ArticleBMJ open2016
Proportion of neonatal readmission attributed to length of stay for childbirth: a population-based cohort study.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- A mixed methods study of the postnatal care journey from birth to discharge in a maternity service in New South Wales, Australia.BMC health services research · 2024Article
- Breastfeeding among parous women offered home-visit by a midwife after early discharge following planned cesarean section: Secondary analysis of a randomized controlled trial.European journal of midwifery · 2023Article
- Readmission of late preterm and term neonates in the neonatal period.Clinics (Sao Paulo, Brazil) · 2022Article
- Article
- Derivation and validation of a prediction model for neonate unplanned rehospitalization in a tertiary center in China.Translational pediatrics · 2021Article
- Trends in Neonatal Intensive Care Unit Utilization in a Large Integrated Health Care System.JAMA network open · 2020Article
- Risk factors for readmission for phototherapy due to jaundice in healthy newborns: a retrospective, observational study.BMC pediatrics · 2020Observational
- Determinants of Length of Stay After Vaginal Deliveries in the Friuli Venezia Giulia Region (North-Eastern Italy), 2005-2015.Scientific reports · 2020Article
- Article
- Length of stay for childbirth in Trentino (North-East of Italy): the impact of maternal characteristics and organizational features of the maternity unit on the probability of early discharge of healthy, term infants.European journal of pediatrics · 2018Article
- Trends in Obstetric Intervention and Pregnancy Outcomes of Canadian Women With Diabetes in Pregnancy From 2004 to 2015.Journal of the Endocrine Society · 2017Article
- Newborn Length of Stay and Risk of Readmission.Paediatric and perinatal epidemiology · 2017Article
- Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveMost literature on length of stay (LOS) for childbirth focuses on 'early' discharge as opposed to 'optimal' time of discharge and has conflicting results due to heterogeneous definitions of 'early' discharge and differing eligibility criteria for these programmes. We aimed to determine the LOS associated with the lowest neonatal readmission rate following childbirth by examining the incidence pattern of neonatal readmission for different LOS using the Kitagawa decomposition.
designRetrospective cohort study using administrative hospitalisation data.
settingCanada (excluding Quebec) from 2003 to 2010. PATIENTS: Term, singleton live births without congenital anomalies.
interventionsLOS for childbirth.
main outcome measureNeonatal readmissions within 30 days of birth.
results1 875 322 live births were included. Neonatal LOS peaked at day 1 (47.3%) after vaginal birth and day 3 (49.3%) following caesarean section; 4.2% of infants were readmitted following vaginal birth and 2.2% after caesarean section. In 2008-2010, most readmissions occurred among infants discharged in the first 2 days (83.8%) following a vaginal birth and among infants discharged in the first 3 days (81.7%) following a caesarean birth. Readmissions increased from 4.1% in 2003-2005 to 4.6% in 2008-2010 among vaginal births and from 2.0% to 2.4% among caesarean births and occurred mostly due to changes in the day-specific readmission rates and not due to reductions in LOS.
conclusionsPatterns of readmission suggest that readmission rates are lowest following a 1-2-day stay following a vaginal birth and a 2-4-day stay following a caesarean birth given the outpatient support in the community.
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