RETIRED: Postpartum Maternal and Newborn Discharge

Cargill, Yvonne; Martel, Marie-Jocelyne; MacKinnon, Catherine Jane; Arsenault, Marc-Yvon; Bartellas, Elias; Daniels, Sue; Gleason, Tom; Iglesias, Stuart; Kleín, Michael C.; Roggensack, Ann; Wilson, Ann Kathleen

doi:10.1016/s1701-2163(16)32444-6

Cited by 17 publications

(9 citation statements)

References 10 publications

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“…In developed countries, the recommended postpartum hospital stay is 48 hours for uncomplicated vaginal delivery (19). Discharge from hospital before 24 hours of delivery has been associated with higher neonatal morbidity and mortality (20-21). State governments in India have recently issued administrative guidelines advising discharge after 24 hours.…”

Section: Discussionmentioning

confidence: 99%

oxytoComparison of Domiciliary and Institutional Delivery-care Practices in Rural Rajasthan, India

Iyengar

Suhalka

et al. 2009

J Health Popul Nutr

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A retrospective cross-sectional survey was conducted to assess key practices and costs relating to home-and institutional delivery care in rural Rajasthan, India. One block from each of two sample districts was covered (estimated population-279,132). Field investigators listed women who had delivered in the past three months and contacted them for structured case interview. In total, 1,947 (96%) of 2,031 listed women were successfully interviewed. An average of 2.4 and 1.7 care providers attended each home-and institutional delivery respectively. While 34% of the women delivered in health facilities, modern care providers attended half of all the deliveries. Intramuscular injections, intravenous drips, and abdominal fundal pressure were widely used for hastening delivery in both homes and facilities while post-delivery injections for active management of the third stage were administered to a minority of women in both the venues. Most women were discharged prematurely after institutional delivery, especially by smaller health facilities. The cost of accessing home-delivery care was Rs 379 (US$ 8) while the mean costs in facilities for elective, difficult vaginal deliveries and for caesarean sections were Rs 1,336 (US$ 30), Rs 2,419 (US$ 54), and Rs 11,146 (US$ 248) respectively. Most families took loans at high interest rates to meet these costs. It is concluded that widespread irrational practices by a range of care providers in both homes and facilities can adversely affect women and newborns while inadequate observance of beneficial practices and high costs are likely to reduce the benefits of institutional delivery, especially for the poor. Government health agencies need to strengthen regulation of delivery care and, especially, monitor perinatal outcomes. Family preference for hastening delivery and early discharge also require educational efforts.

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Section: Discussionmentioning

confidence: 99%

oxytoComparison of Domiciliary and Institutional Delivery-care Practices in Rural Rajasthan, India

Iyengar

Suhalka

et al. 2009

J Health Popul Nutr

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“…Mothers who have difficulty accessing primary care may turn to emergency rooms or may forego health care, resulting in progression of illness in the infant and admission to hospital. This consistency lends support to the recommendation, from the Society of Obstetricians and Gynaecologists of Canada, for after birth follow up programs to take into account length of postpartum hospital stay [31]. In addition, follow-up programs may be most effective if they take into account mothers feelings about length of hospital stay, as mothers who report ‘too short’ stays may feel unprepared to take care of their infant, even if they have lengthy objectively measured stays.…”

Section: Discussionmentioning

confidence: 53%

Factors associated with difficulty accessing health care for infants in Canada: mothers’ reports from the cross-sectional Maternity Experiences Survey

