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Table 4 Preterm birth clinic referral criteria

From: The use of specialised preterm birth clinics for women at high risk of spontaneous preterm birth: a systematic review

Referral criteria (non-exclusive)

Number of clinics (%) n = 38 a

Previous spontaneous preterm birth

38 (100)

  < 37 weeks

6 (16)

  < 35 weeks

2 (5)

  < 34 weeks

20 (53)

  < 32 weeks

4 (11)

  < 28 weeks

1 (3)

 Other

1 (3)

 No gestational limit reported

4 (11)

Previous late miscarriage/mid-trimester loss

34 (89) b

  ≥ 16 weeks

2 (5)

 No gestational limit reported

32 (84)

Previous PPROM

30 (79)

  < 37 weeks

5 (13)

  < 34 weeks

17 (45)

  < 32 weeks

4 (11)

  < 28 weeks

2 (5)

 Other

1 (3)

 No gestational limit reported

1 (3)

Previous cervical surgery (non-exclusive)

33 (87)

 1 LLETZ or no number stated

16 (42)

  ≥ 2 LLETZ

32 (84)

 Knife cone biopsy

33 (87)

 Not further defined

1 (3)

Other gynaecological procedures (non-exclusive)

1 (3)

  ≥ 3 Surgical termination of pregnancy

1 (3)

  ≥ 4 Dilatation and curettage

1 (3)

Previous cervical cerclage

1 (3)

Uterine abnormality/malformation

27 (71)

Short cervix in current pregnancy

31 (82)

  < 25 mm

1 (3)

  < 3rd centile for gestation

1 (3)

  ‘Short’ cervix not further defined

29 (76)

Follow up for threatened preterm labour

4 (11)

Previous stillbirth or neonatal death

1 (3)

Autoimmune conditions

1 (3)

Placental risk factors

1 (3)

Multiple pregnancy

0 (0)

  1. UK United Kingdom, PPROM preterm pre-labour rupture of membranes, LLETZ large loop excision of the transformation zone
  2. a Data not available for one clinic
  3. b Includes 29 clinics who accepted referrals for recurrent second trimester miscarriage as referral for a single second trimester miscarriage not reported in Care 2019