![]() A significant heterogeneity in all topics surveyed suggests an urgent need for networking, more evidence-based guidelines and prospective comparative audits to ascertain the real impact of specialist PTL clinics on the reduction in preterm birth and its sequelae. A further 23% used multiple treatment modalities in combination. There was significant heterogeneity in the indications for and method of primary treatment for short cervix, with cervical cerclage used in 45% of units, progesterone in 18% of units and Arabin cervical pessary in 5%. ![]() We have identified 23 specialist clinics the most common indications for attendance were previous PTL (100%), preterm prelabour rupture of membranes (95%), two large loop excisions of the transformation zone (95%) or cone biopsy (95%). Current practice in specialist preterm labour clinics. Units that had a specialist PTL clinic were asked to complete a further 20 questions defining their protocol for risk stratification and management. A questionnaire was sent by post to all 210 NHS consultant-led obstetric units within the UK. All consultant-led obstetric units within the UK. To identify the current status of specialist preterm labour (PTL) clinic provision and management within the UK. ![]() Provision and practice of specialist preterm labour clinics: a UK survey of practice. ![]()
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