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Zeitige Entlassung aus dem Krankenhaus nach der Geburt wird als Entlassung der Mutter und des Kindes innerhalb von 48 Stunden nach der Geburt definiert.
Die Länge des Krankenhausaufenthalts nach der Geburt hat sich in den USA während der letzten Jahrzehnte allmählich verkürzt. Anfangs auf Grund der Nachfrage einer Verringerung der medizinischen Eingriffe im Zusammenhang mit Geburt und später, um Kosten zu senken. Eine ähnliche allmähliche Verkürzung des Krankenaufenthalts nach der Geburt ereignete sich auch in Kanada. Eine zeitige Entlassung trat auch in Großbritannien und Australien auf. Dieses Verfahren ist ein Streitpunkt The length of postpartum stay in hospital decreased gradually over several decades in the US, initially because of consumer desire for a reduction in medical intervention associated with childbirth, and later in an effort to reduce costs.[1] A similar gradual shortening of postpartum hospital stays occurred in Canada.[2] Early discharge has also occurred in the UK[3] and Australia.[4]
There has been controversy over the practice[5] [6] [7] and the relationship with followup care, cost and maternal and newborn health may be complex.[8][9][10] A 1995 review found that available studies were insufficient to shed much light on the consequences.[11] A study concluded that early discharge is safe if it is part of a program involving postnatal care outside the hospital.[7]
References
[edit]- ^ (Commentary), A. P. (February 2001). "Early Postpartum Discharge: Recommendations From a Preliminary Report to Congress". Pediatrics. 107 (2): 400–403. doi:10.1542/peds.107.2.400. PMID 11158474. Retrieved 2009-07-04.
- ^ Society of Obstetricians and Gynaecologists of Canada (April 2007). "Postpartum maternal and newborn discharge" (PDF). SOGC Policy Statement (190). Retrieved 2009-07-04.
The length of stay in hospital postpartum has been steadily decreasing over the last 50 years.
- ^ Oddie, S. J.; Hammal, D.; Richmond, S.; Parker, L. (2005). "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". Archives of Disease in Childhood. 90 (2): 119–124. doi:10.1136/adc.2003.040766. PMC 1720274. PMID 15665161. Retrieved 2009-07-04.
{{cite journal}}: CS1 maint: date and year (link) - ^
Hickey, Anthea R. (1997). "Early discharge and risk for postnatal depression". Medical Journal of Australia. 167 (5): 244–247. doi:10.5694/j.1326-5377.1997.tb125047.x.
{{cite journal}}: Unknown parameter|coauthors=ignored (|author=suggested) (help) - ^ Britton, John R.; Helen L. Britton MD; Susan A. Beebe MD (1994). "Early discharge of the term newborn: A continued dilemma". Pediatrics. 94 (3): 291–295. doi:10.1542/peds.94.3.291. PMID 8065852. Retrieved 2009-07-04.
- ^ Parisi, V. M.; Meyer, BA (December 1995). "To Stay or Not to Stay? That is the Question". New England Journal of Medicine. 333 (24): 1635–1637. doi:10.1056/NEJM199512143332412. PMID 7477203. Retrieved 2009-07-04.
- ^ a b Dershewitz, Robert; Marshall, Richard (October 1995). "Controversies of early discharge of infants from the well-newborn nursery". Current Opinion in Pediatrics. 7 (5): 494–501. doi:10.1097/00008480-199510000-00003. PMID 8541948. Retrieved 2009-07-04.
- ^ Marbella, Anne M.; Veerappa K. Chetty; Peter M. Layde (1988). "Neonatal Hospital Lengths of Stay, Readmissions, and Charges". Pediatrics. 101 (1): 32–36. doi:10.1542/peds.101.1.32. PMID 9417147. Retrieved 2009-07-04.
- ^ Maisels, Jeffrey; Elizabeth Kring (1997). "Early Discharge From the Newborn Nursery---Effect on Scheduling of Follow-up Visits by Pediatricians". Pediatrics. 100 (1): 72–74. doi:10.1542/peds.100.1.72. PMID 9200362. Retrieved 2009-07-04.
- ^ Grupp-Phelan, Jacqueline; James A. Taylor; Lenna L. Liu; Robert L. Davis (1999). "Early Newborn Hospital Discharge and Readmission for Mild and Severe Jaundice". Arch Pediatr Adolesc Med. 153 (12): 1283–1288. doi:10.1001/archpedi.153.12.1283. PMID 10591307. Retrieved 2009-07-04.
- ^ Braveman, Paula; Susan Egerter; Michelle Pearl; Kristen Marchi; Carol Miller (1995). "Early Discharge of Newborns and Mothers: A Critical Review of the Literature". Pediatrics. 96 (4): 716–726. doi:10.1542/peds.96.4.716. PMID 7567337. Retrieved 2009-07-04.
Category:Infancy Category:Health policy Category:Maternal health
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