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Updated: Jun 5, 2026
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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Modern management of preterm labour
Gus Dekker1, Sietske Althuisius, Dimitri Papatsonis
1Lyell McEwin Hospital, University of Adelaide.
Summary
Shortened cervical length is a key predictor of preterm birth. Transvaginal cervical cerclage (TCC) offers a treatment option, while newer calcium channel blockers show promise as safer alternatives to betamimetics for preventing premature delivery.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Neonatal Health
Background:
- Preterm birth is a major cause of infant illness and death.
- Cervical insufficiency is a continuous variable, not absolute, contributing to preterm delivery across various gestational ages.
- A consistent link exists between reduced cervical length and spontaneous preterm birth.
Purpose of the Study:
- To review the diagnosis and treatment of cervical insufficiency leading to preterm birth.
- To evaluate the efficacy and safety of different tocolytic agents.
- To propose a nomenclature for prevention stages in preterm birth research.
Main Methods:
- Diagnosis of shortened cervical length via transvaginal ultrasonography.
- Treatment options including transvaginal cervical cerclage (TCC).
- Review of tocolytic agents, specifically betamimetics and calcium channel blockers.
Main Results:
- Shortened cervical length is a reliable indicator for preterm birth risk.
- Betamimetics can delay delivery but do not improve perinatal outcomes and carry significant maternal risks.
- Calcium channel blockers demonstrate potential for greater effectiveness and improved safety profiles compared to betamimetics.
Conclusions:
- Transvaginal cervical cerclage (TCC) is a viable treatment for shortened cervix.
- Calcium channel blockers represent a promising alternative to betamimetics for tocolysis due to better efficacy and safety.
- Standardized nomenclature for prevention stages is recommended for study comparability.
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