Problem Identification in Apparently Well Neonates: Implications for Early Discharge

Jackson, Gregory L.; Kennedy, Kathleen A.; Sendelbach, Dorothy; Talley, Dale H.; Aldridge, Cheryl; Vedro, Debra A.; Laptook, Abbot R.

doi:10.1177/000992280003901003

Cited by 25 publications

(20 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Facility-based published data suggested that the majority of health problems, including jaundice, infection, feeding difficulties, birth defects, and respiratory problems may not be detected until after the initial assessment. Late preterm infants are biologically vulnerable to experiencing temperature instability, hypoglycemia, apnea and bradycardia, sepsis, hyperbilirubinemia, and feeding difficulties [22][23][24]. Similarly, respiratory distress syndrome (24.2%), sepsis (18.2%), and premature (13.6%) and neonatal jaundıce (12.1%) were the leading causes of direct neonatal deaths in our study, showing a high prevalence of infectious diseases.…”

Section: Discussionmentioning

confidence: 58%

Infection remains a leading cause of neonatal mortality among infants delivered at a tertiary hospital in Karachi, Pakistan

Mustufa

Korejo

Shahid

et al. 2014

J Infect Dev Ctries

View full text Add to dashboard Cite

Introduction: The current cohort study was conducted to determine the frequency and compare the mortality rate with associated characteristics among low birth weight and normal birth weight infants during the neonatal period at a tertiary healthcare facility, Karachi. Methodology: Close-ended structured questionnaires were used to collect information from the parents of 500 registered neonates at the time of birth. Follow-ups by phone on the 28th day of life were done to determine the mortality among low birth weight and normal birth weight babies during the neonatal period. Results: The neonatal mortality rate ranged from as low as 2.4% in the normal birth weight and 16.4% in the low birth weight categories to as high as 96% in the very low birth weight category. Respiratory distress syndrome (24.2%) and sepsis (18.2%) were reported as the leading causes of neonatal deaths. The babies' lengths of stay ranged from 2 to 24 hours, and around 90% of neonatal deaths were reported in the first seven days of life. More than 6% of neonates died at home, and 7.6% of the deceased babies did not visit any healthcare facility or doctor before their death. In the 12-15 hours before their deaths, 13.6% of the deceased babies had been unattended. Around 90% of the deceased babies were referred from a doctor or healthcare facility. Conclusions: The present estimates of neonatal mortality are very high among low birth weight and very low birth weight categories. Infectious diseases, including respiratory distress syndrome (24.2%) and sepsis (18.2%), were leading causes of neonatal deaths.

show abstract

Section: Discussionmentioning

confidence: 58%

Infection remains a leading cause of neonatal mortality among infants delivered at a tertiary hospital in Karachi, Pakistan

Mustufa

Korejo

Shahid

et al. 2014

J Infect Dev Ctries

View full text Add to dashboard Cite

show abstract

“…İkinci günden sonra %5.6 bebekte problem gelişebilmektedir (16). Erken taburculukta geriye tekrar yatış oranı önemlidir.…”

Section: Sezaryenunclassified

The First Day of Healthy Newborns Early Hospital Discharge and Causes of Readmission to Hospital

Çoban¹,

Topal²,

Aytekin³

et al. 2014

Turkish J Pediatr Dis

View full text Add to dashboard Cite

ÖZETAmaç: Sağlıklı bebeklerin 48 saat izlendikten sonra taburcu edilmeleri uygun olur. Son yıllarda bebeklerin erken taburcu edilmeleri şeklinde bir eğilim vardır. Araştırmamızda son bir yıl içinde doğum yapmış anne ve bebeklerinin demografi k özelliklerini, ilk idrar ve mekonyum saatlerini, taburculuk zamanlarını, ilk gün ve ilk hafta içindeki vücut ağırlığı değişimle-rini, hastaneye tekrar yatış oran ve nedenlerini sorgulamayı amaçladık. Gereç ve Yöntemler:Hastane otomasyon sistemi, hasta dosyaları ve doğum defterleri geriye dönük tarandı. ABSTRACTObjective: Healthy newborns must stay at hospital 48 hours before discharge. During recent years there is a tendency for early newborn discharge. We studied the demographics of mothers and babies, fi rst day of healthy newborns, early hospital discharge and causes of readmission to hospital. Material and Methods:Hospital computer records, patients' documents and birth entries were scanned retrospectively.Results: Mothers had a mean age of 27.95±5.30 years old, gestational age of babies was 38.67±1.23 weeks. Cesarean section (C/S) was the delivery method for 84.6% of mothers. Recurrent C/S was the most common (38.8%) reason for C/S. During fi rst day, mean weight loss of babies was 104.41±54.59 grams. Percentage of weight loss was 3.14±1.57. Infants born with C/S had signifi cantly more body weight loss in grams and percentage (p<0.001 and p<0.001 respectively). First urination time was 4.87±3.84 (0-28) hours, babies had meconium passage in 7.86±5.45 (0-30) hours. Urine time in infants born with vajinal delivery was longer (p=0.006). Length of hospital stay was 26.71±13.13 hours. Readmission rate was 12.6% with in the fi rst month, hyperbilirubinemia was the most common (81.4%) reason for readmission. Conclusion:Early hospital discharge must be decided with parents and all the babies must be reevaluated in fi rst week.

show abstract

“…The historical success of such alternative care provisions as home visits common during World War II suggest that the e¡ectiveness of follow-up programs in the current health care environment needs to be studied. The timing of follow-up care may be more critical than the timing of hospital discharge (Jackson et al, 2000). As such, more information is needed to evaluate the quantity and quality of follow-up care and its e¡ects on maternal and newborn outcomes.…”

Section: Implications and Recommendationsmentioning

confidence: 99%

Early Hospital Discharge in Maternal and Newborn Care

Fink

2011

Journal of Obstetric, Gynecologic & Neonatal Nursing

View full text Add to dashboard Cite

Problem Identification in Apparently Well Neonates: Implications for Early Discharge

Cited by 25 publications

References 35 publications

Infection remains a leading cause of neonatal mortality among infants delivered at a tertiary hospital in Karachi, Pakistan

Infection remains a leading cause of neonatal mortality among infants delivered at a tertiary hospital in Karachi, Pakistan

The First Day of Healthy Newborns Early Hospital Discharge and Causes of Readmission to Hospital

Early Hospital Discharge in Maternal and Newborn Care

Contact Info

Product

Resources

About