[Effectiveness of an early discharge program after normal childbirth]

Area of Science:

• Obstetrics and Gynecology
• Maternal-Newborn Health
• Healthcare Management

Background:

• Early hospital discharge programs aim to optimize resource utilization and patient flow.
• Implementing such programs requires careful consideration of clinical safety and patient experience.

Purpose of the Study:

• To evaluate the effectiveness, clinical safety, and patient acceptability of an early discharge program following uncomplicated births.
• To assess the impact of the program on hospital stay duration and continuity of care.

Main Methods:

• A descriptive study was conducted from February 2012 to September 2013 at the University Hospital of Fuenlabrada.
• Inclusion criteria targeted postpartum women and newborns following uncomplicated deliveries within 24 hours.
• Effectiveness was monitored via safety indicators, productivity, adaptation, and continuity of care; patient satisfaction was measured using a Likert scale.

Main Results:

• The program was completed by 20% of eligible cases, primarily normal deliveries (94%).
• Mean hospital stay decreased by 50% (from 2.4 to 1.2 days).
• Patient satisfaction scored 4.5/5, with 2% readmissions and 4 newborns requiring emergency attention within 96 hours.

Conclusions:

• The early discharge program successfully reduced average hospital stay by 50% and enhanced midwife autonomy.
• High patient acceptance and manageable safety indicators support the program's effectiveness.
• This model offers potential for broader application in modifying obstetric care processes.