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MRCOG PART 2 SBAs and EMQs

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EMQ1502
SBA2115
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NVP

Posted by shahila A.

please revise the role of progesterones in cervical incompetence as rcog guidelines state no role

Posted by Farrukh G.

Which RCOG guideline are you referring to?

Your attention is drawn to the recent NICE pre-term birth guideline which is also quoted on the RCOG website:

The NICE guideline on preterm labour and birth (National Collaborating Centre for Women’s and Children’s Health, 2015) makes the following recommendation: 
"Offer a choice of either prophylactic vaginal progesterone or prophylactic cervical cerclage to women:

  • with a history of spontaneous preterm birth or mid-trimester loss between 16+0 and 34+0 weeks of pregnancy and
  • in whom a transvaginal ultrasound scan has been carried out between 16+0 and 24+0 weeks of pregnancy that reveals a cervical length of less than 25 mm