Individualized follow up programme and early discharge in term neonates

Ital J Pediatr. 2014 Jul 15:40:70. doi: 10.1186/1824-7288-40-70.

Abstract

Background: Early discharge of mother/neonate dyad has become a common practice, and its effects are measured by readmission rates. We evaluated the safety of early discharge followed by an individualized Follow-up programme and the efficacy in promoting breastfeeding initiation and duration.

Methods: During a nine-month period early discharge followed by an early targeted Follow-up was carried out in term neonates in the absence of weight loss <10% or hyperbilirubinaemia at risk of treatment. Follow-up visits were performed at different timepoints with a specific flow-chart according to both bilirubin levels and weight loss at discharge.

Results: During the study period early discharge was performed in 419 neonates and Follow-up was carried out in 408 neonates (97.4%). No neonates required readmission for hyperbilirubinaemia and dehydration during the first 28 days of life. Breastfeeding rate was 90.6%, 75.2%, 41.5% at 30, 90 and 180 days of life, respectively. A six-month phone interview was performed for 383 neonates (93.8%) and satisfaction of parents about early discharge was high in 345 cases (90.1%).

Conclusions: Early discharge in association with an individualized Follow-up programme resulted safe for the neonate and effective for breastfeeding initation and duration.

Publication types

  • Observational Study

MeSH terms

  • Bilirubin / blood
  • Body Weight
  • Breast Feeding / statistics & numerical data
  • Continuity of Patient Care*
  • Feedback
  • Follow-Up Studies
  • Hospitals, Religious
  • Hospitals, University
  • Humans
  • Infant
  • Infant, Newborn
  • Italy
  • Parents
  • Patient Discharge*
  • Patient Satisfaction
  • Term Birth*

Substances

  • Bilirubin