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Planning Nursing Care I

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Related Experiment Video

Updated: Jul 19, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

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Published on: September 30, 2020

Early discharge. Risks, benefits, and who decides

M Kiely1, M A Drum, W Kessel

  • 1Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Rockville, Maryland, USA.

Clinics in Perinatology
|October 21, 1998
PubMed
Summary

Early hospital discharge for mothers and newborns, while desired by families, has increased due to cost-cutting measures. This trend leads to potential issues like missed screenings and feeding difficulties, impacting infant health.

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Health Services Research

Background:

  • Hospital stays for mothers and newborns have significantly decreased from 7-10 days historically to approximately 2 days.
  • Early discharge was initially favored by consumers for a more natural birth experience and quicker return home.
  • Recent accelerations in shortening maternity stays are driven by insurance and managed care cost-containment efforts.

Purpose of the Study:

  • To examine the implications of decreasing hospital stay durations for postpartum mothers and newborns.
  • To identify potential adverse outcomes associated with early discharge trends.
  • To balance healthcare cost efficiency with the promotion of maternal and infant well-being.

Main Methods:

  • This study is a review of trends and reported outcomes in maternity care.
  • Analysis of historical data on hospital stay lengths.
  • Synthesis of literature on complications arising from early postpartum discharge.

Main Results:

  • Shorter hospital stays are linked to increased instances of missed newborn screenings, jaundice, feeding challenges, undetected congenital anomalies, and readmissions.
  • The trend, initially consumer-driven, is now largely influenced by healthcare economics.

Conclusions:

  • While cost containment is important, the primary goal must be to prevent morbidity and mortality in newborns and mothers.
  • Ensuring comprehensive care and follow-up is crucial despite shorter hospitalizations.
  • Promoting the overall health and well-being of the infant and family should guide discharge policies.