Recurrent Preterm Birth
Risk Calculator

Select both criteria — results update instantly on the right. No button needed.

Publication Used in This Tool
1
IPD Meta-Analysis · AJOG MFM 2026

van Dijk CE, de Ruigh AA, Gravesteijn BY, Kazemier BM, Berghella V, Owen J, et al. Patterns of recurrent preterm birth: an individual patient data meta-analysis. Am J Obstet Gynecol MFM. 2026;8:101927.

What this tool does: All risk percentages are observed rates from Table 3 of this publication — 1,316 untreated patients across 7 international cohorts, transvaginal cervical length measured 18–24 weeks. No extrapolation. No modeling. Every number is directly from the paper.
Gestational age — most recent prior spontaneous delivery Select the most recent delivery, including term births. If most recent was at term, select "37+ wks."
Current cervical length — transvaginal ultrasound (18–24 wks gestation) Measured by trained sonographer in the current pregnancy.
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Results appear here instantly

Select gestational age and cervical length on the left. No calculate button needed.

Prior GA + Cervical Length → Live results
⚠ Small sample size in this cell — 95% confidence intervals are wide. Interpret the point estimate with caution.
Recurrence Risk by Gestational Age Threshold
PTB <32 wks
PTB <34 wks
PTB <37 wks
ReferenceNulliparous — no prior sPTB1.5%4.9–10.5%
Multiparous — no prior sPTB0.8%4.5–6.6%
Clinical Implications
    Clinical decision support only. Observed rates from untreated international cohorts (data 2001–2008). No subgroup achieves population-level baseline risk. All patients with prior sPTB require counseling and surveillance regardless of stratum. Does not replace clinical judgment. Source: van Dijk et al. AJOG MFM 2026;8:101927.