TABLE OF CONTENTS Chapter 1 Introduction 9 Chapter 2 Inter- and intraobserver agreement of antenatal cardiotocography assessments by maternity care professionals: A prospective study 21 Chapter 3 Antenatal cardiotocography in Dutch primary midwife-led care: Maternal and perinatal outcomes and serious adverse events. A prospective observational cohort study 45 Chapter 4 Antenatal cardiotocography in primary midwife-led care: Women’s satisfaction 81 Chapter 5 Antenatal cardiotocography in primary midwife-led care: a budget impact analysis 103 Chapter 6 Understanding how Midwife-Led Continuity of Care can be implemented and under what circumstances: a realist review 127 Chapter 7 General discussion 189 Chapter 8 Summary 205 Appendices Samenvatting 214 Supplementary files 219 List of publications 220 PhD Portfolio 221 About the author 222 Dankwoord 223
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