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Assessment of Risk Factors for Preterm Birth

ACOG Practice Bulletin No 31. American College of Obstetricians and Gynecologists. Obstetrics and Gynecology 2001; 98:709-716.
Obstetric tools to identify patients at risk for preterm labor may be most helpful in identifying women at low risk.
“ACOG points out that there are no current data to support the use of salivary estriol tests, home uterine activity monitoring, or bacterial vaginosis screening strategies to identify the risk of or prevent preterm birth. Widespread screening for risk of preterm labor is not beneficial in the general obstetric population. Ultrasonography to determine the cervical length and/or fetal fibronectin screening may be useful in determining who is at high risk for preterm labor, but the benefit may be mainly to rule out those who are not at high risk for preterm birth.”
The full text of this article is available online to members of the American College of Obstetrics and Gynecology.
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