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Canadian Journal of Public Health

, Volume 93, Issue 4, pp 276–280 | Cite as

Early Discharge of Alberta Mothers Post-delivery and the Relationship to Potentially Preventable Newborn Readmissions

  • David JohnsonEmail author
  • Yan Jin
  • Corrine Truman
Article

Abstract

Objective: To determine whether early maternal discharge increases newborn readmission rates.

Methods: Singleton vaginal deliveries weighing at least 2500 grams were extracted from April 1, 1997 to March 31, 2000 Alberta hospital abstracts and linked to records of birth. Potentially preventable readmissions were for dehydration, jaundice, feeding problems, inadequate weight gain, and social reasons.

Results: The most common reason for readmission is jaundice (74%). In order of importance, influencing factors were: length of gestation, Aboriginal treaty status, first live birth, delivering in region of residence, number of deliveries done in the hospital, newborn sex, maternal smoking, birthweight, previous abortions, and delivering in nearest hospital. Post-delivery length of stay was associated with readmissions in the first 6 days post discharge (25% greater in those <27 hours compared to those >48 hours) but not in the first 28 days post discharge.

Conclusion: Early maternal discharge is a minor determinant of potentially preventable newborn readmissions.

Résumé

Objectif: Déterminer si le congé précoce après l’accouchement accroît le taux de réadmission des nouveau-nés.

Méthode: Nous avons extrait des registres d’hôpitaux albertains les dossiers d’accouchements simples par voie vaginale où le nouveau-né pesait au moins 2 500 grammes, pour la période du 1er avril 1997 au 31 mars 2000, et nous les avons couplés à l’ensemble des naissances enregistrées. Les réadmissions évitables étaient des cas de déshydratation, de jaunisse, de problèmes d’alimentation, de gain de poids insuffisant et de problèmes d’ordre social.

Résultats: Le motif de réadmission le plus commun était la jaunisse (74 %). Les facteurs déterminants, par ordre d’importance, étaient la durée de la grossesse, le statut d’autochtone visé par un traité, la naissance d’un premier enfant vivant, l’accouchement dans la région de résidence, le nombre d’accouchements à l’hôpital, le sexe du nouveau-né, le tabagisme maternel, le poids à la naissance, les avortements antérieurs et l’accouchement à l’hôpital le plus proche. La durée d’hospitalisation après l’accouchement était associée aux réadmissions durant les six premiers jours suivant le congé (les réadmissions après un séjour de moins de 27 heures étaient de 25 % supérieures aux réadmissions après un séjour de plus de 48 heures), mais pas aux réadmissions durant les 28 premiers jours suivant le congé.

Conclusion: Le congé précoce des mères après la naissance est un déterminant mineur des réadmissions évitables de nouveau-nés.

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Copyright information

© The Canadian Public Health Association 2002

Authors and Affiliations

  1. 1.Department of Medicine, Anesthesia, Community Health and EpidemiologyUniversity of SaskatchewanSaskatoonCanada
  2. 2.Health Service UtilizationAlberta Health and WellnessEdmontonCanada

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