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To assess the frequency of antenatal corticosteroid (ACS) administration in cases with shortened cervical length by addition of placental alpha-microglobulin-1 (PAMG-1) testing to sonographic examination. Single centre retrospective cohort study. Rate of ACS administration was compared between cases with cervical length between 15 and 25mm and cases with positive PAMG-1 testing and cervical length between 15 and 25mm. We evaluated the following outcome parameters Rate of ACS administration, gestational age at delivery, time to delivery, delivery w