Our Preterm Birth Prevention Clinics offer extra care for women who may be at higher risk for preterm (premature) birth. There are several reasons why women may be at higher risk, including if you have experienced any of the following:
You will see a doctor who will discuss your risks for preterm birth, including information regarding your current and previous pregnancies. All tests offered are safe for you and your baby.
You will be offered a transvaginal ultrasound scan to measure the length of your cervix. This scan involves a small ultrasound being inserted into the vagina - it requires an empty bladder.
You may also be offered a foetal fibronectin test which helps us to predict your risk for preterm birth. This is done by placing a small swab (like a cotton bud) into the top of the vagina for a few seconds. For the foetal fibronectin test to be reliable, we recommend not engaging in sexual intercourse or vaginal douching for 2 days before your appointment.
Not everyone who attends the clinic will require treatment. Depending on the initial assessment you may be offered further monitoring and reassurance with repeat ultrasound scans.
If you are at higher risk of preterm birth, you may be offered vaginal hormone (progesterone) pessaries/tablets. More rarely a stitch around the cervix may be recommended to those at highest risk of preterm birth.
Sometimes there are signs that you may be going into labour. Often the signs may not lead to preterm birth, but it’s important to see urgent advice. These signs may include:
If you think you may be in labour, do not wait for your next appointment. You should call the Central Delivery Suite at Southmead Hospital on the same day. The phone number is on the front of your yellow maternity notes.
Yes, you should.
Many of the risks for preterm birth cannot be changed, however there are some lifestyle changes that can be made where possible.
© North Bristol NHS Trust. This edition published June 2024. Review due June 2027. NBT003698.
Preterm Birth Prevention Clinic
Foetal Meicine Unit
Cotswold Outpatients,
Southmead Hospital
Westbury-on-trym
Bristol
BS10 5NB