The goal of this committee is to reduce the incidence of recurrent spontaneous preterm births by increasing provider discussions with eligible women on the appropriate use of the progesterone 17P. The Utah Women and Newborns Quality Collaborative (UWNQC) Preterm Birth Prevention Video Series is intended to educate providers about Preterm Birth and to provide resources about prevention.
Introduction: Angela Anderson, Certified Nurse Midwife, Doctoral Degree in Nursing and UWNQC Board Chair, introduces the series and gives some basic information about Preterm Birth.
Preterm Birth and Progesterone: Sean Esplin, MD, and Maternal Committee Medical Director speaks about Preterm Birth risk factors and gives information about 17 alpha hydroxy progesterone caproate (17P) and other progesterones.
How to Obtain Progesterone: Sean Esplin, MD, and Maternal Committee Medical Director discusses how to get patients their progesterone for prevention of preterm birth.
The 17P prescription should read:
- “17-progesterone 250mg/ml. 1ml IM weekly, Duration 20 weeks, Start at 16 weeks gestation”. (Synonyms include “hydroxyprogesterone caproate” “17 alpha-hydroxy progesterone” and “17 hydroxy progesterone”)
Use ICD10 code:
- “O09.212, supervision of high risk pregnancy in the second trimester”
- Or “O09.219, supervision of high risk pregnancy with history of preterm labor, unspecified trimester”
- “O09.213, supervision of high risk pregnancy with history of preterm birth in the third trimester”
Cervical Length and Cerclage: Helen Feltovich, MD talks about the role of cervical length measurement and cerclage for prevention of preterm birth.
Counseling After a Preterm Birth: Erin Clark, MD and Out of Hospital/Community Births Committee Medical Director, talks about the importance of counseling with patients postpartum who have had a preterm birth.
Immediate Postpartum Long Acting Reversible Contraception (LARC): David Turok, MD, MPH, talks about the role of family planning and speaking to patients about immediate postpartum long-acting reversible contraception.