57 Clinical outcomes of aCTG in primary midwife-led care CTG care process characteristics Table 2 shows the characteristics of the aCTG care process. Most aCTGs (n = 1459, 81.3%) were performed at the woman’s midwifery practice, whereas 308 aCTGs (17.2%) were performed in a community ultrasound centre and 28 aCTGs (1.6%) at the woman’s home. Overall, 1591 aCTGs (89.7%) were reassuring, meaning that these women did not need to be referred to the hospital where they usually would have received the aCTG. A referral to secondary care was indicated after 234 CTGs (13.0%); 9.6% due to non-reassuring aCTG (including aCTGs of insufficient quality), ultrasound abnormalities (3.3%), or other reasons (0.7%). Of these women, 86.3% (202/234) were referred back to MLC. The care for the other 32 women (13.7%, 32/234) was transferred to OLC. Reasons for transfer of care were non-reassuring aCTG (including aCTGs of insufficient quality) (31.3%, 10/32), ultrasound abnormalities (71.9%, 23/32), or other reasons (9.4%, 3/32). Some women received multiple aCTGs for one or more aCTG indications in MLC during pregnancy; 180 women had two CTGs (11.4%), 43 women had three aCTGs (2.7%), five women had four aCTGs (0.3%), and one woman had five aCTGs (0.1%). 3
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