Donahue D, Brooten D, Roncoli M, Arnold L, Knapp H, Borucki L, Cohen A
University of Pennsylvania, School of Nursing, Philadelphia 19104-6096.
J Perinatol. 1994 Jan-Feb;14(1):36-40.
This study, conducted as a randomized clinical trial, focuses on acute care visits and rehospitalizations of mothers whose infants were delivered by cesarean section (n = 122) and infants (n = 123) for 8 weeks after hospital discharge. There were three maternal rehospitalizations. Maternal acute care visits were for wound infections or complications (27 of 34); 21 occurred in the first 4 weeks. Seventy-five percent of infant rehospitalizations were for infection or possible infection; 22 of 31 infant acute care visits occurred in first 4 weeks for bilirubin checks and infant care problems, and 21 of 25 visits in weeks 5 to 8 were for infections. Discharge teaching and home care in first 4 weeks after discharge and issues related to infant infections in the second 4-week period may reduce the need for rehospitalizations and acute care visits in both mothers who had cesarean section and their infants.
这项作为随机临床试验开展的研究，聚焦于剖宫产分娩的母亲（n = 122）及其婴儿（n = 123）出院后8周内的急性护理就诊情况和再次住院情况。有3位母亲再次住院。母亲的急性护理就诊原因是伤口感染或并发症（34次就诊中有27次）；其中21次发生在头4周内。婴儿再次住院的75%是因为感染或可能的感染；31次婴儿急性护理就诊中有22次发生在头4周，原因是胆红素检查和婴儿护理问题，而在第5至8周的25次就诊中有21次是因为感染。出院后头4周的出院指导和家庭护理以及后4周与婴儿感染相关的问题，可能会减少剖宫产母亲及其婴儿再次住院和急性护理就诊的需求。
