{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T13:07:02Z","timestamp":1777036022662,"version":"3.51.4"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>\n                    The Bouquet Speculum\n                    <jats:sup>\u2122<\/jats:sup>\n                    is an innovative vaginal speculum developed to enhance patient comfort, improve cervical visualization, and facilitate ease of use for healthcare providers during gynecologic examinations and procedures. Studies show AI-assisted ultrasound can identify women at risk for spontaneous preterm birth (s-PTB) more accurately than standard ultrasound. Cervical cerclage, often performed to delay delivery, is sometimes difficult with standard 2-bladed speculums. The Bouquet Speculum\n                    <jats:sup>\u2122<\/jats:sup>\n                    combined with AI-assisted ultrasound offers the potential for improved outcomes and reduction of mortality and morbidity associated with preterm births, particularly in resource-limited settings. The Bouquet Speculum\n                    <jats:sup>\u2122<\/jats:sup>\n                    has demonstrated preliminary effectiveness in enhancing cervical visibility, patient comfort, and usability during cervical cerclage, a procedure employed to address preterm births associated with a short cervix or other cervical abnormalities. AI-assisted ultrasound enables early detection of s-PTB risk, allowing timely intervention with cervical cerclage to help prevent preterm births and associated infant and maternal complications. By integrating AI-assisted ultrasound with the Bouquet Speculum\n                    <jats:sup>\u2122<\/jats:sup>\n                    , it is possible to overcome the limitations of traditional speculums and standard ultrasound and provide accurate, practical, effective, affordable, and safe solutions for reducing premature births. This method draws attention to a preventable cause of preterm birth and helps reduce mortality and morbidity while promoting better health for mothers and newborns, particularly in low-resource environments.\n                  <\/jats:p>","DOI":"10.3389\/fmed.2026.1785103","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:52:43Z","timestamp":1777031563000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["AI-assisted point of care ultrasound and an innovative vaginal speculum: a proposed combined approach to reducing spontaneous preterm birth"],"prefix":"10.3389","volume":"13","author":[{"given":"Jean M.","family":"Bouquet","sequence":"first","affiliation":[{"name":"Department of Primary Care Medicine, Rocky Vista University College of Osteopathic Medicine","place":["Englewood, CO, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke","family":"Emery","sequence":"additional","affiliation":[{"name":"Rocky Vista University College of Osteopathic Medicine","place":["Englewood, CO, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krista R.","family":"Fruehauf","sequence":"additional","affiliation":[{"name":"Rocky Vista University College of Osteopathic Medicine","place":["Englewood, CO, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keymia","family":"Ghodrati","sequence":"additional","affiliation":[{"name":"Rocky Vista University College of Osteopathic Medicine","place":["Englewood, CO, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Fitch","sequence":"additional","affiliation":[{"name":"Viospex","place":["Parker, CO, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isain","family":"Zapata","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Rocky Vista University College of Osteopathic Medicine","place":["Englewood, CO, United States"]},{"name":"Office of Research and Scholarly Activity, Rocky Vista University","place":["Englewood, CO, United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"ref1","volume-title":"Preterm Birth","year":"2024"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.1016\/S0140-6736(23)00878-4","article-title":"National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis","volume":"402","author":"Ohuma","year":"2023","journal-title":"Lancet"},{"key":"ref3","article-title":"\u201cSilent emergency\u201d: premature births claim a million lives 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