Trial reportObstetrics and gynecology1994
A randomized trial of early hospital discharge and home follow-up of women having cesarean birth.
Trial report in Obstetrics and gynecology, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02956616 (Enhanced Recovery at Cesarean Birth to Improve Postoperative Outcomes and Reduce Postoperative Length of Stay), which is not on this map. Cited by 31 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Enhanced Recovery at Cesarean Birth to Improve Postoperative Outcomes and Reduce Postoperative Length of Stay
Who cites it
31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 161 citations in OpenAlex.
- Discharge planning from hospital.The Cochrane database of systematic reviews · 2022Pooled it
- Early postnatal discharge from hospital for healthy mothers and term infants.The Cochrane database of systematic reviews · 2021Pooled it
- Vaginal delivery: how does early hospital discharge affect mother and child outcomes? A systematic literature review.BMC pregnancy and childbirth · 2017Pooled it
- Early discharge hospital at home.The Cochrane database of systematic reviews · 2017Pooled it
- Discharge planning from hospital.The Cochrane database of systematic reviews · 2016Pooled it
- Telephone support for women during pregnancy and the first six weeks postpartum.The Cochrane database of systematic reviews · 2013Pooled it
- Early discharge hospital at home.The Cochrane database of systematic reviews · 2009Pooled it
- Avoiding hospital admission through provision of hospital care at home: a systematic review and meta-analysis of individual patient data.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009Pooled it
- Maternal and Neonatal Outcome following Day Two versus Day Five or Seven Discharge after an Uncomplicated Elective Caesarean Section: A Randomized Control Study.BioMed research international · 2021Trial
- A randomized trial of nurse specialist home care for women with high-risk pregnancies: outcomes and costs.The American journal of managed care · 2001Trial
- Early discharge and home care after unplanned cesarean birth: nursing care time.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 1996Trial
- Early hospital discharge following delivery during wartime is not associated with increased rates of postpartum hospital referrals.PloS one · 2026Article
- Dyadic Care Interventions and Outcomes for Mothers and Their Infants: A Scoping Review.Pediatrics · 2025Article
- Characterizing pre-discharge interventions to reduce length of stay for older adults: A scoping review.PloS one · 2025Article
- Quality improvement initiative to address bed shortage in the maternity ward at the National Referral Hospital.Health science reports · 2022Article
- Community-based aftercare following an emergency department presentation for attempted suicide or high risk for suicide: study protocol for a non-randomised controlled trial.BMC public health · 2019Article
- Article
- Enhanced recovery after cesarean delivery.F1000Research · 2018Review
- Determinants of caesarean section in Bangladesh: Cross-sectional analysis of Bangladesh Demographic and Health Survey 2014 Data.PloS one · 2018Article
- Does Coordinated Postpartum Care Influence Costs?International journal of integrated care · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo determine the safety, efficacy, and cost savings of early hospital discharge of women delivered by unplanned cesarean delivery.
methodsUsing randomized assignment, 61 postpartum women were discharged from the hospital at the usual time, and 61 were discharged early and had nurse specialist home follow-up care. The latter group received comprehensive discharge planning, instruction, counseling, home visits, and daily on-call availability from the nurse specialists. Both groups were followed from delivery to 8 weeks postpartum.
resultsWomen who were discharged early and received transitional home care services by clinical nurse specialists were sent home a mean of 30.3 hours earlier than the control group (P < .001). They had significantly greater satisfaction with care, more of their infants had timely immunizations at the end of follow-up, and they had a 29% reduction in health care charges compared to the control group receiving routine care. Although there were no statistically significant differences in maternal and infant rehospitalizations and acute-care visits, there were more maternal rehospitalizations in the control group than in the nurse specialist-followed group (three versus zero). No statistically significant differences were found between the groups in the outcomes of maternal affect and overall functional status.
conclusionEarly hospital discharge of women after unplanned cesarean birth, using the model of nurse specialist transitional home care, is safe, feasible, and cost-effective.
Indexed as
Identifiers
7936522PMC3694422W63677301What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.