Ultrasound assessment of the gravid cervix to assess for risk of spontaneous preterm birth: Introducing an evidence‐based clinical guideline for sonographers

Author:

Thoirs Kerry12ORCID,O'Hara Sandra3ORCID,Quinton Ann456ORCID,Coombs Peter78ORCID,Srayko Sarah9,Spurway Jaqueline10,Pedretti Michelle11,Parange Nayana1ORCID,Kinnane Paula212,O'Brien Sophie13

Affiliation:

1. Allied Health and Human Performance University of South Australia Adelaide South Australia Australia

2. Australasian Sonographers Association Melbourne Victoria Australia

3. SKG Radiology Perth Western Australia Australia

4. Medical Sonography. School of Health, Medical and Applied Sciences Central Queensland University Sydney New South Wales Australia

5. University of Sydney, Sydney Medical School Nepean Sydney New South Wales Australia

6. Perinatal Ultrasound Nepean Hospital Sydney New South Wales Australia

7. Ultrasound Monash Health Imaging Melbourne Victoria Australia

8. Department of Medical Imaging and Radiation Sciences Monash University Melbourne Victoria Australia

9. Ultrasound Department Pacific Radiology Group Christchurch New Zealand

10. Medical Imaging Department Orange Hospital Orange New South Wales Australia

11. Ultrasound Department King Edward Memorial Hospital for Women Perth Western Australia Australia

12. Maternal Fetal Medicine Royal Brisbane Women's Hospital Brisbane Queensland Australia

13. Hunter Imaging Group Newcastle New South Wales Australia

Abstract

AbstractThis article introduces a new evidence‐based clinical practice guideline (CPG) for sonographers; Ultrasound assessment of the gravid cervix to assess for risk of spontaneous preterm birth (sPTB). The purpose of this new CPG is to provide evidence‐based guidance for sonographers in Australia and New Zealand when making decisions on how and when they should sonographically assess the cervix in the gravid patient. Clinical questions relevant to the sonographic assessment of the gravid cervix were developed to inform the CPG. The primary sources to answer the clinical questions were relevant, existing CPGs. Recommendations in these existing CPGs were appraised for the level of evidence on which they were based and adapted for use in the new CPG. New recommendations were adapted from 19 existing CPGs rated as being based on best evidence and were applicable to three specific patient groups, each at different risk for sPTB. ‘How to Guidance’, statements about safety, acceptability, feasibility of ultrasound techniques, sonographer training and supplementary material were also developed using information from existing CPGs, relevant literature and the clinical experience of clinical guideline group members. The CPG recommendations, ‘how to guides’ and areas of future research are presented in this article. The full guideline and its supplementary materials are available at https://www.sonographers.org/resources-tools/clinical-guidance.

Publisher

Wiley

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