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促进足月儿健康出院。

Facilitating discharge from hospital of the healthy term infant.

作者信息

Lemyre Brigitte, Jefferies Ann L, O'Flaherty Pat

机构信息

Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario.

出版信息

Paediatr Child Health. 2018 Dec;23(8):515-531. doi: 10.1093/pch/pxy127. Epub 2018 Nov 19.

DOI:10.1093/pch/pxy127
PMID:30894791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6242107/
Abstract

This statement provides guidance for health care providers to ensure the safe discharge of healthy term infants who are born in hospital and who are ≥37 weeks' gestational age. Hospital care for mothers and infants should be family-centred, with healthy mothers and infants remaining together and going home at the same time. The specific length of stay for newborn infants depends on the health of their mother, infant health and stability, the mother's ability to care for her infant, support at home, and access to follow-up care. Many mother-infant dyads are ready to go home 24 h after birth. Parent or guardian education and assessment of discharge readiness are important components of discharge planning. Each infant must have an appropriate discharge plan, including identification of the infant's primary health care provider and assessment by a health care provider 24 h to 72 h after discharge.

摘要

本声明为医疗保健提供者提供指导,以确保在医院出生且胎龄≥37周的健康足月儿安全出院。对母婴的医院护理应以家庭为中心,健康的母亲和婴儿应在一起,并同时出院。新生儿的具体住院时间取决于其母亲的健康状况、婴儿的健康和稳定性、母亲照顾婴儿的能力、家庭支持以及后续护理的可及性。许多母婴对在出生后24小时就准备好出院。对父母或监护人进行出院准备教育和评估是出院计划的重要组成部分。每个婴儿都必须有适当的出院计划,包括确定婴儿的初级医疗保健提供者,并在出院后24小时至72小时内由医疗保健提供者进行评估。

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本文引用的文献

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Management of term infants at increased risk for early-onset bacterial sepsis.足月新生儿早发型细菌性败血症高危儿的管理
Paediatr Child Health. 2017 Jul;22(4):223-228. doi: 10.1093/pch/pxx023. Epub 2017 Jun 15.
2
Schedules for home visits in the early postpartum period.产后早期家访时间表。
Cochrane Database Syst Rev. 2017 Aug 2;8(8):CD009326. doi: 10.1002/14651858.CD009326.pub3.
3
Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart Disease.加拿大心血管学会/加拿大儿科学会关于新生儿脉搏血氧饱和度筛查以加强对危重型先天性心脏病检测的立场声明。
Can J Cardiol. 2017 Feb;33(2):199-208. doi: 10.1016/j.cjca.2016.10.006. Epub 2016 Oct 26.
4
Evaluation and Referral for Developmental Dysplasia of the Hip in Infants.婴儿发育性髋关节发育不良的评估与转诊
Pediatrics. 2016 Dec;138(6). doi: 10.1542/peds.2016-3107. Epub 2016 Nov 21.
5
Breastfeeding-Associated Hypernatremia: A Systematic Review of the Literature.母乳喂养相关的高钠血症:文献系统综述
J Hum Lact. 2016 Feb;32(1):67-74. doi: 10.1177/0890334415613079. Epub 2015 Nov 3.
6
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Pediatrics. 2015 May;135(5):948-53. doi: 10.1542/peds.2015-0699.
7
Timing of initial well-child visit and readmissions of newborns.新生儿初次常规健康检查时间与再次入院情况。
Pediatrics. 2015 Mar;135(3):469-74. doi: 10.1542/peds.2014-2329. Epub 2015 Feb 2.
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Pediatrics. 2015 Jan;135(1):e16-23. doi: 10.1542/peds.2014-1532. Epub 2014 Dec 1.
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