report no barriers to use (40 vs. 4%, p\u2009<\u20090.001). The most common barriers involved the availability of transvaginal ultrasound (31%), sterilization of transvaginal ultrasound probe (32%), limited availability of persons able to perform\/interpret CL imaging (38%). Nineteen percent believed CL ultrasound had little\/no utility in clinical practice. Those who did not use CL ultrasound in the evaluation of PTL were significantly more likely to report the feeling that there was little\/no utility of CL ultrasound in clinical practice (37 vs. 7%, p\u2009<\u20090.001) and to report transvaginal ultrasound availability as barriers to use (63 vs. 12%, p\u2009<\u20090.001).<\/jats:p>\n Conclusion\u2003CL ultrasound is used nationally in PTL evaluation. However, significant barriers limit widespread adoption. These barriers can be addressed through the dissemination of information and practice guidelines, addition of CL ultrasound education in residency training and through CME opportunities after training, and providing support\/resources\/access for those looking to add this tool to their practice environment.<\/jats:p>\n Key Points\n <\/jats:p>","DOI":"10.1055\/s-0042-1748156","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T23:04:37Z","timestamp":1652828677000},"page":"859-866","source":"Crossref","is-referenced-by-count":2,"title":["Cervical Length Ultrasound for the Evaluation of Preterm Labor: A Survey of National Use and Review of Evidence"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3705-6943","authenticated-orcid":false,"given":"Rupsa C.","family":"Boelig","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0299-9589","authenticated-orcid":false,"given":"Jennifer","family":"Mcintosh","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Feltovich","sequence":"additional","affiliation":[{"name":"Women's Department, Maternal-Fetal Medicine Division, Intermountain Healthcare, Salt Lake City Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"House","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Tufts Medical Center, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,17]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"B2","DOI":"10.1016\/j.ajog.2016.04.027","article-title":"The role of routine cervical length screening in selected high- and low-risk women for preterm birth prevention","volume":"215","author":"J McIntosh","year":"2016","journal-title":"Am J Obstet Gynecol"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"523.e1","DOI":"10.1016\/j.ajog.2016.02.002","article-title":"Universal cervical length screening: implementation and outcomes","volume":"214","author":"L A Temming","year":"2016","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"365.e1","DOI":"10.1016\/j.ajog.2015.12.020","article-title":"A universal mid-trimester transvaginal cervical length screening program and its associated reduced preterm birth rate","volume":"214","author":"M Son","year":"2016","journal-title":"Am J Obstet Gynecol"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"554.e1","DOI":"10.1016\/j.ajog.2015.06.020","article-title":"Cost-effectiveness of transvaginal ultrasound cervical length screening in singletons without a prior preterm birth: an update","volume":"213","author":"E F Werner","year":"2015","journal-title":"Am J Obstet Gynecol"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"548.e1","DOI":"10.1016\/j.ajog.2009.12.005","article-title":"Universal cervical length screening and treatment with vaginal progesterone to prevent preterm birth: a decision and economic analysis","volume":"202","author":"A G Cahill","year":"2010","journal-title":"Am J Obstet Gynecol"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1097\/AOG.0b013e3182723b1b","article-title":"Practice bulletin no. 130: prediction and prevention of preterm birth","volume":"120","author":"Committee on Practice Bulletins\u2014Obstetrics, The American College of Obstetricians and Gynecologists","year":"2012","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1097\/AOG.0000000000002695","article-title":"Using cervical length measurement for lower spontaneous preterm birth rates among women with threatened preterm labor","volume":"132","author":"G Chiossi","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1002\/uog.17388","article-title":"Cervical length screening for prevention of preterm birth in singleton pregnancy with threatened preterm labor: systematic review and meta-analysis of randomized controlled trials using individual patient-level data","volume":"49","author":"V Berghella","year":"2017","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"426.e1","DOI":"10.1016\/j.ajog.2007.07.017","article-title":"Does knowledge of cervical length and fetal fibronectin affect management of women with threatened preterm labor? A randomized trial","volume":"197","author":"A Ness","year":"2007","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"217.e1","DOI":"10.1016\/j.ajog.2013.06.046","article-title":"Costs of unnecessary admissions and treatments for \u201cthreatened preterm labor\u201d","volume":"209","author":"M Lucovnik","year":"2013","journal-title":"Am J Obstet Gynecol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/AOG.0000000000001711","article-title":"Practice Bulletin 171: management of preterm labor","volume":"128","author":"ACOG","year":"2016","journal-title":"Obstet Gynecol"},{"issue":"09","key":"ref12","doi-asserted-by":"crossref","first-page":"e031197","DOI":"10.1136\/bmjopen-2019-031197","article-title":"Neurodevelopmental disorders among term infants exposed to antenatal corticosteroids during pregnancy: a population-based study","volume":"9","author":"N Melamed","year":"2019","journal-title":"BMJ Open"},{"issue":"19","key":"ref13","doi-asserted-by":"crossref","first-page":"1924","DOI":"10.1001\/jama.2020.3937","article-title":"Associations between maternal antenatal corticosteroid treatment and mental and behavioral disorders in children","volume":"323","author":"K R\u00e4ikk\u00f6nen","year":"2020","journal-title":"JAMA"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"233.e1","DOI":"10.1016\/j.ajog.2012.12.015","article-title":"Improving the screening accuracy for preterm labor: is the combination of fetal fibronectin and cervical length in symptomatic patients a useful predictor of preterm birth? 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