Individualized follow up programme and early discharge in term neonates

Italian Journal of Pediatrics

Costantino Romagnoli¹  Antonio Alberto Zuppa¹  Serena Antonia Rubortone¹  Serafina Lacerenza¹  Elisabetta Valente¹  Carmen Cocca¹  Maria Pia De Carolis¹ 

[1] Department of Paediatrics, Division of Neonatology, Catholic University of Sacred Heart, Largo A. Gemelli, 8, Rome 00168, Italy

关键词: Rehospitalization;    Weight loss;    Hyperbilirubinemia;    Neonate;    Follow-up;    Early discharge;   

Others  :  1233424
DOI  :  10.1186/1824-7288-40-70

 received in 2014-02-27, accepted in 2014-06-30,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 De Carolis et al.; licensee BioMed Central Ltd.

【 图 表 】

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