What is an example that would lead to a primary health care referral?

A primary health care referral is typically indicated when a person requires assistance that goes beyond the scope of routine care provided by a midwife or primary health care provider. Influenza-like illness or breastfeeding troubles can require more specialized attention. For instance, if a breastfeeding mother experiences significant difficulties, such as pain or an inability to latch, it may be necessary for her to see a lactation consultant or other healthcare professional to address these specific issues. Similarly, influenza-like symptoms may need further evaluation if they compromise the well-being of the mother or affect her ability to care for the newborn.

The choice highlighting routine check-ups does not represent the need for a referral since these are often managed solely within primary health care. Severe medical conditions would certainly indicate a need for referral; however, not all severe conditions are categorized under primary health care referrals. The final option suggesting all cases of pregnancy also does not apply, as many pregnancies are considered low-risk and can be managed entirely by midwives without the need for referrals to secondary care. Thus, the correct answer reflects specific situations where a referral is typically warranted.