107 Budget impact analysis of aCTG in primary midwife-led care is measured as well. When a risk factor or an abnormality arises during these examinations, the care is continued in OLC after transfer of care. If all findings of CTG, ultrasound and blood pressure are normal, the woman is referred back to MLC, where her antenatal care will continue. Innovative care path: MLC-aCTG In the innovative care path, when an aCTG is indicated for a healthy pregnant woman, the woman is offered an aCTG that is performed and assessed by a primary care midwife either at home, in the midwifery practice, or at a community healthcare centre nearby, using a portable CTG system. If the MLC-aCTG is classified as non-reassuring or of insufficient quality, the woman is immediately referred to OLC for additional evaluation, including a new aCTG. After a reassuring MLC-aCTG, an ultrasound scan is performed in primary care to assess fetal growth, amniotic fluid and presentation of the fetus. Blood pressure is measured as well. If aCTG, ultrasound and blood pressure findings are normal, antenatal care is continued in MLC. 5
RkJQdWJsaXNoZXIy MTk4NDMw