Feijóo-Iglesias M Belén, Chicharro Chorro Lilián, Ballester Escolar Irene, Suárez Pascual Amanda, De la Peña Rodríguez Medea Aglaya, Alba Diego Rosa María
Unidad de Partos. Servicio de Obstetricia. Hospital Universitario La Paz. Madrid. España.
Unidad de Partos. Servicio de Obstetricia. Hospital Universitario Rey Juan Carlos. Móstoles. Comunidad de Madrid. España.
Rev Esp Salud Publica. 2021 Aug 19;95:e202108105.
The COVID-19 pandemic caused that the Health Department of the Autonomous Region of Madrid redirected the Obstetrics, Gynecology and Neonatology emergency care. On March 24 2020, the HULP launched a program of postpartum early discharge and home visit. The objective of this work was to detect if the care strategy "" applied by the HULP during the COVID-19 pandemic had any adverse effect on the woman and/or the newborn.
Cross-sectional observational descriptive study using convenience sampling among women included in the early discharge-home visit program from March 24 to May 5 2020. 222 medical records and telephone surveys to postpartum women who complied with the inclusion criteria were analyzed. The statistical analysis was performed using SAS 9.4.
The average of inpatient time was 25 hours and 15 minutes. 8.6% of newborns were sent back to the HULP, and 2.2% were readmitted for hyperbilirubinemia. 2.3% of parents took their infants to the Emergency Care Unit, but only 0.46% needed readmission. 0.4% of postpartum women were readmitted. At the discharge, 84.2% of newborns exclusively breastfed. After one week of the birth, 73.4% of infants were exclusively breastfeeding, 18% were mixed breastfeeding, and 8.6% were bottle feeding. 89.6% of women believed early discharge was appropriate. Home visit was described as "very satisfactory" in 83.3% of cases, and the care provided, in 88.7% of cases.
With the early discharge-home visit program, continuity of care is provided, health problems were detected and resolved and high maternal satisfaction levels were obtained.
新冠疫情导致马德里自治区卫生部重新调整了妇产科和新生儿科的急诊护理。2020年3月24日，HULP启动了一项产后早期出院和家访计划。这项工作的目的是检测HULP在新冠疫情期间实施的护理策略是否对产妇和/或新生儿有任何不良影响。
采用方便抽样的横断面观察性描述性研究，研究对象为2020年3月24日至5月5日纳入早期出院-家访计划的女性。对符合纳入标准的222份产后妇女的病历和电话调查进行了分析。使用SAS 9.4进行统计分析。
平均住院时间为25小时15分钟。8.6%的新生儿被送回HULP，2.2%因高胆红素血症再次入院。2.3%的父母带婴儿去了急诊室，但只有0.46%需要再次入院。0.4%的产后妇女再次入院。出院时，84.2%的新生儿纯母乳喂养。出生一周后，73.4%的婴儿纯母乳喂养，18%混合喂养，8.6%人工喂养。89.6%的女性认为早期出院是合适的。83.3%的家访被描述为“非常满意”，88.7%的人对提供的护理满意。
通过早期出院-家访计划，提供了连续护理，发现并解决了健康问题，获得了较高的产妇满意度。
