IntROduCtIOnPTL is defined as labour occurring after 20 weeks but before 37 completed weeks of gestation [1]. The incidence of PTL remains constant over recent years, varying from 5%-10% in different populations [2]. In India, the incidence of preterm birth is approximately 13% [3]. It is the most common cause of perinatal morbidity and mortality.Prediction of PTL is important, so that women can be moved to a higher center for safe confinement as nursery care is of utmost importance for the preterm neonate.Preterm labour is difficult to predict. At present there is no standard parameter for prediction of PTL. There has been considerable interest in means of identifying women at risk of delivering prematurely by clinical symptoms and signs, biochemical markers and cervical length by digital examination and ultrasound. To achieve this goal, a risk scoring system, biochemical markers derived from different body fluids, tissues and radiological parameters like cervical length have been used.The risk scoring system based on demographic characteristics like socioeconomic status, antenatal care, maternal age, nutrition, smoking, drug abuse, alcohol, physical work, genetic predisposition, uterine malformations, previous surgery on cervix, short cervix, preterm premature rupture of membranes, multiple pregnancy is not reliable. In primi gravida, this scoring system cannot be used as there is no past obstetric history.A shortened or open cervix between 24 and 28 weeks indicates an elevated risk for PTL [4]. A shortened cervical length detected by TVS below the 10th percentile for gestational age, increased the risk of PTL prior to 35 weeks by 6 folds [5]. A review of 35 studies using sonographically assessed cervical length to predict preterm delivery in asymptomatic women found sensitivities ranging from 68% to 100% and specificities from 44% to 79% with wide variations in their predictive values [6]. A more recent meta-analysis of 28 studies assessing cervical length (<15 mm) in symptomatic women with threatened PTL found sensitivities ranging from 53% to 67% and specificities ranging from 89% to 92% for delivery within one week [7]. Due to limitations in ultrasound availability and operator expertise, cervical length alone cannot be reliably utilized to predict preterm labour or used as a routine screening tool [8]. Therefore, the current evidence and practice do not allow the development of a consensus on use of TVS alone for prediction of preterm labour.Various body fluids, tissues have been used for prediction of preterm labour like blood, urine, saliva, amniotic fluid, and cervical secretion. In cervical secretion foetal Fibronectin (fFN) and phosphorylated insulin-