Transabdominal TA evaluation of the cervix should be attempted on every OB23 patient lt32wks amp any of the following are true TA evaluation is abnormal uncertain placentalcervix relationship ID: 776630
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OB 2/3 Evaluation of a Cervix
Transabdominal (TA) evaluation of the cervix should be attempted on every OB2/3 patient
<32wks & any of the following are true?TA evaluation is abnormal***uncertain placental-cervix relationship****abnormal cervix on prior exampreterm labor during current pregnancyant low-lying placenta & hx c-sectionhx of cervical incompetencehx of preterm delivery (<37wks)hx of cervical procedure (LEEP, cerclage, etc.)
No
No TV exam is not necessary
Transvaginal (TV)
evaluation of the cervix is necessary:
<26wks
& TA is suboptimal*?
Yes
Prior exam w/ normal cervix**?
No
Yes
No
*unable
to see and/or cannot be reliably measured
**outside facility is okay, but a report and/or images needed to verify***funneled and/or shortened (<3cm)****if placenta is low lying (<2cm), but sonographer doesn’t think TV is beneficial, then review with rad for approval
Yes