Rhodes M K
Department of Obstetrics and Gynecology, USAF Academy, CO 80840-5300.
Mil Med. 1994 Mar;159(3):227-30.
Since opening the Air Force's first in-hospital birth center, the United States Air Force Academy Hospital has followed a policy of 24-hour discharge of mothers and babies--a major paradigm shift in traditional military treatment facility practice. This study was conducted to evaluate this change. Records were reviewed of all vaginal births in the first 3 years of operation. Factors considered included demographic data, parity, gestational age, and complicating factors, both mother and infant. Postpartum bed days were reduced by 48%, the maternal readmission rate was 0.59%, and the infant readmission rate was 0.29%. It is the opinion of this author that 24-hour discharge is safe, cost effective, promotes access to care, and is desirable for patient satisfaction. With 1,340 subjects evaluated, the results of this study are provided to encourage and support a change in traditional practice patterns in military treatment facilities.
自开设空军首个院内分娩中心以来，美国空军学院医院一直遵循一项政策，即母婴在24小时内出院，这是传统军事治疗机构做法中的一个重大范式转变。开展这项研究是为了评估这一变化。回顾了运营头3年所有阴道分娩的记录。考虑的因素包括人口统计学数据、产次、孕周以及母婴的并发症因素。产后住院天数减少了48%，母亲再入院率为0.59%，婴儿再入院率为0.29%。作者认为24小时出院是安全的、具有成本效益的，促进了医疗服务的可及性，并且有利于患者满意度。在对1340名受试者进行评估后，本研究结果旨在鼓励和支持军事治疗机构改变传统的实践模式。
