Live Preterm Birth in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11630

SMLE Question #11630

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 27-year-old G4P1 woman at 9 weeks’ gestation presents for her first prenatal visit. Her obstetric history includes a first-trimester spontaneous abortion at 8 weeks, a term vaginal delivery, and preterm prelabor rupture of membranes at 33 weeks with a live preterm birth. She has no history of painless cervical dilation or prior cervical surgery. She asks what additional management is needed now to reduce the risk of recurrent preterm birth in this pregnancy. What is the most appropriate next step in management?

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