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Results Of 166 respondents, mean age was 45.5 years (±11.4) and 68.7% were female. Willingness to recommend termination was associated with less willingness to consider cerclage for self or loved one (26.7% vs. 69.4%, p less then 0.001) and residence in the West or Northeast (p = 0.037). Cognitive scores were not associated with recommendations. At 21 weeks, respondents in the top quartile for coping skills were more likely to recommend termination (88% vs. 50%, p = 0.017), a finding which persisted after controlling for region (adjus