Ade-Conde J A, Alabi O, Higgins S, Visvalingam G
Our Lady of Lourdes Hospital, Drogheda, Co Louth.
Ir Med J. 2011 Jan;104(1):17-20.
The aim of this study is to examine the trend in maternal postnatal readmission within six weeks of discharge from childbirth hospitalisation. It is a retrospective review of the maternity computer records system, patient's clinical notes and HIPE data base. All women who delivered babies weighing > 500 g and/ > or = 24 weeks gestational age at Our Lady of Lourdes Hospital, Drogheda, Ireland from 1st January 2005 to 31st December 2008 who were re-hospitalised within six weeks of discharge from hospital following child birth were included in the study. A total of 15782 women were delivered over the four year study period. Of these, 236 were readmitted. A series of chi-square analysis were conducted to assess the difference in readmission rates between the year 2008 86 (2.03%) and the years 2005-51(1.46%), 2006-39 (1.01%) and 2007-60 (1.42%). The readmission rate was found to be significantly higher in 2008 compared with the three preceding years. Complications of Caesarean section and secondary postpartum haemorrhage following spontaneous vaginal delivery constitute the major indications for readmission.
本研究的目的是调查产妇在分娩后从医院出院六周内再次入院的趋势。这是一项对产科计算机记录系统、患者临床记录和HIPE数据库的回顾性研究。纳入了2005年1月1日至2008年12月31日期间在爱尔兰德罗赫达的卢尔德圣母医院分娩体重>500克和/或孕周≥24周的婴儿、且在产后出院六周内再次入院的所有妇女。在为期四年的研究期间，共有15782名妇女分娩。其中，236人再次入院。进行了一系列卡方分析，以评估2008年（86人，2.03%）与2005年（51人，1.46%）、2006年（39人，1.01%）和2007年（60人，1.42%）的再次入院率差异。结果发现，2008年的再次入院率显著高于前三年。剖宫产并发症和自然阴道分娩后的继发性产后出血是再次入院的主要原因。
