ArticleBMC pregnancy and childbirth2020
Length of stay after childbirth in India: a comparative study of public and private health institutions.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Women's Utilisation, Experiences and Satisfaction with Postnatal Follow-up Care: Systematic literature review.Sultan Qaboos University medical journal · 2022Pooled it
- Discharge time from healthcare facilities after birth in Tanzania : a secondary analysis of demographic and health surveys from 2015 to 16 and 2022.BMC health services research · 2026Article
- Because Discharge is Not the End - It's the Beginning of a New Responsibility.Indian journal of pediatrics · 2025Article
- Acceptability and factors associated with minimum postpartum stay in public health facilities among mothers in Mekelle: a mixed-methods study.BMC pregnancy and childbirth · 2025Article
- Prolonged length of hospital stay and its associated factors among women after cesarean section in Guraghe zone public hospitals, Ethiopia.BMC pregnancy and childbirth · 2025Article
- Length of hospital stays after caesarean section delivery and associated factors in Northeast Ethiopia: a cross-sectional study.BMJ open · 2025Article
- Length of hospital stay and its associated factors among women who gave birth by cesarean section in general hospitals of Sidama region, Ethiopia.PLOS global public health · 2025Article
- Spatial distribution and determinants of early postnatal discharge among vaginally delivered mothers in Ethiopia: spatial and multilevel analysis of Ethiopian demographic survey data.BMJ public health · 2024Article
- Article
- The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) after four years of implementation - is it making an impact on quality of inpatient care and financial protection in India?BMC health services research · 2024Article
- Charting the Course: Towards a Comprehensive Newborn Screening Program in India.International journal of neonatal screening · 2024Article
- Multilevel analysis of determinants in postnatal care utilisation among mother-newborn pairs in India, 2019-21.Journal of global health · 2024Article
- Postpartum length of hospital stay among obstetric patients in Ibadan, Nigeria.BMC health services research · 2024Article
- Length of stay and determinants of early discharge and extended stay after cesarean delivery in a resource-limited setting: southern Ethiopia, 2023.Frontiers in global women's health · 2024Article
- Length-of-stay and factors associated with early discharge after birth in health facilities in Guinea by mode of birth: Secondary analysis of Demographic and Health Survey 2018.PLOS global public health · 2024Article
- Determinants of early discharge after birth among mothers delivered vaginally at health facilities: further analysis of the Ethiopian demographic health survey.BMC public health · 2023Article
- The Impact of the COVID-19 Pandemic on Depressive Disorder with Postpartum Onset: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- Determinants of maternal length of stay following childbirth in a rural health facility in Eritrea.BMC pregnancy and childbirth · 2023Article
- Length of stay and determinants of early discharge after facility-based childbirth in Cameroon: analysis of the 2018 Demographic and Health Survey.BMC pregnancy and childbirth · 2023Article
- Determinants of Kangaroo Mother Care Uptake for Small Babies Along the Health Facility to Community Continuum in Karnataka, India.Global health, science and practice · 2023Article
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Abstract
backgroundThis paper discusses length of stay (LOS) following childbirth as an indicator of quality of postnatal care in health institutions. This research aims to describe LOS according to both vaginal and cesarean deliveries in public and private health care institutions in India, and to identify any association of LOS with postnatal care and post-delivery complications.
methodsWe use recently released nationally-representative data from the National Family Health Survey-4 (2015-16) and apply the Cox proportional hazard model to determine the factors associated with LOS at the health facility after childbirth during a five-year period preceding the survey.
resultsOverall, the average LOS after childbirth is 3.4 days; 2.1 days for vaginal deliveries and 8.6 days for cesarean section (CS) deliveries. Strikingly, half of the women are discharged within 48 h. Women who give birth in private hospitals have a more prolonged stay than those who give birth in public health facilities. For vaginal birth in public hospitals, one-fourth of the women are discharged with insufficient LOS as against only 19.2% women in private hospitals. LOS is significantly related to the cost of delivery only in the case of private facilities. Uneducated women belonging to lower wealth quintile households and those living in rural areas stay for a shorter duration for vaginal deliveries but for a longer duration in case of cesarean deliveries. Women who get four or more antenatal check-ups (ANC) done have a longer stay, while those who receive benefits under the Janani Suraksha Yojna (JSY) have a shorter stay. Another key finding is that women who are discharged on the same day report lower levels of postnatal care and a higher proportion of post-delivery complications.
conclusionThe study concludes that early discharge has a negative association with maternal health outcomes, which has important program implications. Therefore, it is essential to maintain an adequate LOS at a facility after childbirth. We recommend that government programs should strengthen the JSY scheme not only to improve delivery care, but also to provide effective postnatal care by promoting sufficient LOS at facilities.
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