Background: Appalachian Kentucky has higher-than-average rates of preterm birth (PTB). a health disparity associated with increased maternal and fetal/neonatal morbidity and neonatal mortality. Transvaginal ultrasound (TVU) cervical length measurement is the best predictor of PTB risk. but is underutilized in Appalachia. https://jalyttlers.shop/product-category/pizza-oven/