Re: [PHISHING]: Re: When Is The Right Time To Leave The Hospital After Giving Birth?
From: ainsron (ainsron@sbcglobal.net)
Tue Aug 21 18:46:56 2007
Reminds me of the issues we faced with HMOs a few years ago, requiring that
all patients be discharged at 24 hours postpartum, unless we had
"documentation" that showed a medical need to stay. Took lots of complaints
and an act of the legislature to provide 48 hours for vaginal deliveries and
96 hours for cesarean births. It doesn't take rocket scientists to discover
that patients recover at different rates, their home situations are
different, their ability to adapt to the stress of a new child is different,
and (gasp) the children's needs and medical conditions are different.
Ronald E. Ainsworth, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry
Gregor
Sent: Tuesday, August 21, 2007 4:10 PM
To: Multiple recipients of list OB-GYN-L
Subject: [PHISHING]: Re: When Is The Right Time To Leave The Hospital After
Giving Birth?
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Amazing it takes a study to come to such a conclusion...what next, a study
that concludes different strokes for different folks? Gosh I hope we can get
enough federal and tax exempt foundation dollars invested into a followup.
H
GIN11153@aol.com wrote:
15 Aug 2007
Since there is no "one size fits all" answer to readiness for discharge
after delivering a baby, the "Life Around Newborn Discharge" (LAND) study is
the first ever to examine the decision-making of over 4,000 mothers and
their pediatricians, and obstetricians about postpartum discharge and to
identify which factors most related with mother-infant pairs readiness to
leave the hospital. The significant factors associated with unreadiness
included mother's race, history of chronic disease, inadequate prenatal
care, delivering during nonroutine hours, newborn having problems in the
hospital, being a first-time mom, intent to breastfeed, and if she received
only limited in-hospital education.
The study results suggest that the mother and the clinicians caring for her
and her infant must make the postpartum discharge decision together, as
perceptions of readiness at the time of discharge often differ. In addition,
clinicians should pay close attention to specific characteristics about the
mother (for example, whether or not she is a first-time mother and whether
or not she is breastfeeding) and should emphasize in-hospital education in
order to personalize discharge plans and maximize chances for a positive
experience at home.
The American Academy of Pediatrics is an organization of 60,000 primary care
pediatricians, pediatric medical subspecialists and pediatric surgical
specialists dedicated to the health, safety and well being of infants,
children, adolescents and young adults.
American Academy of Pediatrics <http://www.aap.org/>
_____
Article URL: http://www.medicalnewstoday.com/articles/79682.php
Gail Neuman RNC CPHW
student midwife and student nurse practitioner
certified high risk OB
Perinatal Nurse Associates
801 N. Tustin Ave., Suite 305
Santa Ana, CA 92705
(714) 314-7070
(714) 838-1479 fax
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