The data collected from the retrospective clinical audit of medical records identified pregnancy complications for mother and baby, including morbidities, outcomes, the expected clinical investigations and interventions. Therefore, the string data required coding and categorisation. Likewise, variables utilised in the statistical analysis were categorised into three groups, namely: maternal cardiac (n = 17), obstetric (n = 17) and neonatal (n = 20) see S3 Table. Explicitly, the clinical variables for both primary and secondary clinical outcomes, investigations, and interventions during pregnancy could alter the trajectory for mother and baby, thus influencing the uptake of guidelines and acute complications related to poor guideline adherence [19].

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