Methods | RCT. | |
Participants | Singleton gestations; PTL at 24 to 35 6/7 weeks. N = 149. | |
Interventions | TVU CL knowledge or not (the control group did receive TVU CL, but results were blinded to managing physicians). Time TVU CL results available: not specified. Protocol for TVU knowledge group: yes. |
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Outcomes | Primary: hospital length of stay. | |
Notes | Only abstract published; 7 women lost to follow up; only singletons; protocol for management of TVU CL group. Short TVU CL (< 25 mm): 22/75 (29%) in knowledge group; 20/74 (27%) in the control group. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomization not described. |
Allocation concealment (selection bias) | Unclear risk | Not described. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Women and physicians knew which group was randomized to 'knowledge' or 'no knowledge'. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported. |
Incomplete outcome data (attrition bias) All outcomes | High risk | 5% of data removed from final analysis. |
Selective reporting (reporting bias) | Unclear risk | Length of hospital stay primary outcome. |
Other bias | Unclear risk | Abstract only. Data limited. |
CL: cervical length FFN: fetal fibronectin PPROM: preterm premature rupture of membranes PTL: preterm labor RCT: randomized controlled trial TVU: transvaginal ultrasound US: ultrasound