Strong T H, Brown W L, Brown W L, Curry C M
Division of Maternal-Fetal Medicine, Good Samaritan Regional Medical Center, Phoenix, Arizona.
Am J Obstet Gynecol. 1993 Jul;169(1):116-9. doi: 10.1016/0002-9378(93)90143-7.
Our purpose was to assess early postcesarean hospital dismissal.
A retrospective review was performed of all women receiving cesarean delivery over the most recent 6-month period in a busy private obstetrics practice that routinely dismisses its cesarean patients on postoperative day 2. Women who meet certain criteria (uncomplicated pregnancy, Pfannenstiel incision, uncomplicated surgery, no febrile morbidity, stable vital signs, ability to ambulate without assistance, ability to urinate without assistance, and auscultation of active bowel sounds) on postoperative day 2 are dismissed from the hospital. Outcomes were compared against women undergoing cesarean delivery during the 6 months immediately before the institution of the early dismissal program.
Among 147 women undergoing cesarean deliveries, 117 (80%) met the criteria for early dismissal. When compared with controls (n = 93), there was no difference in outcomes. No one in the early dismissal group required readmission to the hospital.
Among properly selected candidates, early postcesarean hospital admission is a reasonable option.
我们的目的是评估剖宫产术后早期出院情况。
对一家繁忙的私立产科诊所最近6个月内所有接受剖宫产的妇女进行回顾性研究，该诊所通常在术后第2天让剖宫产患者出院。术后第2天符合特定标准（无并发症的妊娠、耻骨联合上横切口、手术无并发症、无发热性疾病、生命体征稳定、无需协助即可行走、无需协助即可排尿、听诊肠鸣音活跃）的妇女可出院。将结果与早期出院计划实施前6个月内接受剖宫产的妇女进行比较。
在147例行剖宫产的妇女中，117例（80%）符合早期出院标准。与对照组（n = 93）相比，结果无差异。早期出院组中无人需要再次入院。
在适当选择的患者中，剖宫产术后早期出院是一个合理的选择。
