Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Postpartum hospital discharges -- when is the 'right time?'

08.08.2007
A landmark nationwide study, published today in the journal Pediatrics, is the first ever to prospectively examine the decision-making process of over 4,000 mothers and their physicians around the readiness of mothers and their infants to leave the hospital after childbirth.

The study, led by Dr. Henry “Hank” Bernstein M.D., Professor of Pediatrics at Dartmouth Medical School, and Chief of General Academic Pediatrics at Children's Hospital at Dartmouth (CHaD), is known as the “Life Around Newborn Discharge” or LAND study. It looked specifically at postpartum decision-making, with results showing that 17 percent of all mother-infant pairs were identified as “not ready”.

This study also identified those factors most related to the “unreadiness” of mother-infant pairs to leave the hospital. These included: being a first-time mother, being black and non-Hispanic, the mother’s history of chronic disease, inadequate prenatal care, delivering during non-routine hours, the newborn having problems while in the hospital, the mother’s intent to breastfeed, and whether or not there was adequate in-hospital education.

“Clinical decision-making regarding maternal and infant discharge is a subjective and contextual process that must take into account the perspectives of each person involved in the mothers’ and infants’ health care experience,” Bernstein says. “This suggests that the mother and the clinicians caring for her and her infant must make the postpartum discharge decision jointly.”

Hospital affiliates and offices of 451 practitioners from 112 Pediatric Research in Office Settings (PROS) practices conducted the LAND study nationwide. The aim was to address the lack of information regarding the postpartum decision-making process for healthy term newborns and its consequences during the neonatal period. Data were collected through self-administered questionnaires completed by the mother, pediatrician and obstetrician on the day of discharge. A mother-infant dyad was determined unready for postpartum discharge if at least one of the three informants perceived that either the mother or infant should stay longer.

Federal legislation — The Newborns’ and Mothers’ Health Protection Act of 1996 — requires insurance plans offering maternity coverage to pay for at least a 48-hour hospital stay following childbirth, or a 96-hour stay in the case of a cesarean section. While Bernstein says he understands the need for some agreed upon minimum length of stay, he cautions against a “one-size-fits-all” approach to readiness.

“A customized reflection of both the mother’s and her baby’s needs and concerns is required,” Bernstein says. “The length of postpartum stay is not the actual determinant of outcome, and the chronological clock is not necessarily what is important. The debate regarding postpartum hospital stays must be refocused toward a broadened scope of policy and clinical care considerations.”

Dr. Henry Bernstein | EurekAlert!
Further information:
http://www.dartmouth.edu/

More articles from Studies and Analyses:

nachricht New study from the University of Halle: How climate change alters plant growth
12.01.2018 | Martin-Luther-Universität Halle-Wittenberg

nachricht Disarray in the brain
18.12.2017 | Universität zu Lübeck

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Artificial agent designs quantum experiments

On the way to an intelligent laboratory, physicists from Innsbruck and Vienna present an artificial agent that autonomously designs quantum experiments. In initial experiments, the system has independently (re)discovered experimental techniques that are nowadays standard in modern quantum optical laboratories. This shows how machines could play a more creative role in research in the future.

We carry smartphones in our pockets, the streets are dotted with semi-autonomous cars, but in the research laboratory experiments are still being designed by...

Im Focus: Scientists decipher key principle behind reaction of metalloenzymes

So-called pre-distorted states accelerate photochemical reactions too

What enables electrons to be transferred swiftly, for example during photosynthesis? An interdisciplinary team of researchers has worked out the details of how...

Im Focus: The first precise measurement of a single molecule's effective charge

For the first time, scientists have precisely measured the effective electrical charge of a single molecule in solution. This fundamental insight of an SNSF Professor could also pave the way for future medical diagnostics.

Electrical charge is one of the key properties that allows molecules to interact. Life itself depends on this phenomenon: many biological processes involve...

Im Focus: Paradigm shift in Paris: Encouraging an holistic view of laser machining

At the JEC World Composite Show in Paris in March 2018, the Fraunhofer Institute for Laser Technology ILT will be focusing on the latest trends and innovations in laser machining of composites. Among other things, researchers at the booth shared with the Aachen Center for Integrative Lightweight Production (AZL) will demonstrate how lasers can be used for joining, structuring, cutting and drilling composite materials.

No other industry has attracted as much public attention to composite materials as the automotive industry, which along with the aerospace industry is a driver...

Im Focus: Room-temperature multiferroic thin films and their properties

Scientists at Tokyo Institute of Technology (Tokyo Tech) and Tohoku University have developed high-quality GFO epitaxial films and systematically investigated their ferroelectric and ferromagnetic properties. They also demonstrated the room-temperature magnetocapacitance effects of these GFO thin films.

Multiferroic materials show magnetically driven ferroelectricity. They are attracting increasing attention because of their fascinating properties such as...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

10th International Symposium: “Advanced Battery Power – Kraftwerk Batterie” Münster, 10-11 April 2018

08.01.2018 | Event News

See, understand and experience the work of the future

11.12.2017 | Event News

Innovative strategies to tackle parasitic worms

08.12.2017 | Event News

 
Latest News

Thanks for the memory: NIST takes a deep look at memristors

22.01.2018 | Materials Sciences

Radioactivity from oil and gas wastewater persists in Pennsylvania stream sediments

22.01.2018 | Earth Sciences

Saarland University bioinformaticians compute gene sequences inherited from each parent

22.01.2018 | Life Sciences

VideoLinks Wissenschaft & Forschung
Overview of more VideoLinks >>>