et al. 2016

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BackgroundApproximately 13% of Canadian mothers report difficulty accessing health care for their infants, yet little is known about the factors associated with difficulty. Therefore, we examined factors associated with difficulty accessing non-routine health care for Canadian infants, from birth to 14 months of age, as reported by their mothers.MethodsData was drawn from the Maternity Experiences Survey (MES), a cross-sectional, nationally representative survey of mothers who gave birth between November 2005 and May 2006, aged 15 years or older, and lived with their infants at the time of survey administration. A multivariable logistic regression analysis was conducted to determine factors associated with reporting difficulty, with difficulty defined as a mother reporting it being somewhat or very difficult to access a health care provider.ResultsAnalysis of 2832 mothers who reported needing to access a health care provider for their infant for a non-routine visit found that 13% reported difficulty accessing a provider. Factors associated with reporting difficulty were: residing in Quebec (aOR 1.89, 95% CI: 1.31–2.73), being an immigrant (aOR 1.58, 95% CI: 1.10–2.27), mistimed pregnancy (aOR 1.44, 95% CI: 1.05–1.98), low level of social support (aOR 1.69, 95% CI: 1.05–2.73), good health (aOR 1.88, 95% CI: 1.43–2.47), postpartum depression symptoms (aOR 1.55, 95% CI: 1.02–2.37) and a self-reported ‘too-short’ postpartum hospital stay (aOR 1.69, 95% CI: 1.21–2.35). Additionally, accessing care for an infant with a birth weight of 2500 g or more (aOR 2.43, 95% CI: 1.02–5.82), was associated with reporting difficulty. Household income, mothers’ level of education, marital status, Aboriginal ethnicity, and size of community of residence were not associated with difficulty accessing care.ConclusionsEase of health care access for Canadian infants is not equal, suggesting that efforts to improve access should be tailored to groups facing increased difficulties.

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“…The increasing number of cesarean section affected length of hospital stay with longer wound healing and possibility to stay in hospital due to surgical intervention complication. 1,13 Hypertension in pregnancy is one of the major maternal mortality causes. In our study, all subejcts experienced chronic hypertension, and we found that the mean systolic blood pressure in ≥ 5 days length of hospital stay group was 171.61±24.05 mmHg and mean of diastolic blood pressure 108.89±12.98 mmHg.…”

Section: Discussionmentioning

confidence: 99%

“…In Marianne study, they reported that sociodemographic factors of pregnant women influenced the length of hospital stay, where as Watt et al reported that there was significant increase in longer hospital care period in mother and her baby, experiencing prepartal and postpartal complication. [11][12][13]…”

Section: Discussionmentioning

confidence: 99%

“…Whereas in Watt et al reported significant increase for longer care for mother and baby experiencing the complication in pre-and post delivery. [11][12][13] Management and care in eclamptic patients are expected to decrease and prevent the complication and shortened length of stay of eclamptic patients in hospital. Parameter performed in this study is to use blood study result in eclamptic patients.…”

Section: Introductionmentioning

confidence: 99%

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Multiple Factors Affecting Length of Hospital Postpartal Care in Eclampsia Patients

Dianty¹

2016

Indones J Obstet Gynecol

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Objective: To identify any factors that could cause longer care at hospitals in eclampsia patients. Methods: It was a retrospective, cross sectional study design and conducted in Dr. Mohammad Hoesin Hospital Palembang from January 2005 to December 2009. This research conducted in 176 samples divided into 2 groups namely short-stay group (1-5 days) with 92 patients and longer stay group (≥ 5 days) with 87 patients, with mean length of hospital stay 5.41±3.43 days. Results: The most common mode of delivery in the group who stayed ≥ 5 days was cesarean section (44.8%), while the most common delivery route in the group who stayed < 5 days was forceps extraction (43.5%). The mean thrombocytes count in the longer stay group was lower than in the short-stay group (213459.77±108391.81 vs 258945.65±92213.24 mm3), which was significantly different (p=0.003). Ureum and LDH concentration in longer stay group was higher, and statistic test was found to be significantly different (p

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RETIRED: Postpartum Maternal and Newborn Discharge

Cited by 17 publications

References 10 publications

oxytoComparison of Domiciliary and Institutional Delivery-care Practices in Rural Rajasthan, India

oxytoComparison of Domiciliary and Institutional Delivery-care Practices in Rural Rajasthan, India

Factors associated with difficulty accessing health care for infants in Canada: mothers’ reports from the cross-sectional Maternity Experiences Survey

Multiple Factors Affecting Length of Hospital Postpartal Care in Eclampsia Patients

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