Fajardo-Gutierrez A, Hernandez-Perez A, Huerta-Diaz E, Danglot-Banck C, Gomez-Gomez M, Valle-Gay A
Unidad de Investigación en Epidemiología Clínica, Hospital de Pediatría, México.
Ginecol Obstet Mex. 1996 Mar;64:105-9.
Seventy seven cases with discharge before 12 hours post-partum and 240 cases with discharge after 24 or more hours after delivery, were evaluated at Hospital General de México, in an observational, prospective, cohort, study in low risk deliveries. Both groups were reviewed ten days after delivery. There were no different ratios for abnormal uterine hemorrhage, urinary tract infection or endometritis. Thrombophlebitis was more frequent in early discharge patients, both statistically and clinically significant (RR3.58, CI95% 1.48-8.67, P = 0.003). This finding is discussed, as well as measures to prevent it. It is concluded that early discharge programs in low risk conditions, are convenient.
在墨西哥总医院,对77例产后12小时内出院的产妇和240例产后24小时及以上出院的产妇进行了评估,这是一项针对低风险分娩的观察性、前瞻性队列研究。两组产妇均在产后十天进行复查。两组在异常子宫出血、尿路感染或子宫内膜炎方面的比例没有差异。早期出院患者血栓性静脉炎更为常见,在统计学和临床上均有显著意义(相对危险度3.58,95%可信区间1.48 - 8.67,P = 0.003)。文中对这一发现以及预防措施进行了讨论。得出的结论是,低风险情况下的早期出院计划是可行的。