health policy

Progesterone and Preemies and Policy, Oh my!

There are few things we can do to prevent preterm birth. One of the primary tools in the toolkit is progesterone. Mothers with a history of spontaneous preterm birth are at increased risk of a repeat preterm birth and are routinely prescribed progesterone to decrease this risk. Another group of women who benefit from progesterone therapy are women with a short cervical length. How would you know if someone has a short cervix? One way is to measure the cervical length with ultrasound- but who should get this ultrasound exam? Everyone? Just high-risk women? Is this strategy cost-effective? And, are women who are eligible even getting their treatment?