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Using the device in the community can prevent unnecessary referrals to secondary care antenatal day units or maternity triage services for speculum examinations, releasing clinical time.
Clinicians and midwives approached women attending the antenatal clinic, the antenatal day assessment units, or the antenatal ward about participating in the study.
When issued by a midwife or other healthcare worker in a primary-care setting, cost savings per woman of up to £24.01 (for prelabour rupture of membranes; PROM) and £18.25 (for premature prelabour rupture of membranes; PPROM) could be achieved, through avoiding the need for referral to an antenatal day unit.
In this the authors use their diagnostic accuracy results to speculate that the use of Vision ALD in the community to rule out PROM/PPROM could avoid 38%% of such referrals to the antenatal day unit (ADU) at a cost of £147 each.
We estimated a random sample of 10% of available recruitment sites to be sufficient for completion of planned recruitment, based on an average attendance of ∼30 participants on an assigned antenatal day each week, and expected eligibility and response rates of ∼80%, respectively.
Similar(55)
A Cochrane review [ 135] evaluated the use of antenatal outpatient day care units as an alternative to inpatient care for women with complicated pregnancy (1 RCT, N = 54 women) [ 136] (Additional file 19).
"[Y]ou tell them to come to antenatal on Wednesday, they will come on Monday.
(CHN from Ada East, IDI) "[Y]ou tell them to come to antenatal on Wednesday, they will come on Monday.
Two health facilities held their antenatal clinics from Monday to Friday, while the other four had two dedicated antenatal-care service days per week.
The hospital runs daily antenatal clinics from Monday to Friday, in which first time booking is done once a week while follow-up is carried out on the other four working days of the week.
The researcher was present in the antenatal clinic from Monday to Friday ensuring women receiving care from different health providers were recruited (49% of women were visiting General Practitioners, 40% were visiting a midwife and 11% were in a high-risk clinic).
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