A pregnant woman with G3P2L0 presented to you with a pregnancy at period of gestation of 9 weeks. She has a history of conization one year back currently on follow up with no recurrence on PAP smean She also has the history of preterm bihs at 30 and 32 weeks during her last 2 pregnancy. What is your next step in the management of this patient?
(A) USG to see cervical length (B) Cervical cerclage (C) Complete bed rest (D) Abdominal cerclage
(A) Ans: A. USG to see cervical lengthRef NICE guidelines; ACOG guidelines; SOGC guidelines.The current review fromACOG recommends cervical cerclage for women with a current singleton pregnancy, prior spontaneous preterm bih at less than 34 weeks of gestation, and cervical length less than 25 mm.