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Maternity care options influence readmission of newborns

Ellberg, Lotta; Hogberg, Ulf; Lundman, Berit; Källén, Karin LU ; Hakansson, Stellan and Lindh, Viveca (2008) In Acta Pædiatrica 97(5). p.579-583
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
post-natal, mortality, morbidity, infant, length of stay
in
Acta Pædiatrica
volume
97
issue
5
pages
579 - 583
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • wos:000254988600014
  • scopus:41749088514
ISSN
1651-2227
DOI
10.1111/j.1651-2227.2008.00714.x
language
English
LU publication?
yes
id
0b2478f5-0768-438a-963e-dc3e6e526717 (old id 1206556)
date added to LUP
2008-08-28 14:06:36
date last changed
2017-04-09 03:46:37
@article{0b2478f5-0768-438a-963e-dc3e6e526717,
  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.},
  author       = {Ellberg, Lotta and Hogberg, Ulf and Lundman, Berit and Källén, Karin and Hakansson, Stellan and Lindh, Viveca},
  issn         = {1651-2227},
  keyword      = {post-natal,mortality,morbidity,infant,length of stay},
  language     = {eng},
  number       = {5},
  pages        = {579--583},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Pædiatrica},
  title        = {Maternity care options influence readmission of newborns},
  url          = {http://dx.doi.org/10.1111/j.1651-2227.2008.00714.x},
  volume       = {97},
  year         = {2008},
}