Table 1 Outcomes of the quality improvement intervention, N = 4253

MATERNAL BEHAVIOR IN DFM

Consultation rate of DFM

6.3 (1215)

6.6 (3038)

1.05

0.98–1.12

0.19

Not available

Time to contact > 24 hours in absent fetal movements

24 (99)

18 (201)

0.70

0.53–0.92

0.01

0.73

0.53–1.00

0.05

Time to contact ≥ 48 hours in DFM

54 (415)

49 (897)

0.83

0.70–0.98

0.03

0.73

0.60–0.90

0.002

E XAMINATIONS AT CONSULTATION FOR DFM

Used CTG

96 (1155)

98 (2929)

1.67

1.16–2.41

0.006

1.46

0.92–2.30

0.11

Used ultrasound

86 (1040)

94 (2764)

2.50

2.02–3.12

< 0.001

2.64

2.02–3.45

< 0.001

Used Doppler

44 (532)

47 (1415)

1.15

1.00–1.30

0.04

1.12

0.96–1.33

0.20

C ONSEQUENCES OF THE EXAMINATION FOR DFM

No follow up

63 (716)

69 (1980)

1.34

1.16–1.55

< 0.001

1.36

1.14–1.61

< 0.001

Admissions

14 (158)

11 (300)

0.73

0.59–0.90

0.003

0.71

0.55–0.91

0.006

Admissions for induction

7.0 (80)

4.9 (141)

0.69

0.52–0.92

0.01

0.68

0–49–0.96

0.03

Admissions for emergency section

1.8 (21)

1.2 (35)

0.66

0.38–1.14

0.14

0.73

0.40–1.59

0.43

P REGNANCY OUTCOMES

Non-reassuring heart rate tracings in labor (DFM)

11 (130)

14 (398)

1.27

1.03–1.57

0.03

1.23

0.96–1.57

0.11

Severe neonatal depression (DFM)

1.7 (19)

1.1 (30)

0.64

0.39–1.03

0.07

0.55

0.29–1.04

0.07

Admitted to neonatal care (DFM)

4.4 (52)

4.5 (131)

1.02

0.73–1.41

0.91

1.02

0.69–1.52

0.92

Preterm births 28°- 36 ⁶ weeks (DFM)

12 (145)

10 (169)

0.79

0.62–1.00

0.05

0.79

0.60–1.05

0.10

FGR < 10 percent (DFM)

14 (168)

13.5 (391)

0.93

0.77–1.13

0.48

0.97

0.77–1.23

0.82

Stillbirths (DFM)

4.2 (50)

2.4 (73)

0.58

0.41–0.84

0.004

0.51

0.32–0.81

0.004

Normally formed stillbirths (DFM)

3.9 (46)

2.2 (65)

0.57

0.39–0.83

0.004

0.50

0.31–0.81

0.005

Stillbirths (rate in total population)

3.0/1000

2.0/1000

0.67

0.48–0.93

0.02

Not available

Normally formed stillbirths (rate in total population)

2.8/1000

1.8/1000

0.60

0.42–0.85

0.004

Not available