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Acta Paediatr. 2008 May;97(5):579-83. doi: 10.1111/j.1651-2227.2008.00714.x.

Maternity care options influence readmission of newborns.

Author information

1
Obstetrics and Gynecology, Department of Clinical Science Umeå University, Umeå, Sweden. lotta.ellberg@obgyn.umu.se

Abstract

AIM:

To analyse morbidity and mortality in healthy newborn infants in relation to various routines of post-natal follow-up.

DESIGN:

cross-sectional study.

SETTING:

maternity care in Sweden.

POPULATION:

healthy infants born at term between 1999 and 2002 (n = 197,898).

METHODS:

Assessment of post-natal follow-up routines after uncomplicated childbirth in 48 hospitals and data collected from the Swedish Medical Birth Register, Hospital Discharge Register and Cause-of-Death Register.

MAIN OUTCOME MEASURE:

neonatal mortality and readmission as proxy for morbidity.

RESULTS:

During the first 28 days, 2.1% of the infants were readmitted generally because of infections, jaundice and feeding-related problems. Infants born in hospitals with a routine neonatal examination before 48 h and a home care programme had a readmission rate [OR, 1.3 (95% CI, 1.16-1.48)] higher than infants born in hospitals with routine neonatal examination after 48 h and 24-h care. There were 26 neonatal deaths.

CONCLUSION:

Post-delivery care options and routines influence neonatal morbidity as measured by hospital readmission rate. A final infant examination at 49-72 h and an active follow-up programme may reduce the risk of readmission.

[Indexed for MEDLINE]

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