ArticleBJOG : an international journal of obstetrics and gynaecology2019
The influence of the introduction of national guidelines on preterm birth prevention practice: UK experience.
Article in BJOG : an international journal of obstetrics and gynaecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Interventions to prevent spontaneous preterm birth in women with singleton pregnancy who are at high risk: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2022Pooled it
- The use of specialised preterm birth clinics for women at high risk of spontaneous preterm birth: a systematic review.BMC pregnancy and childbirth · 2020Pooled it
- Evaluation of a two-tier preterm birth prevention service in a tertiary hospital in the United Kingdom: a retrospective cohort study.BMC pregnancy and childbirth · 2025Article
- IMplementation of the Preterm Birth Surveillance PAthway: a RealisT evaluation (The IMPART Study).Implementation science communications · 2024Article
- How are hospitals in England caring for women at risk of preterm birth in 2021? The influence of national guidance on preterm birth care in England: a national questionnaire.BMC pregnancy and childbirth · 2023Article
- Preterm Birth: Screening and Prediction.International journal of women's health · 2023Review
- Routine first-trimester pre-eclampsia screening and risk of preterm birth.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2022Article
- Tocolytic Treatment for the Prevention of Preterm Birth from a Taiwanese Perspective: A Survey of Taiwanese Obstetric Specialists.International journal of environmental research and public health · 2022Article
- Protocol for the IMPART study: IMplementation of the preterm birth surveillance PAthway - a RealisT evaluation.BMJ open · 2022Article
- Article
- Clinicians' experiences of using and implementing a medical mobile phone app (QUiPP V2) designed to predict the risk of preterm birth and aid clinical decision making.BMC medical informatics and decision making · 2021Article
- Community-based, population-focused preterm birth prevention programs - a review.Archives of gynecology and obstetrics · 2020Review
- Article
- The influence of the introduction of national guidelines on preterm birth prevention practice: UK experience.BJOG : an international journal of obstetrics and gynaecology · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify the current status of specialist preterm labour (PTL) clinics and identify changes in management trends over the last 5 years following release of the NICE preterm birth (PTB) guidance.
designPostal Survey of Clinical Practice.
settingUK. POPULATION: All consultant-led obstetric units.
methodsA questionnaire was sent by post to all 187 NHS consultant-led obstetric units. Units with a specialist PTL clinic were asked to answer a further six questions defining their protocol for risk stratification and management.
main outcome measuresCurrent practice in specialist PTL clinics. Changes in treatment trends over 5 years.
resultsThirty-three PTL prevention clinics were identified, with 73% running weekly. NHS staff (84%) have replaced university staff as the lead clinicians (from 69% in 2012 to 21% in 2017), suggesting this clinic has become increasingly integrated with standard care for women at the highest risk of PTB. There has been a large shift from nearly half of clinics offering cerclage as primary treatment for short cervix to offering more choice (30%) between at least two of cerclage, vaginal progesterone or pessary and combinations of primary treatments (18%), demonstrating more equipoise among clinicians regarding therapies for short cervix.
conclusionsOver 5 years, there has been a 44% increase in the number of specialist PTL clinics in the UK. Although there is a better consensus over the target high-risk population, there is increasing heterogeneity among first-line treatments for short cervix. TWEETABLE ABSTRACT: UK PTB prevention clinics have increased by 44% over 5 years, with increasing clinical equipoise to best Rx for short cervix.
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Registered trials
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