Early discharge of first-time parents and their newborn: A scoping review

Victoria Lindblad1, Pernille S Gaardsted2, Dorte Melgaard3,4

  • 1Department of Gynecology, Pregnancy and Childbirth, North Denmark Regional Hospital, Hjørring, Denmark.

Insights

Early discharge for new mothers and infants is influenced by parental education, information, and support systems. More research is needed to understand the outcomes of early postpartum discharge.

Area of Science:

  • Perinatal Health
  • Maternal-Newborn Outcomes
  • Healthcare Policy

Background:

  • Early discharge policies for mothers and newborns are increasingly common.
  • Evidence on factors influencing outcomes of early discharge is fragmented.
  • Understanding these factors is crucial for optimizing maternal and infant well-being.

Purpose of the Study:

  • To identify evidence on factors influencing outcomes of early discharge for healthy first-time mothers and newborns.
  • To synthesize findings from existing literature on early postpartum discharge.

Main Methods:

  • A comprehensive scoping review methodology was employed.
  • Systematic database searches and grey literature searches were conducted.
  • Data from 14 included studies were summarized and thematically analyzed.

Main Results:

  • Key influencing factors identified include parental education, perinatal information, support systems, and follow-up strategies.
  • Outcomes potentially affected by early discharge include breastfeeding, parental experience, and newborn readmission rates.
  • Heterogeneity in study methodologies limits the generalizability of findings.

Conclusions:

  • A significant gap exists in the literature regarding the outcomes of discharge within 24 hours after birth.
  • Future research with robust methodologies is required.
  • Standardized criteria, context, and intervention definitions are needed for future studies on early discharge.
Abstract

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