Outcomes of Early Discharge After Normal Birth

Mehl, Lewis E.; Peterson, Hanna; Sokolosky, Wesley; M, Whitt

doi:10.1111/j.1523-536x.1976.tb01172.x

Cited by 27 publications

(13 citation statements)

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“…5,28,29 There have been studies that suggested that breastfeeding success was increased in women discharged earlier with optimal support. [11][12][13][14] The selective population of this study, as well as the fact that Ͼ70% of the women received a home visit, may explain some of the differences between our study and others.…”

Section: Discussionmentioning

confidence: 75%

“…4,8 -10 However, other studies from the early 1960s and from Europe have presented evidence suggesting that prompt discharge to home may allow earlier establishment of an adequate milk supply and less supplementation. [11][12][13][14] Factors that affect breastfeeding success have been examined extensively, primarily in the nursing literature. 5,[15][16][17] However, the impact of the health care delivery system, both in the hospital and after discharge, on breastfeeding success has been less well documented.…”

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confidence: 99%

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Health System Factors Contributing to Breastfeeding Success

Kuan¹,

Britto

Decolongon³

et al. 1999

Pediatrics

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ABSTRACT. Objective. To identify and characterize health care system factors that contribute to successful breastfeeding in the early postpartum period.Study Design. A prospective 8-week cohort study of 522 women at five area hospitals who had a vaginal delivery of a healthy, full-term single child and who intended to breastfeed. Mothers and infants had free access to each other for breastfeeding during the hospital stay. Data were obtained through chart review and surveys. In-person postpartum interviews in the hospital and 4-and 8-week telephone interviews were used to determine participants' perceptions of breastfeeding support by hospital personnel, home visit nurses, and family and friends. The hospital in-person interview with each mother was conducted before discharge to confirm maternal interest and intent to breastfeed. Questions were asked regarding breastfeeding information and support provided by medical and nursing personnel. Mothers were asked to rate the quality of information, as well as the degree of support they received for breastfeeding. Mothers also were asked to rate their hospital breastfeeding experience. A second interview was conducted by telephone 4 weeks after birth. The focus of this interview was to ascertain the rating of their breastfeeding experience, the quality of their interactions with health care professionals, and whether supplemental formula was being provided to the infant. If supplemental formula was being provided, the mothers were asked to quantify the volume and frequency of supplementation. A final telephone interview was conducted when the infants were 8 weeks of age. This interview determined the continuance or cessation of breastfeeding and information about formula supplementation, as in the 4-week interview. Mothers were given a journal and asked to note all telephone calls, clinic visits, and home nurse visits that related to breastfeeding issues and concerns. Demographic data examined included maternal age, marital status, highest level of education reached, race, employment, insurance coverage, and length of stay in the hospital. Pregnancy characteristics included prenatal care, parity, and gravity. Infant characteristics included gestational age and birth weight. Other factors examined included maternal rating of the support received from the infant's father for the decision to breastfeed, the time the infant spent in the mother's hospital room, and whether the infant was breastfed in the delivery room.Results. The women were mostly white (90%), educated (82% had some college education), married, older (mean maternal age of 29.3 years), and insured (92% commercial). The primary outcome of interest was success at breastfeeding. Success was determined based on each mother's initial estimate of the planned duration of breastfeeding. Of the participants, 76% breastfed successfully for at least as long as they had initially planned. Seventeen percent of the mothers had stopped breastfeeding at the time of the 4-week interview, and 29% had stopped by the 8-week in...

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Section: Discussionmentioning

confidence: 75%

mentioning

confidence: 99%

Health System Factors Contributing to Breastfeeding Success

Kuan¹,

Britto

Decolongon³

et al. 1999

Pediatrics

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show abstract

“…Statistics regarding maternal morbidity for early discharge mothers have been very favorable. In a chart review of 130 early discharge mothers, Mehl et al (1976) found only 2 women who had required rehospitalization: one for endometritis, which is an inflammation of the lining of the inner surface of the uterus, and one for delayed postpartum hemorrhage. During one year of an early discharge program Scupholme (1981) reported that only one mother out of 35 needed to be treated and the reason was for a urinary tract infection.…”

Section: Discussionmentioning

confidence: 99%

“…Program criteria have also varied according to which members of the family have had to meet criteria: mother, father, and/or infant. Scupholme (1981) and Mehl, Peterson, Sokolosky, and Whitt (1976) described admission criteria for only mothers. The Avery et al (1982) early discharge program required mothers and infants to meet specific criteria.…”

Section: Admission Criteriamentioning

confidence: 99%

“…Yanover et al (1976) collected infant blood specimens to screen for phenylketonuria (PKU). Mehl et al (1976) checked infant blood glucose and bilirubin levels, if indicated. A heel stick to screen for PKU and hypothyroidism was Cheryl Tarano Beck 131 part of postpartum follow up described by Drummond et al (1984), as well as a bilirubin specimen if deemed necessary.…”

Section: Content Of Early Discharge Programsmentioning

confidence: 99%

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