Maternity care options influence readmission of newborns

Ellberg, Lotta; Högberg, Ulf; Lundman, Berit; Källén, Karin; Håkansson, Stellan; Lindh, Viveca

doi:10.1111/j.1651-2227.2008.00714.x

Cited by 26 publications

(11 citation statements)

References 33 publications

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“…Although neither of these outcomes are perfect measures to validate the indicator they have been widely used as proxies for longer term neonatal morbidity (26)(27)(28)(29). Hospital readmission has been identified as a significant outcome indicator as sicker or more complicated patients have higher rates of readmission (30), however this may be an unreliable variable as we found a high proportion (16.2%) of infants without a severe morbidity in the neonatal period were also readmitted to hospital in the first year of life.…”

Section: Resultscontrasting

confidence: 42%

Incidence of Severe Adverse Neonatal Outcomes: Use of a Composite Indicator in a Population Cohort

Lain

Algert

Nassar

et al. 2011

Matern Child Health J

105

147

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Section: Resultscontrasting

confidence: 42%

Incidence of Severe Adverse Neonatal Outcomes: Use of a Composite Indicator in a Population Cohort

Lain

Algert

Nassar

et al. 2011

Matern Child Health J

105

147

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“…Integrative power means to support the woman's ability to surrender herself to the power of physiological birth ( 58 ) and thereby have a feeling of control yet surrendering to the process ( 56 ). A trusting relationship with her partner during birth is important for a woman ( 59 , 60 ) and contributes to each woman feeling safe ( 34 ), plus her relationship with her partner may be strengthened ( 61 ). Feeling safe during birth has positive effects on mothers' breastfeeding ( 62 ).…”

Section: Discussionmentioning

confidence: 99%

Effects of the “Inspirational Lecture” in Combination With “Ordinary Antenatal Parental Classes” as Professional Support for Expectant Parents: A Pilot Study as a Randomized Controlled Trial

Thorstensson

Ekström‐Bergström

Bäckström

2020

Front. Public Health

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Background: Both expectant mothers and their partners describe weaknesses in ordinary parental preparatory professional support provided internationally and nationally within Sweden. Therefore, it is necessary to develop the parental preparatory professional support provided by midwives for expectant parents within Sweden. This study will evaluate the effects on expectant parents of receiving a combination of an “inspirational lecture” and “ordinary antenatal parental classes” compared with only “ordinary antenatal parental classes.” Methods/Design: This block randomized controlled trial included an intervention as a pilot study, in which expectant parents were randomized for (1) the inspirational lecture and ordinary antenatal parental classes (intervention group [IG]) ( n = 66) or (2) ordinary antenatal parental classes (control group [CG]) ( n = 60). Data collection with repeated questionnaires was conducted in the first week and 6 months after birth. Statistical analyses were conducted for participant characteristics, differences between parents within IG and CG, effects of the intervention, intention to treat, and internal consistency of the included measurements. Results: The intervention showed a tendency to be gainful for one out of four outcomes related to birth experience, and parents' perceived quality of parental couple relationship consensus and sexuality and manageability. These results were more prominent for the partners. Parents within both the intervention and control groups reported decreased social support in the first 6 months after birth. Conclusion and Clinical Implications: Overall, the concept of the inspirational lecture in combination with ordinary antenatal parental classes as parental preparatory professional support seems to be a valuable care intervention. However, this study was a pilot study and the results should therefore be interpreted with caution. More research is needed since childbirth and transition to parenthood are complex processes in need of comprehension.

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“…Third, the E-NAOI demonstrated good predictive ability, as indicated by a two-fold increased risk of overnight hospital admission and a 15-fold increased risk of death within the first year among infants flagged by the E-NAOI at birth. Although neither hospital readmission nor infant death are perfect measures to validate the indicator, they have been widely used as proxies for longer term neonatal morbidity 16 17…”

Section: Discussionmentioning

confidence: 99%

Establishing a composite neonatal adverse outcome indicator using English hospital administrative data

Knight

Oddie

Harron

et al. 2018

Arch Dis Child Fetal Neonatal Ed

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ObjectiveWe adapted a composite neonatal adverse outcome indicator (NAOI), originally derived in Australia, and assessed its feasibility and validity as an outcome indicator in English administrative hospital data.DesignWe used Hospital Episode Statistics (HES) data containing information infants born in the English National Health Service (NHS) between 1 April 2014 and 31 March 2015. The Australian NAOI was mapped to diagnoses and procedure codes used within HES and modified to reflect data quality and neonatal health concerns in England. To investigate the concurrent validity of the English NAOI (E-NAOI), rates of NAOI components were compared with population-based studies. To investigate the predictive validity of the E-NAOI, rates of readmission and death in the first year of life were calculated for infants with and without E-NAOI components.ResultsThe analysis included 484 007 (81%) of the 600 963 eligible babies born during the timeframe. 114/148 NHS trusts passed data quality checks and were included in the analysis. The modified E-NAOI included 23 components (16 diagnoses and 7 procedures). Among liveborn infants, 5.4% had at least one E-NAOI component recorded before discharge. Among newborns discharged alive, the E-NAOI was associated with a significantly higher risk of death (0.81% vs 0.05%; p<0.001) and overnight hospital readmission (15.7% vs 7.1%; p<0.001) in the first year of life.ConclusionsA composite NAOI can be derived from English hospital administrative data. This E-NAOI demonstrates good concurrent and predictive validity in the first year of life. It is a cost-effective way to monitor neonatal outcomes.

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Maternity care options influence readmission of newborns

Abstract: Post-delivery care options and routines influence neonatal morbidity as measured by hospital readmission rate. A final infant examination at 49-72 h and an active follow-up programme may reduce the risk of readmission.

Cited by 26 publications

References 33 publications

Incidence of Severe Adverse Neonatal Outcomes: Use of a Composite Indicator in a Population Cohort

Incidence of Severe Adverse Neonatal Outcomes: Use of a Composite Indicator in a Population Cohort

Effects of the “Inspirational Lecture” in Combination With “Ordinary Antenatal Parental Classes” as Professional Support for Expectant Parents: A Pilot Study as a Randomized Controlled Trial

Establishing a composite neonatal adverse outcome indicator using English hospital administrative data

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