63 Clinical outcomes of aCTG in primary midwife-led care Table 3: Maternal and neonatal outcomes presented for all participants and per indication for antenatal CTG (continued) Total women n= 1584 (%) Total aCTGsa n= 1795 Reduced fetal movements n= 1211 (%) External cephalic version n= 249 (%) Postdate pregnancy n= 335 (%) 10th-90th percentile 1273 (82.6) 995 (82.9) 197 (80.1) 250 (83.6) >90th percentile (LGA) 121 (7.8) 91 (7.6) 18 (7.3) 23 (7.7) missing 42 11 3 36 Consultation paediatrician No 829 (52.7) 695 (57.6) 84 (34.3) 157 (47.2) Yes, ≤12h postpartum 564 (35.8) 377 (31.2) 138 (56.3) 130 (39.0) Yes, and admission of neonate (pediatric ward or NICU) ≤ 7 days postpartum 181 (11.5) 135 (11.2) 23 (9.4) 46 (13.8) missing 10 4 4 2 Neonate length of stay (days), mean (SD) 2.5 (3.2) 2.6 (3.5) 2.6 (3.2) 2.1 (1.8) missing 998 803 109 210 Neonatal nutrition Intention (at one day postpartum) Breastfeeding 1210 (80.2) 892 (78.0) 189 (78.8) 283 (85.5) Formula 298 (19.8) 251 (22.0) 51 (21.3) 48 (14.5) missing 76 68 9 4 At seven days postpartum Breastfeeding 1107 (75.8) 797 (72.6) 187 (77.6) 269 (83.0) Formula 354 (24.2) 301 (27.4) 54 (22.4) 55 (17.0) missing 123 113 8 11 aCTG=antenatal cardiotocography; NA=not applicable; SGA=small for gestational age (birth weight <10th percentile of the Dutch (Perined) birth weight curve); LGA=large for gestational age (birth weight >90th percentile of the Dutch (Perined) birth weight curve) a The total number of aCTGs is higher than the total number of pregnant women due to 11.1% of the pregnant women having >1 CTG in midwife-led care during pregnancy b If cesarean section during labour after failed vacuum-assisted birth, coded as cesarean section during labour by non-progression c Outcome ‘cesarean section planned ‘excluded from analysis. 5.3% of women have received multiple types of pharmacological pain relief d outcome ‘cesarean section’ excluded from analysis. 1.1% of women had episiotomy and a third or fourth-degree perineal trauma e Composite outcome: AS < 4 at five minutes, perinatal death (up to 28 days postpartum), ventilation with intubation, encephalopathy, meconium aspiration syndrome, brachial plexus injury, IRDS, NEC, convulsions, sepsis, meningitis) f Birthweight expressed in percentiles Dutch Perined birthweight curve (Hoftiezer) 3
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