{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T16:11:08Z","timestamp":1782835868147,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,3,13]],"date-time":"2022-03-13T00:00:00Z","timestamp":1647129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Routine cervical length (CL) measurement at the mid\u2010pregnancy ultrasound is a central recommendation of the Western Australian Preterm Birth Prevention Initiative (Initiative).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the perceptions and changes in practice of Western Australian obstetric care providers regarding routine CL screening for preterm birth (PTB) prevention following the Initiative introduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two self\u2010administered questionnaires were completed by providers from a range of practices. The first was during site visits with the Initiative Outreach team in 2015\u20132016. The questionnaire was re\u2010issued in 2021 via online dissemination. Participant demographic data and opinions on CL screening for PTB prevention were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and fourteen providers participated in 2015\u20132016 and 109 in 2021. In both surveys, providers were more likely to discuss transvaginal CL screening with high\u2010risk women (48.1%, 76.1%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) compared with low\u2010risk (7.5%, 18.3%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.002) and the importance of CL screening (13.5%, 40.4%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), in 2015\u20132016 and 2021, respectively. Responses relating to CL screening, including what constitutes a short cervix on ultrasound were varied. A transabdominal CL &lt;35\u00a0mm was classified as short by 46.2% and 37.6% and &lt;25\u00a0mm on transvaginal ultrasound by 49.1% and 64.2%, in the respective surveys. Most providers ceased progesterone (68.6%, 75.2%) at &gt;28\u00a0weeks gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Providers focused on women with overt PTB risk factors, rather than a universal CL screening approach. Although there was improvement between the surveys, the definition of what constitutes a short cervix on ultrasound and how to treat and monitor women with a short CL remained varied.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13514","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T05:31:18Z","timestamp":1647235878000},"page":"650-657","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The perceptions of obstetric care providers about cervical length screening for preterm birth prevention"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8241-6162","authenticated-orcid":false,"given":"Michelle K.","family":"Pedretti","sequence":"first","affiliation":[{"name":"Division of Obstetrics and Gynaecology The University of Western Australia  Perth Western Australia Australia"},{"name":"Department of Ultrasound King Edward Memorial Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5507-9065","authenticated-orcid":false,"given":"Dorota A.","family":"Doherty","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology The University of Western Australia  Perth Western Australia Australia"},{"name":"Women and Infants Research Foundation (WIRF)  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3928-3290","authenticated-orcid":false,"given":"Jan E.","family":"Dickinson","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology The University of Western Australia  Perth Western Australia 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