These should be addressed in most / all patients.
[***] USPSTF recommends the use of low-dose aspirin (81 mg/d) as preventive medication after 12 weeks of gestation in women who are at high risk for preeclampsia.
Prevention of Preterm Birth
[***] Screen for Asx. bacteruria & treat if positive.
[***] Smoking cessation
[***] Stop using illicit drugs
[***] Nutrition Review
[***] Universal cervical length screening is an option
[***] Discuss appropriate activity / occupational exertion
[***] See if they need cerclage / progesterone
- [***] ACOG recommends a woman with a singleton gestation and a prior spontaneous preterm singleton birth (<36w6d) should be offered progesterone supplementation starting at 16–24 weeks of gestation, regardless of transvaginal ultrasound cervical length, to reduce the risk of recurrent spontaneous preterm birth.
- [***] Vaginal progesterone is recommended as a management option to reduce the risk of preterm birth in asymptomatic women with a singleton gestation without a prior preterm birth with an incidentally identified very short cervical length less than or equal to 20 mm before or at 24 weeks of gestation.