CONCLUSION
Our pilot study demonstrated that CGA absence was predictive of PTB and
may be a useful adjunct to CL screening for improving PTB prediction. As
the etiology of spontaneous PTB and cervical insufficiency is
ill-defined and likely multifactorial, multimodal screening tools may be
necessary for optimal prediction 44. We hope this
inspires future research exploring CGA screening, such as via
three-dimensional renderings or elastography, in populations with
different risk profiles, in the context of various progesterone
regimens, and in combination with cervical biomarkers or clinical
phenotyping.