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Cervical length screening with ultrasound is most effectively performed with a transvaginal approach. Universal cervical length screening, encompassing all singleton pregnancies rather than restricting screening to those considered at increased risk of<jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>, is currently not widely used, despite a growing body of evidence in support of its utility for<jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>prevention. There are a number of barriers that may prevent or restrict the implementation of a universal<jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>screening program. These include cost, availability of vaginal progesterone and other treatment options, reluctance of women to undergo transvaginal ultrasound and the perceptions and beliefs of medical practitioners. Given that mid\u2010pregnancy<jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>measurement is a recognised predictor of spontaneous<jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>, that most cases of<jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>occur with no prior maternal history and that there are interventions available that may reduce the risk of<jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>, we believe there is a clear role for routine<jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>screening to be adopted as a component of the fetal morphology ultrasound examination. As a strategy to reduce<jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>rates, discussion and counselling about<jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>prevention and<jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>screening should be adopted as a core element of prenatal care.<\/jats:p>","DOI":"10.1111\/ajo.12586","type":"journal-article","created":{"date-parts":[[2017,3,10]],"date-time":"2017-03-10T15:36:26Z","timestamp":1489160186000},"page":"221-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Implementing universal cervical length screening in asymptomatic women with singleton pregnancies: challenges and opportunities"],"prefix":"10.1111","volume":"57","author":[{"given":"Michelle K.","family":"Pedretti","sequence":"first","affiliation":[{"name":"School of Women's and Infants\u2019 Health The University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda M.","family":"Kazemier","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Academic Medical Centre Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3928-3290","authenticated-orcid":false,"given":"Jan E.","family":"Dickinson","sequence":"additional","affiliation":[{"name":"School of Women's and Infants\u2019 Health The University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben W. 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