Maternity care options influence readmission of newborns
Lotta Ellberg1, Ulf Högberg, Berit Lundman
1Obstetrics and Gynecology, Department of Clinical Science Umeå University, Umeå, Sweden. lotta.ellberg@obgyn.umu.se
Aim:
To analyse morbidity and mortality in healthy newborn infants in relation to various routines of post-natal follow-up.
Design:
cross-sectional study.
Setting:
maternity care in Sweden.
Population:
healthy infants born at term between 1999 and 2002 (n = 197,898).
Methods:
Assessment of post-natal follow-up routines after uncomplicated childbirth in 48 hospitals and data collected from the Swedish Medical Birth Register, Hospital Discharge Register and Cause-of-Death Register.
Main Outcome Measure:
neonatal mortality and readmission as proxy for morbidity.
Results:
During the first 28 days, 2.1% of the infants were readmitted generally because of infections, jaundice and feeding-related problems. Infants born in hospitals with a routine neonatal examination before 48 h and a home care programme had a readmission rate [OR, 1.3 (95% CI, 1.16-1.48)] higher than infants born in hospitals with routine neonatal examination after 48 h and 24-h care. There were 26 neonatal deaths.
Conclusion:
Post-delivery care options and routines influence neonatal morbidity as measured by hospital readmission rate. A final infant examination at 49-72 h and an active follow-up programme may reduce the risk of readmission.
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