Criterios de alta hospitalaria del recién nacido a término sano tras el parto

Abstract

Criteria for newborn hospital discharge have to include physiological stability and family competence to provide newborn care at home. In this document, the Committee of Standards of the Spanish Society of Neonatology reviews the minimum criteria to be met before hospital discharge of a term newborn infant. We include a review of hospital discharge criteria for the late preterm infants, as these infants are often not hospitalised and remain with their mother after birth. A shortened hospital stay (less than 48h after delivery) for healthy term newborns can be considered, but it is not appropriate for every mother and newborn. Newborn infants discharged before 48h of age, should be examined within 3-4 days of life.

Early discharge of first-time parents and their newborn: A scoping review

“…morbidity and mortality and prevent readmission [5][6][7][8][9] . For this reason, the United States government introduced the 'Newborns' and Mothers' Health Protection Act' in 1996, based on the recommendations of the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists 10,11 .…”

“…The overall criteria for discharge 24 hours after birth, recommended by WHO, are that the mother's bleeding is controlled, the mother and newborn must have no signs of infection, and the baby should be breastfeeding well 7 . All the guidelines describe physical and psychosocial risk factors for the mother and newborn that must be considered by the healthcare professionals before early discharge after birth [5][6][7][8][9] , for example, signs of pre-eclampsia, postpartum hemorrhage, domestic abuse, and signs of neonatal jaundice [5][6][7][8][9] . Furthermore, the recommendations for follow-up strategies after discharge within 24 hours after birth differ.…”

“…Furthermore, the recommendations for follow-up strategies after discharge within 24 hours after birth differ. The recommendations include a home visit within 24 hours after birth, a pediatric check-up three to four days after birth, or a home visit by a midwife on the second or third day after birth [5][6][7][8][9] .…”

“…International recommendations on early discharge strategies for both healthy first-time mothers and newborns differ regarding the time of discharge after birth, the criteria for early discharge, and the follow-up strategies. The purpose of the recommendations is to prevent maternal and neonatal morbidity and mortality and prevent readmission 5 - 9 . For this reason, the United States government introduced the ‘Newborns’ and Mothers’ Health Protection Act’ in 1996, based on the recommendations of the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists 10 , 11 .…”

“…However, the World Health Organization (WHO) recommends staying in a healthcare facility for at least 24 hours after an uncomplicated birth 7 . The Spanish Association of Pediatrics recommends discharge from the hospital after 48 hours after birth for healthy newborns 5 . Furthermore, national guidelines from the United Kingdom, Denmark and Norway recommend that the time for discharge is based on discussion and agreement between the healthcare providers and the parents 6 , 8 , 9 .…”