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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Care
  • Public Health

Background:

  • Hospital length of stay (LOS) after birth impacts healthcare costs and resource utilization.
  • Optimizing discharge timing is crucial for maternal and infant well-being.
  • Understanding factors influencing early discharge is key to safe and efficient newborn care.

Purpose of the Study:

  • To evaluate the feasibility of shortening hospitalization length of stay (LOS) for newborns.
  • To identify patient characteristics associated with early discharge.
  • To assess the effect of early discharge on newborn readmission rates.

Main Methods:

  • Retrospective chart review of live births between April 1, 2020, and December 31, 2020.
  • Analysis of delivery mode, maternal, and newborn characteristics influencing discharge timing.
  • Review of hospital readmissions within 7 days of discharge.

Main Results:

  • 69.7% of 845 newborns were discharged early (<48 hours for vaginal delivery, <72 hours for cesarean delivery).
  • Factors associated with early discharge included cesarean delivery, later birth times, absence of maternal diabetes, and negative maternal COVID-19 status.
  • The 7-day readmission rate was low (1.2% overall, 0.5% for early VD discharge).

Conclusions:

  • Early newborn discharge is achievable for the majority of infants.
  • Shortening hospital length of stay does not appear to increase the risk of early newborn readmission.
  • Further research can refine criteria for safe early discharge protocols.