![]() ![]() ![]() Important lessons include stakeholder involvement and communication and identifying what would be needed to integrate screening with CWDU into routine antenatal care. Differences and similarities in implementation between the different study sites are explored. Key features of the implementation of CWDU screening in pregnancy combined with high-risk follow-up are described according to a six-stage change framework: create awareness commit to implement prepare to implement implement integrate into routine practice and sustain practice. The authors followed an iterative reflection process using the field and meeting notes to arrive at an interpretation of the important lessons for future implementation of new devices in resource-constrained settings. A 35–43% reduction in stillbirths was recorded. Women with suspected placental insufficiency as detected by CWDU were referred for follow-up at the hospital. Each site comprised a catchment area with a regional referral hospital and primary healthcare antenatal clinics. ![]() Screening of 7088 low-risk pregnant women with Umbiflow™ (a CWDU device) was conducted in 19 antenatal care clinics at nine study sites in South Africa. This paper describes the adaptation and implementation of screening with CWDU and shares critical lessons for further rollout. Continuous-wave Doppler ultrasound (CWDU) can be used to screen for placental insufficiency, which is a major cause of stillbirths in low-risk pregnant women. Detecting the risk of stillbirth during pregnancy remains a challenge. ![]()
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