Early discharge from hospital after caesarean section at Chris Hani Baragwanath Hospital

South African Journal of Obstetrics and Gynaecology

N Pillay¹  Eckhart Johannes Buchmann¹ 

[1] University of the Witwatersrand

关键词: Caesarean section;    postpartum complications;   

DOI  :  

学科分类：农业科学（综合）

来源: South African Medical Association

【 摘 要 】

Objective: To determine the outcome of discharging mothers at low risk of postoperative complications, two days after caesarean section, without home visits.Design: Prospective descriptive study. Setting: Chris Hani Baragwanath Hospital postnatal ward. Participants: 98 women, at low risk for postoperative complications and are discharged two days after caesarean section.Methods: Women were approached two days after caesarean section. Their antenatal information, caesarean section details and contact numbers were documented. Fourteen days after discharge the women were contacted telephonically and asked a series of questions. Main outcomes: Rates of choosing early discharge again, maternal and infant re-admission, and wound complications. Results: There were three maternal readmissions, for endometritis, eclampsia and a sprained ankle. There was no infant readmission. Eighty eight women (89.8%) would again choose to have early discharge should they require another caesarean section in a future pregnancy. Nine (9.2%) experienced minor wound dehiscence and eight wounds (8.2%) were described as infected. Four of the wounds (4.1%) bled excessively. Thirteen women (13.2%) experienced some degree of wound pain. Conclusions: In this environment it appears safe to discharge low risk postoperative mothers two days after caesarean section without midwife visits or home follow-up.

【 授权许可】

Unknown