Darj E, Stålnacke B
Department of Women's and Children's Health, Uppsala University Hospital, Sweden.
Ups J Med Sci. 2000;105(1):57-66. doi: 10.1517/03009734000000047.
The aim of the present study was to investigate, in a descriptive study, how healthy women experienced early discharge from hospital, 6-12 hours, after normal deliveries. Expecting couples were prepared for early discharge during pregnancy. The women delivered at the University Hospital in Uppsala. All infants had two obligatory medical examinations, one before leaving the hospital and one for metabolic screening after four or five days. Both mothers and infants received postpartum care at home by midwives. One hundred and three women participated and answered a questionnaire four to five days after delivery. Twenty of the women were additionally interviewed by telephone four months after delivery. The average length of stay at the hospital after delivery was 8 hours. The families had, on average, 1.9 visits at home. All women considered that they had received sufficient care and advice from the midwives, although 40 percent felt uncertainty about something in the postpartum period. Questions frequently raised concerned breast-feeding. Two infants were readmitted to hospital due to mild neonatal hyperbilirubinemia. All but three women wanted to repeat very early discharge after a future uncomplicated delivery. Ninety-five percent of the women were still breast-feeding after four months. We conclude, that antenatal preparation and a well-organised, adequate postpartum home-care is of the greatest importance, to establish safe early discharge after uncomplicated deliveries. This concept of early discharge from hospital, with midwifery home care provided, is safe and appreciated by the new parents.
本研究的目的是在一项描述性研究中，调查健康女性在正常分娩后6至12小时内提前出院的经历。准父母在孕期就为提前出院做好了准备。这些女性在乌普萨拉大学医院分娩。所有婴儿都接受了两次必要的医学检查，一次在出院前，一次在四五天后进行代谢筛查。母亲和婴儿都由助产士在家中提供产后护理。103名女性参与了研究，并在分娩后四五天回答了一份问卷。其中20名女性在分娩四个月后还接受了电话访谈。分娩后在医院的平均住院时间为8小时。这些家庭平均在家中接受了1.9次探访。所有女性都认为她们从助产士那里得到了足够的护理和建议，尽管40%的女性在产后仍对某些事情感到不确定。经常提出的问题涉及母乳喂养。两名婴儿因轻度新生儿高胆红素血症再次入院。除三名女性外，所有女性都希望在未来无并发症的分娩后再次提前出院。四个月后，95%的女性仍在进行母乳喂养。我们得出结论，产前准备以及组织良好、足够的产后家庭护理对于在无并发症分娩后实现安全的提前出院至关重要。这种提供助产士家庭护理的提前出院概念是安全的，并且受到新父母的赞赏。
