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Table 1 Inclusion criteria for study sites

From: Implementation of continuous-wave Doppler ultrasound to detect the high-risk foetus in the low-risk mother: lessons from South Africa

Area

Criteria

Catchment area

• Sufficient throughput of pregnant women (number of deliveries and high burden of perinatal mortality)

• Baseline data for perinatal and maternal morbidity and mortality and causes of death

• Maternity birth register that records pregnancy outcomes

• Familiarity with collecting data and using PPIP

Clinics in catchment area

• PHC clinics with healthcare professionals offering ANC

• Antenatal clinics with a working environment and clinic floor plan that make CWDU examinations feasible

Referral

• Established system of referral to the next level of care for women identified as high risk or as having an abnormal RI

Next level of care

(referral hospital)

• Nursing and medical professionals with sufficient knowledge and experience of obstetrics and neonatal care

• Pulsed-wave Doppler ultrasound and familiarity with antenatal care for high-risk women

• Referral hospital should have

   - the ability and equipment to take special care of small newborns weighing ≥ 1000 g

   - facilities to perform caesarean sections

   - a blood bank and laboratory

  1. ANC, antenatal care; CWDU, continuous-wave Doppler ultrasound; PHC, primary healthcare; RI, resistance index; PPIP, Perinatal Problem Identification Programme