How do a few millimeters change the course of pregnancy? In this episode of The Seasoned Sonographer, we break down the art and science of cervical length measurement, including funneling, dynamic maneuvers, and key risk factors. We’re also joined by OB/Gyn Dr. Torrez to discuss a recent case where accurate cervical assessment helped guide critical management decisions. © 2025 The Seasoned Sonographer, Lynn Flamm. All rights reserved.
In this episode, we dive deep into the clinical importance of cervical length measurement by transvaginal ultrasound—a key screening tool for identifying risk of preterm birth. We cover:
The criteria for when and why to measure cervical length
A step-by-step technical breakdown for accurate transvaginal imaging
The significance of funneling, with a focus on V-shaped vs. U-shaped funneling and what each implies about cervical integrity
The use of Valsalva maneuver and fundal pressure to assess dynamic cervical changes
High-risk factors including history of LEEP, twins, and previous preterm delivery
Why precision in sonographer technique matters and how small differences in measurement can shape major clinical decisions
We also introduce Dr. Torrez, a board-certified OB/Gyn, who joins us to discuss a recent patient case from our own office. In this powerful clinical vignette, we explore how a short cervix—measured during a routine scan—led to timely intervention that ultimately changed the trajectory of care.
Whether you’re a sonographer, provider, or educator, this episode offers practical insight, clinical pearls, and a reminder that millimeters truly do matter.