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Early postnatal discharge during COVID-19: A cross-sectional study
Wondyifraw Yeshitila Tesfaye1, Bekelu Teka Worku2
1School of Medicine, Institute of Health, Jimma University, Jimma, Ethiopia.
Insights
Early postnatal discharge was high in Jimma Health Centers during COVID-19, with 81% of women discharged early. Factors like education and proximity to the facility influenced discharge timing, potentially reducing virus exposure.
Area of Science:
- Public Health
- Epidemiology
- Maternal Health
Background:
- Global reduction in postnatal hospital stays during COVID-19 pandemic.
- Limited data on early postnatal discharge trends in developing nations.
- Need to assess early discharge prevalence in specific contexts like Jimma Health Centers.
Purpose of the Study:
- To determine the prevalence of early postnatal discharge among women in Jimma Health Centers during the COVID-19 pandemic.
- To identify factors associated with early postnatal discharge in this population.
Main Methods:
- Facility-based cross-sectional study conducted from February to March 2021.
- Sample size calculated using the single population proportion formula.
- Data analyzed using multivariable regression to identify associated factors (p < 0.05).
Main Results:
- A high prevalence of early postnatal discharge (81.0%) was observed among 390 women.
- Factors negatively associated with early discharge included elementary education, planning for postnatal care, awareness of danger signs, and spousal involvement.
- Proximity to the health facility (walking distance < 30 minutes) was positively associated with early discharge.
Conclusions:
- Early postnatal discharge is prevalent in Jimma Health Centers, potentially mitigating COVID-19 transmission risks.
- Further research is recommended to distinguish between COVID-19-related and other reasons for early discharge.
Introduction:
Postnatal hospital stay is decreased by 30% during COVID-19 in developed countries. However, there is paucity of data in developing countries. Hence, this study aims to assess the prevalence of early postnatal discharge during COVID-19 in Jimma Health Centers.
Methods:
Facility-based cross-sectional study was conducted from 1 February to 30 March 2021. Sample was calculated using single population proportion formula and allocated proportionally to the health centers. Data were interred into Epidata version 3.1 and exported to SPSS version 22.0 for analysis. Multivariable regression was done to identify associating factors at p < 0.05.
Result:
Three hundred ninety women were included into study making a response rate of 96.8%. Early discharge prevalence was 316 (81.0%). Attending elementary school adjusted odds ratio = 0.26 (confidence interval = 0.087-0.798), plan for postnatal care within a week adjusted odds ratio = 0.410 (confidence interval = 0.221-0.760), knowing postnatal maternal danger sign adjusted odds ratio = 0.258 (confidence interval = 0.141-0.473), women adjusted odds ratio = 0.421 (confidence interval = 0.211-0.838), or husband adjusted odds ratio = 0.051 (confidence interval = 0.014-0.186) made decision of discharge were negatively and distance on foot <30 min adjusted odds ratio = 3 (confidence interval = 1.121-8.058) was positively associated with early discharge significantly.
Conclusion:
This study has identified early postnatal discharge is high which can contribute to reduce the risk of acquiring COVID-19. However, the authors recommend further study to differentiate whether early discharge is due to COVID-19 or other reasons.
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