<p style="text-align: justify;">BACKGROUND: Preterm birth is a major public health problem and cervical length measurement using transvaginal ultrasound is the gold standard for predicting its occurrence. However, its cost and the limited availability of equipment and trained sonologists has limited its use only for screening for high risk patients and those with history of preterm birth. Those patients without risk factors are not recommended for routine screening although they constitute the majority of spontaneous preterm deliveries. The newly marked cervicometer, Cervilenz©, an easy-to-use and cheaper device, has been found to be comparable to transvaginal ultrasound in predicting preterm birth and may be used to universally screen all patients regardless of their risk status,however, at present, it is only available in the United Sates.
OBJECTIVE: This study aims to determine if an improvised cervicometer such as the insertion tube of an intrauterine device can also be used as a screening tool for predicting spontaneous preterm birth in uncomplicated pregnancies.
METHODS: The cervical length of 126 patients at 14 to < 37 weeks age of gestation were measured and patients were followed up until delivery.
RESULTS: It was found that those with short cervical length of < 25mm were not an increased risk of preterm birth (p-value > 0.05 at Cl 95%). The negative predictive value was found to be 100%, 95%, 88% at <32, <34, and Cervilenz© studies.
CONCLUSION: An improvised cervicometer such as the insertion tube of an intrauterine device can be used as a screening tool for predicting spontaneous preterm birth in uncomplicated pregnancies.p>
Human ; Female ; Cervix Uteri ; Pregnancy ; Premature Birth ; Patients

<p style="text-align: justify;">BACKGROUND: In spite of policy changes and government programs aimed to improve maternal health and reduce maternal morbidity, the Philippines failed to achieve its Millennium Development Goals targets because of several identified factors.
OBJECTIVE: To determine the relationships of maternal profile and awareness on and availment of PhilHealth maternity care benefits among the selected patients of a Tertiary Hospital in Southern Luzon Department of Obstetrics and Gynecology were investigated from February 2015 to February 2016.
METHODOLOGY: Descriptive cross-sectional survey method was used in the study involving 365 respondents selected through convenience sampling. Chi-square test and Cramer's V was used to determine relationships among the variables. Maternal profile, which included the patient's age, educational attainment, employment, family income, health insurance coverage, access to mass media and the Internet and number of pregnancies were considered as an intervening variable.
RESULTS: The results of the study revealed low level of benefit awareness even for the respondents who have existing PhilHealth coverage. They also failed to avail most of the benefits. Statistical analyses revealed that age, family income, health insurance coverage and number of pregnancies were significantly related to awareness while only family income and health insurance coverage were significantly related to availment. It was established further that pregnant women who were more aware of their benefits were more likely to avail them.
CONCLUSION: To achieve optimum availment of benefits, an iterative process of awareness campaign should be instituted starting from high school education to women's employment and from initial contact with Barangay Health Workers to their consultation with health care providers.p>
Human ; Female ; Gynecology ; Obstetrics ; Tertiary Care Centers ; Maternal Health ; Employment ; Health Personnel ; Insurance Coverage