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19:15
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
90.5K
Individualized follow up programme and early discharge in term neonates
Maria Pia De Carolis1, Carmen Cocca, Elisabetta Valente
1Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Largo A, Gemelli, 8, Rome 00168, Italy. mpia.decarolis@rm.unicatt.it.
Italian Journal of Pediatrics
|July 16, 2014
Summary
Early discharge for newborns, combined with individualized follow-up, is safe and promotes breastfeeding initiation and duration. This approach effectively reduces readmissions for common neonatal issues.
Area of Science:
- Neonatal care
- Public health
- Pediatrics
Background:
- Early mother/neonate discharge is common, with readmission rates as a key metric.
- Evaluating the safety and breastfeeding efficacy of early discharge programs is crucial.
Purpose of the Study:
- To assess the safety of early mother/neonate discharge.
- To determine the efficacy of an individualized follow-up program in promoting breastfeeding initiation and duration.
Main Methods:
- A nine-month study involving early discharge for term neonates without significant weight loss or hyperbilirubinemia risk.
- Follow-up visits utilized a specific flowchart based on bilirubin levels and weight loss at discharge.
Main Results:
- Early discharge was performed in 419 neonates, with 97.4% receiving follow-up.
- No readmissions for hyperbilirubinemia or dehydration occurred within 28 days.
- High breastfeeding rates (90.6% at 30 days) and parental satisfaction (90.1%) were observed.
Conclusions:
- Individualized follow-up programs enhance the safety of early mother/neonate discharge.
- This integrated approach effectively supports breastfeeding initiation and duration.
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