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Table 5 Categories and case factors elicited from critical incident technique interviews (frequency in the 160 cases described)

From: Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis

Category Case factors  
Mother Fetus/ Baby pre-birth condition (45); fetal heart rate (63); meconium (30) fetal size (11) post-birth condition (19); Strep B (5) other (9)
Clinical (mother) blood loss – pre/post birth (44); blood pressure (38); obstetric history (32); pain/analgesia (47); progress in labour (123); other (32)
Physical parity (116); general condition (62); gestation; (41); age (8); BMI (11), other (39)
Psychosocial attitude (30); coping (33); preference (53); planned place of birth (15)
Family father’s attitude / state (10); logistic problems (3); other children (3)
Context Judged time available (23)  
Logistic factors transfer time (69), geography (10) weather (9) time of day (42), transfer problems (36)
Service Guidelines (48)  
Midwifery awareness of impact on local area (3); decision making (16) past experience (46); fear of litigation (8); psychosocial (135)
Midwife led Unit staff cover (31); maintaining viability of unit/costs (9)
  Receiving Unit attitude / communication (32); capacity / resources (10); medicalisation (4); opinion of others (16)