| Baseline characteristics | 
        N=138 | 
      
      
        | Age in    years,  mean (SD) | 
        31 (4.3) | 
      
      
        | Native    country, N (%) | 
          | 
      
      
        | Netherlands | 
        130    (94.2) | 
      
      
        Other  
          Gravidity  N (%) | 
        8  (5.8) | 
      
      
        |      First    pregnancy | 
        60 (43.5) | 
      
      
        |      Second    pregnancy  or more | 
        76  (55.1) | 
      
      
        | Gestational    age(weeks), mean (SD) | 
        23 (3.9) | 
      
      
        | Gestational    age at time responding N (%) | 
          | 
      
      
        |        Before    anomaly scan | 
        8 (5.8) | 
      
      
        |        After    anomaly scan and < 32 weeks gest.      | 
        121    (87.7) | 
      
      
        |       ≥ 32    weeks of gestation | 
        7 (5.1) | 
      
      
        | Previous    vaginal examination N (%) | 
          | 
      
      
        |        No    previous vaginal examination | 
        26  (20.3) | 
      
      
        |           Discomfort/pain during previous examination | 
        30 (21.7) | 
      
      
        | Cervical    length measurement N (%) | 
          | 
      
      
        |       Agreed | 
        65  (47.1) | 
      
      
        |       Refused | 
        49  (35.5) | 
      
      
        |       Unknown/    not offered | 
        24  (17.4) | 
      
      
        | Previous    child needed extra care, N (%) | 
        12  (8.7) | 
      
      
        | Antenatal    care provider, N (%) | 
          | 
      
      
        |      Primary    care midwife | 
        104  (75.4) | 
      
      
        |         Obstetrician in secondary/tertiary care  | 
        28  (20.3) | 
      
      
        |      Other/    unknown | 
        6  (4.3) |