SMFM clinical Guildeline

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Singleton pregnancy
Without Preterm Birth History
TVUS @ 20wks
CL <20, Vaginal Progesterone,
CL >20, routine care.

With Preterm Birth History
Serial TVUS @ 16-24 wks, 17P Injections
CL <25mm Cerclage & Progesterone
CL >25mm Progesterone

Vaginal Progesterone

200mg suppository PV qday
90mg gel PV qday.

17P / Injectable Progesterone

250mg IM qweekly

Stop Progesterone @ 36 weeks.

Heading text

Society of MFM: Progesterone & Preterm Birth Prevention.

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