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- W2509082238 abstract "pregnancy is low risk and proceeds well, primary-care midwives are responsible for full obstetric care and the delivery. Women with pregnancies considered high obstetric risks are hospitalized antenatally (17.7%) or in labor (20.1%)3 for clinical surveillance and delivery by obstetricians. The effectiveness of stratified care depends on well-trained midwives and unequivocal criteria to identify high-risk pregnancies. The official Index of Medical and Obstetric Risks”z5 defines which conditions are considered high risk. The invariable hospitalization of high-risk women has been criticized. Frequently, clinical surveillance and care in high-risk women are limited. Domiciliary antenatal fetal monitoring, particularly in a medium-care subgroup, has been shown to be a feasible alternative to in-hospital monitoring. 6,7 Potential benefits of domiciliary monitoring include avoided hospitalization and dissatisfaction with inpatient stay, reduced maternal stress, and no disrupted family life.8,9 Alongside a randomized controlled trial, we investigated the clinical safety and cost-effectiveness of a domiciliary antenatal fetal-monitoring program compared to conventional in-hospital monitoring in selected high-risk pregnancies. If domiciliary monitoring proved safe and efficient compared to in-hospital monitoring, opportunities would emerge to tailor the use of high-cost clinical obstetric care." @default.
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- W2509082238 date "1997-01-01" @default.
- W2509082238 modified "2023-09-27" @default.
- W2509082238 title "Cost-Minimization Analvsis of Domiciliarv Antenatal Fetal Monitor& in High-Risk J Pregnancies" @default.
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