In New Jersey, physicians were not consulted by home maintenance organizations (HMOs) before early discharge began. There was only the assurance that early discharge had gone well in California. In New Jersey it was quite different, for a spectrum of health problems soon became apparent. Moreover, obstetricians and pediatricians were repeatedly confronted by unhappy mothers who complained that they had been sent home uncomfortably soon. Anthony Caggiano, MD, President of the Obstetrical and Gynecological Society of New Jersey, points out that in 24 hours after delivery, many mothers are still in pain and are not ready to go home, physically or psychologically.
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