Department of Obstetrics and Gynecology, Reproduction and Fetal Medicine, CHU de Nice, University of Côte d'Azur, Hôpital Archet 2, 151 Route de Saint-Antoine, CS 23079 06200 Nice, France.
Department of Obstetrics and Gynecology, Reproduction and Fetal Medicine, CHU de Nice, University of Côte d'Azur, Hôpital Archet 2, 151 Route de Saint-Antoine, CS 23079 06200 Nice, France.
J Gynecol Obstet Hum Reprod. 2022 Nov;51(9):102458. doi: 10.1016/j.jogoh.2022.102458. Epub 2022 Aug 13.
To describe the management of early discharge (less than 48 h after birth) attempts and investigate maternal and neonatal outcomes throw an exhaustive review.
This review was conducted according to PRISMA statement. The search was applied to PubMed and Google Scholar databases. Articles published before 2000 were not included to limit conclusions related to outdated medical practices. Eligibility assessment and analysis were performed independently by two reviewers.
Of approximately 600 articles, 21 articles met the inclusion criteria, including 9 randomized trials. Fourteen studies were conducted in developed countries. Median primiparous rate was 40%. Home-visit, consultation and exclusive telephone follow-up were planned in 12, 4 and 3 studies respectively. Among the 100,311 patients of this review, mean rates of rehospitalization for maternal and neonatal causes were 1.9% [0.3-4.8] and 3.2% [0-10.1] respectively. Median breastfeeding rates at 2 weeks, 1 month and 3-6 months were 85% [73.2-100], 82% [62-91] and 63% [10-95] respectively.
Length of stay after childbirth is not discriminating mother and newborn safety. The optimal length of stay would rather depend on the health of the mother and infant, the maternity discharge organization, the medical follow-up, and the subsequent support.
通过全面回顾，描述早期出院（分娩后 48 小时内）尝试的管理，并调查母婴结局。
本综述按照 PRISMA 声明进行。检索应用于 PubMed 和 Google Scholar 数据库。为了限制与过时医疗实践相关的结论，未纳入 2000 年前发表的文章。合格性评估和分析由两位评审员独立进行。
在大约 600 篇文章中，有 21 篇符合纳入标准，包括 9 项随机试验。14 项研究在发达国家进行。初产妇率中位数为 40%。12 项研究计划家访、咨询，4 项研究计划专门电话随访，3 项研究计划同时进行家访和咨询。在本综述的 100311 例患者中，因母婴原因再次住院的平均比例分别为 1.9%[0.3-4.8]和 3.2%[0-10.1]。分娩后 2 周、1 个月和 3-6 个月的中位母乳喂养率分别为 85%[73.2-100]、82%[62-91]和 63%[10-95]。
产后住院时间并不能区分母婴的安全性。最佳的住院时间应更多地取决于母亲和婴儿的健康状况、产妇出院组织、医疗随访以及随后的支持。
