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Table 2 Adaptations after centralisation of AOC mentioned by the interviewees in this study [in alphabetical order]

From: Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care

Adaptations at a national level Adaptations at a regional level Adaptations at a local level
Additional allowance for midwifery practices when there is reduces availability or accessibility of secondary care Better back-up agreements between care providers Always a room available in the hospital for emergencies in primary care
  Compensation of additional travel costs for patients by the municipality Better back-up agreements in own organisation
  Harmonising protocols in the region Discouraging homebirths when travel distance is long
  Increased ambulance capacity Early call to maternity care assistant organisation for delivery assistance
  Innovative adaptations, such as antenatal CTG in primary care Hire more staff in a midwifery practice/in the hospital
  Monitoring capacity in the hospitals, for example with an app Midwife on call in primary care sleeps in her work region
  Redesigning Maternity Care Collaboration Offer elective inductions for women with a long travel distance to the hospital
   Travel distance as a factor in decision making
   Triage room(s) in the hospital
   Two midwifery teams in a midwifery practice
   Health insurance coverage for outpatient birth