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Frequently Asked Questions




Question:
Can any pregnant women come in and be evaluated for cervical length screening or are there certain criteria they would have to meet?

Answer:
Any pregnant woman between 14 and 24 weeks can be evaluated for cervical length screening. If you have a primary OB/Gyn, it is preferred that he or she provide you with a referral or prescription for performance of the examination.



Question:
What if my insurance does not cover this screening and I wanted to self-pay? Is this option available?

Answer:
In the event that your insurance company does not cover the cost of the cervical length screening, it will cost approximately $150.




Question:
My physician is not DMC affiliated, yet I wish to have the screening done. How would I proceed?

Answer:
Even though your personal OB/Gyn physician may not be on the medical staff of the DMC, you can still obtain the evaluation simply by getting a referral or prescription request from your doctor.




Question:

Is there just one location within the DMC that handles the screening or are there other locations to choose from?

Answer:
There are multiple sites in Wayne and Oakland County where these cervical screening examinations are being performed. By simply calling DMC’s Health Access Center at 1-888-DMC-2500, you will be directed to a site most convenient for you and your family.




Question:

How long does it take to get an appointment?

Answer:
From the time you contact our Health Access Center, it should take you no more than four days to have your evaluation scheduled and completed by one of our designated sites.



Question:
If my primary OB is not DMC affiliated and I have this screening done, it is important to me that my physician be kept in the loop of my care. How do you ensure this?

Answer:
Our goal is not to disrupt the earned and trusted relationship between you and your private physician. Our testing centers will obtain the necessary information to make sure that your physician receives updated information regarding the results of your cervical length screening.



Question:
What happens during the doctor’s visit?

Answer:
You will undergo a transvaginal ultrasound examination. This is far superior to any measurement of cervical length obtained by transabdominal scanning. The procedure will be explained to you in detail prior to you signing the consent form for the test.



Question:
Would this screening require more than one visit?

Answer:
Depending on the findings of your particular examination, it may become necessary for you to have a consultation with one of our Maternal-Fetal Medicine (High Risk Obstetrics) specialists. Future ultrasound evaluations will become necessary in cases where it is deemed that the patient is significantly at risk for preterm birth.



Question:
Could my OB perform the screening at their location?

Answer:
The experts at the DMC and Wayne State University (WSU) Department of Obstetrics and Gynecology are offering training and certification in this technique to all qualified and interested obstetrician-gynecologists who currently do obstetrical ultrasound in their offices.





Question:

How would I set up an appointment?

Answer:
By contacting the DMC Health Access Center at 1-888-DMC-2500 we can ensure that you receive an appointment at one of our multiple screening sites and are seen and evaluated within four business days.



Question:

How would I find out more information?

Answer:
You can go on on-line at www.dmc.org and click on the dedicated website for cervical length screening or you may call the Health Access Center at 1-888-DMC-2500.



Question:
Is the DMC the only local hospital system performing these screenings?

Answer:
Dr. Sonia Hassan and Dr. Roberto Romero, the principal investigators and authors of this groundbreaking study are both on the faculty of Wayne State University and work out of the Perinatology Research Branch of the National Institute of Children’s Health and Development based at Hutzel Women’s Hospital on the DMC Central Campus. While other hospital systems may offer ultrasound examinations for obstetrical patients, right now; the DMC and its certified team of expert sonographers are the only ones who were part of this significant medical breakthrough and have demonstrated consistency and reliability in cervical length testing.



Question:

Is there anything I need to do to prepare for the exam?

Answer:
Some minor preparation will be required and this will all be explained to you at the time you make your appointment.



Question:
If the screening reveals any potential problem, will DMC doctors work with my doctor on my care?

Answer:
The Maternal-Fetal-Medicine specialists at the DMC/WSU have a long history of working closely with obstetrician-gynecologists throughout the State of Michigan to help them provide the very best of care to their high risk patients.



Question:
If my pregnancy is considered a high risk pregnancy, can I transfer my care to a DMC doctor?

Answer:
If your pregnancy is deemed to be “at risk” or “high risk” based on the results of your examination, then your physician will be contacted with the results. At that point, he or she may request co-management of your care with one of our experts or you may opt for transfer of care yourself. It is always preferred that we talk to your physician and get his or her input in the long term care of your pregnancy.



Question:
Does this procedure cause any health risks to the baby?

Answer:
Transvaginal ultrasound evaluations are very low risk. Ultrasound has proven itself in terms of diagnostic value in obstetrics for almost 40 years with no increased harm to the developing fetus.




Question:
What are the potential side effects of the gel to the baby? To me?

Answer:
Research has not shown any major side effects related to the use of the progesterone gel. The gel contains natural progesterone. Progesterone is one of the essential hormones of pregnancy produced by the female ovary following ovulation and also produced in much greater quantity by the placenta itself. The efficacy of the progesterone gel far outweighs any concerns of side effects to you or your baby.
 
 
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