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The aim of this study was to evaluate the effect of a midwife-performed checklist and limited obstetric ultrasound on sensitivity and positive predictive value for a composite outcome comprising multiple gestation, placenta praevia, oligohydramnios, preterm birth, malpresentation, abnormal foetal heart rate. Quasi-experimental pre-post intervention study. Maternity unit at a district hospital in Eastern Uganda. Interventions were implemented in a phased approach standardised labour triage documentation (Phase 1), a triage ch