94 CHAPTER 4 Figure 2. Flowchart of the selection of topics and indicators to monitor Solid Start on a local level Round 1 - questionnaire The experts received 121 possible topics to rate. Out of these, 105 topics were selected (median score ≥7) and 16 topics were excluded (median score <7) (Appendix 2). These excluded topics mainly concerned complications or medical risks during pregnancy or after birth (e.g. gestational diabetes and caesarean-section). Based on the experts’ suggestions, 34 topics were added. Some topics were completely new, but most were already mentioned in another one of the three phases (preconception, pregnancy, after birth). In total, 139 topics were selected for round 2. Round 2 – expert meeting Experts prioritized topics within each of the three phases (Appendix 2). For the preconception phase, the topic ‘poverty’ received the highest sum score. The topic ‘cumulation of risk factors’ received the highest sum scores for the phases of pregnancy and after birth. A decline in sum scores was clear in the pregnancy-phase after 10 topics (from 112 points to 96 points), but less clear for the other phases. We selected the prioritized 10 topics within each phase (a total of 30 topics, Table 2). Most topics belonged to two or three phases.
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