Abstract
Background
All neonates have free open access to the Baby Clinic at the maternity hospitals in Dublin for assessment of neonatal health issues.Through observation, however there is an increase in number of neonates attending the hospital outside the Baby Clinic hours.
Aims
To determine the number of neonates attending the acute neonatal service out of hours and to identify the percentage of neonates treated as true emergency
Methods
Retrospective chart review over a twelve-month period.
Results
Seven hundred and thirty-two neonates attended the hospital out of hours.The majority were diagnosed with gastrointestinal problems (228 / 31%), jaundice (101 /13.7%), respiratory problems (82 /11.1%) and skin disorders (79 /10.7%). Only 106 (14.4%) attendances warranted admissions.
Conclusions
A large number of neonatal attendances did not require acute assessment out of hours and were managed by reassurance and maternal education. A centralized phone-in-triage system was suggested to relieve the strain on the acute neonatal service.
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References
Escobar GJ, Greene JD, Hulac P, et al. Rehospitalisation after birth: patterns among infants of all gestations.Arch Dis Child 2005; 90(2):125–31.
Oddie SJ, Hammal D, Richmond S, Parker L Early discharge and readmission to hospital in the first month of life in the Northern Region of the UK during 1998: a case cohort study.Arch Dis Child 2005; 90(2):119–24.
Scott-Jupp R. Readmission of neonates.Arch Dis Child 2005;90(2):111–2.
Nelson E, Brannagain DO, McCabe B, Moran D. The six week postnatal check: women’s choice of service provider.Ir Med J 2002; 95(10): 302–4.
Cappleman J. Community neonatal nursing work.J Adv Nurs 2004; 48(2):167–74.
Walton DM, Edwards MC. Nationwide survey of paediatric residency training in newborn medicine: preparation for primary care practice.Paediatrics 2002; 1106):1081–7
Peters R, Sikorski R. Paediatrics on the PC.JAMA 1998; 279(19):1583–4.
Poole SR, Schmitt BD, Carruth T, Peterson-Smith A, Slusarski M. After hours telephone coverage: the application of an area-wide telephone triage and advice system for paediatric practices.Paediatrics 1993; 92(5):670–9.
http://www.nhsdirect.nhs.uk
Danielsen B, Castles AG, Damberg CL, Gould JB. Newborn discharge timing and readmissions: California, 1992–1995.Paediatrics 2000; 106(1 Pt 1):31–9.
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Wong, L.F.A., Lim, K.T., Twomey, A. et al. A review of neonatal attendances out of hours in a Dublin maternity hospital. Ir J Med Sci 175, 62–65 (2006). https://doi.org/10.1007/BF03167970
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DOI: https://doi.org/10.1007/BF03167970