-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: early discharge From: Natalie Melanson Martin (nmelanson@personainternet.com) Tue Nov 29 09:28:01 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ENDODOK@aol.com: "Re: Dr.Klein, where are you" Previous message: Ana : "Re: Medical ethics; changing doctor patients relationship, past present and future"" Maybe in reply to: igold@cox.net: "early discharge" In Ontario (Canada!), women who birth in hospital are discharged at 3 hours postpartum. Provided, of course, we have no concerns regarding bleeding, baby's well-being, etc. GBS positive mothers stay in for 24 hours if adequate (over 4 hours) GBS prophylaxis, 48 hours if not. Women who get an epidural stay in at least 12 hours. We wheel them down to the car ourselves. They know to page if they have concerns. They are seen at home 12-24 hours after the birth, day 2 is a phone check-in, days 3 and 5 or 6 are home visits, then usually in the office at 2, 4 and 6 weeks - all adapted to the mother's needs, some women need more visits, some need less. C-sections are often a 48 hr discharge, as the doctors know we will be seeing them at home. In the 11 years since legislation, we have had at our practice one readmission for a woman who started hemorrhaging when she got home after 3hr discharge - it resolved by the time she got back to the hospital. Most common reason for readmission in the first week is hyperbilirubinemia. Problems with breastfeeding of course are addressed at home. This follow-up is one of the big reasons women really appreciate our care. Natalie Melanson, RM Ontario >----- Original Message ----- From: igold@cox.net To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Monday, November 28, 2005 1:24 PM Subject: early discharge > When I did homebirths, we left at 2 hours postpartum as long as mom and > baby were stable. As a CNM I was trained to and did the newborn exam. > Occaisionally I'd have a phone call from a nervous mom, but usually I > didn't have any contact until I returned to the home between 48 and 72 > hours. At that time I did the metabolic screen, and a check up on mom and > baby. Ingrid Gold, CNM >> >> From: GA12L@aol.com >> Date: 2005/11/28 Mon PM 12:18:07 EST >> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >> Subject: Re: C/sections on demand >> >> In a message dated 28/11/2005 17:01:03 GMT Standard Time, >> RModugno@aol.com >> writes: >> >> Do you EVER have any re-admissions for any problems? Are they routinely >> seen >> by the 'district midwives' postpartum? >> >> Very occasionaly mostly for breastfeeding help. The only ones that seem >> to >> re admitted with problems are sections but they really are very few and >> far >> between. >> >> All women are seen by community midwives from the day following >> discharge >> for a minimum of 10 days but not every day and a maximum of 28 days but >> that is >> changing to amybe 2 or 3 months and will include the midwife doing the >> 6 >> week postnatal exam of woman and baby. >> >> Gail >> > Next message: ENDODOK@aol.com: "Re: Dr.Klein, where are you" Previous message: Ana : "Re: Medical ethics; changing doctor patients relationship, past present and future"" Maybe in reply to: igold@cox.net: "early discharge"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Fri May 2 04:42:35 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.