59 Clinical outcomes of aCTG in primary midwife-led care Table 2: Characteristics of CTG care process presented for CTGs as a whole and for each indication for antenatal CTG (continued) Total aCTGs n= 1795 (%) Reduced fetal movements n= 1211 (%) External cephalic version n= 249 (%) Postdate pregnancy n= 335 (%) Referral to obstetrician-led care No 1561 (87.0) 1024 (84.6) 231 (92.8) 306 (91.3) Yes 234 (13.0) 187 (15.4) 18 (7.2) 29 (8.7) Referred back to midwife-led care 202/234 (86.3) 168/187 (89.8) 9/18 (50.0) 25/29 (86.2) Transfer of care by obstetrician-led care 32/234 (13.7) 19/187 (10.2) 9/18 (50.0) 4/29 (13.8) Reason referral to obstetrician-led carea Non-reassuring aCTGb 172/234 (73.5) 147/187 (78.6) 6/18 (33.3) 19/29 (65.5) Ultrasound abnormalities 60/234 (25.6) 37/187 (19.8) 13/18 (72.2) 10/29 (34.5) Otherc 12/234 (5.1) 11/187 (5.9) 0/18 (0.0) 1/29 (3.4) Reason transfer of care by obstetrician-led cared Non-reassuring actable 10/32 (31.3) 8/19 (42.1) 0/9 (.0) 2/4 (50.0) Ultrasound abnormalities 23/32 (71.9) 12/19 (63.2) 8/9 (88.9) 3/4 (75.0) Othere 3/32 (9.4) 2/19 (10.5) 1/9 (11.1) 0/4 (0.0) aCTG= antenatal cardiotocography a Referral to obstetrician-led care may have been for ≥ 1 reason b Including CTGs with insufficient quality c Reasons such as hypertension, uterus contractions, persistently reduced fetal movements d Transfer of care to obstetrician-led care may have been for ≥ 1 reason e Reasons include hypertension, persistently reduced fetal movements, and induction of labour 3
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