Hospital discharge on the first compared with the second day after a planned cesarean delivery had equivalent maternal postpartum outcomes: a randomized single-blind controlled clinical trial

Abstract

Objective Determining the effect of discharge time after elective cesarean section on maternal outcomes. Methods This study is a randomized clinical trial that performed on 294 women who undergo elective cesarean section. The patients were randomized in two groups by simple randomization method: Group A (discharge 24 h after cesarean) and group B (discharge for 48 h after cesarean). In both groups, during the first 24 h, they received intravenous antibiotic (cefazolin as routine order) and pethidine at the time of pain. The patients were discharged with the hematinic and mefenamic acid. The main outcome variables were satisfaction of the patient, surgical site infection, separation of incision, endometritis, urinary tract infection, gastrointestinal complications, rehospitalization, secondary postpartum hemorrhage and pain of the patient on discharge day, one and six weeks after cesarean. Results Satisfaction scores and pain score at discharge day, one and six weeks after discharge were not significant different in the study groups (P > 0.05). Another key finding of this paper was no significant difference in the incidence of surgical site infection, separation of incision, endometritis, urinary tract infection, gastrointestinal complications, rehospitalization, secondary postpartum hemorrhage at one and six weeks after discharge in the study groups(P > 0.05). Conclusion The time of discharge can be reduced to 24 h after surgery if the mother to be at good general condition, the vital signs are stable, the patient has no underlying problem and disease, and it is financed for the patient and the health system.

Length of Hospital Stay After Cesarean Delivery and Its Determinants Among Women in Eastern Sudan

“… 4 , 5 Length of hospital stay is becoming an area of interest for researchers worldwide, as it is a readily available health indicator reflecting hospital activity and is an indirect estimator of resource consumption and efficiency. 6 , 7 However, there is much debate on LoS and its duration after CD.…”

Maternal and Neonatal Outcome following Day Two versus Day Five or Seven Discharge after an Uncomplicated Elective Caesarean Section: A Randomized Control Study

“…This trend was attributed to increased rate of wound infection and deep vein thrombosis which was commoner among the control group. In a related study by Ghaffari et al in which women were allowed to go home on the first compared with the second day after a planned caesarean delivery, the maternal postpartum outcomes were found to be similar one week and 6 weeks postpartum [ 21 ]. Day 1 discharge might be difficult to advocate in the study area because of the pervading poor maternal and child healthcare services in Nigeria.…”

Postoperative C-reactive protein as a predictive marker for surgical site infection after cesarean section: Retrospective analysis of 748 patients at a Japanese academic institution

“…A national register-based study in Denmark reported the length of hospital stay after CS significantly reduced from 97 hours (4.0 days) in 2004 to 58 hours (2.4 days) in 2016 [23]. Furthermore, enhanced recovery after surgery (ERAS) was proposed recently for cesarean deliveries and clinical outcomes and patients' recognition was comparable to the normal care [24,25]. Thus, further studies to validate the predictive value of postoperative CRP in outpatient clinical settings would be needed before applying the marker where early discharge is common.…”