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Practice Bulletin #130 - Published October 2012 (Reaffirmed 2018) Five pearls: 1.  Spontaneous preterm birth rates are decreasing with time (woohoo!) 2.  Good thing, because PTD at l34 wga carries higher mortality and morbidity risk to the newborn at time of delivery as well as long-term morbidity 3.  In pregnant patients with a history of PTD, 17-OH-P supplementation should be recommended at 16-24 wga and continued through 36 wga 4.  In patients w/ singleton pregnancy and history of PTD, cerclage should be offered if CL l25 mm is detected on TVUS at l24 wga 5.  In patients without a history of PTD, finding incidental CL of l20 mm at l24 wga may suggest benefit from vaginal progesterone supplementation Shout-outs: - Felicia Sokol, doula (on Instagram) - Maryn Green, CPM (her podcast, on Twitter, Instagram) - Rebecca Dekker, PhD (her website, on Twitter, Instagram) - Esther Perel (her podcast, on Twitter, Instagram) - Michael Fratkin, MD (on Twitter) - End Well Project (website, on Twitter, Instagram)SHOW NOTES This episode pairs nicely with the 2018 Cabernet Sauvignon from 19Crimes. Main theme music by my main amigo, Evan Handyside