Preterm Birth – Intervention & Prevention: Role of Cervical Ultrasound and Vaginal Progesterone

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Release Date: Nov 8, 2011          Expiration Date: Nov 8, 2012

Program Overview

Preterm birth (PTB) – birth at fewer than 37 completed weeks of gestation – occurs in approximately 13% of pregnancies and is a major public health problem in the US. Preterm neonates are at greater risk for morbidity and mortality than infants born at term, as a variety of health and developmental complications can arise, including acute respiratory distress syndrome, central nervous system deficits, vision impairments, gastrointestinal problems, and long-term motor and cognitive disabilities. PTB also has considerable emotional and economic impacts on families and causes a significant burden to the health care system.

Significant improvements have been made in treating preterm infants and improving survival. Additional effort should be aimed at reducing the incidence of PTB by focusing on better identification of women at risk for PTB and initiation of effective prevention strategies for women at risk. Effective obstetric nurse care and interventions in these two key areas can help promote maternal-fetal well-being, minimize risk, and enhance patient safety.


Janine Bieda, PhD, MS, CNM, BSN, RN – Program Chair
Perinatology Research Branch/NICHD/NIH/DHHS
Center for Advanced Obstetrical Care and Research
Detroit, MI
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Ray O. Bahado-Singh, MD
Professor and Associate Chairman
Department of Obstetrics and Gynecology
Wayne State University School of Medicine
Director of Obstetric Ultrasound Center for
Fetal Diagnosis and Therapy
Hutzel Women’s Hospital
Detroit, MI
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Target Audience

This activity is intended for nursing professionals involved in the recognition and management of women at risk for PTB.

Educational Objectives

This program is designed to address the following IOM competencies: provide patient-centered care and employ evidence-based practice.

At the conclusion of this activity, participants should be able to demonstrate the ability to:

  • Explain the clinical burden of PTB and the role of the nurse in PTB management
  • Distinguish patients at risk for PTB and initiate screening strategies
  • Explain the data linking the impact of the short cervix with PTB
  • Recognize the need to employ routine transvaginal ultrasonography to measure cervical length in all pregnant patients
  • Assess the risks/benefits of current and emerging interventions


Global Education Group is an approved provider of continuing nursing education by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Designation Statement

This educational activity for 1.5 contact hours is provided by Global Education Group. Nurses should claim only the credit commeasurate with the extent of their participation in the activity.

For information about the nursing accreditation of this program, please contact Global at or 303-395-1782.

Disclosure Information

It is our policy to ensure balance, independence, objectivity, and scientific rigor in all of our educational programs. Faculty, course directors, program planners/managers, and their spouses/life partners have disclosed relevant financial relationships with commercial companies, and Global Education Group has a process in place to resolve any conflict of interest. Complete disclosures will be provided to program participants at the beginning of the activity and will be included on the program website.

The faculty reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Janine Bieda, PhD, MS, CNM, BSN, RN: Nothing to Disclose

Ray Bahado-Singh, MD: Nothing to Disclose

Non-faculty content contributors and/or reviewers reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Global Education Group - Jackie Dawson, MSN, RN: Nothing to Disclose; Amanda Glazar, PhD: (Spouse) Salary - Vitrolife

Rockpointe - Otto Ratz, MD; Bradley Pine, Blair St. Amand; Paula Larson; Jay Katz: Nothing to Disclose

FDA Disclosure

The contents of some CME/CE activities may contain discussions of non-approved or off-label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.

System Requirements

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Instructions for Participants and Obtaining CME Credit

There is no fee for this activity. To receive credit, participants must take the pre-test, view this CME activity in its entirety, and then complete the post-test and evaluation. To complete the evaluation online, choose the best answer to each question. The estimated time for completion of this activity is 1.0 hour. To receive and print their certificates, participants must demonstrate mastery of the presented material via the post-test.

Jointly Sponsored By

This activity is co-provided by:

Supported By

Supported by an unrestricted educational grant from Watson Pharmaceuticals, Inc.

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