[Aftercare of newborn infants in a patient hotel].
BACKGROUND
Postnatal care of the healthy term newborn and the mother has, in modern times, taken place in the hospital setting. As a result of tightened hospital budgets as well as maternal preferences the duration of hospital stay has successively been shortened. Most women in Scandinavia today leave the hospital within four days after delivery. Postnatal care in a hotel like setting has emerged as an alternative to the well-baby nursery unless medical conditions makes this option inappropriate.


METHODS
To evaluate the safety of postnatal care a study was undertaken to investigate whether correct criteria were being used for referral of the newborn to the hotel. We also wanted to document the duration of stay, unexpected medical complications, and weight development of the infants. Data from 865 infants were used for analysis.


RESULTS
Ten (1.1%) newborns had to be readmitted to the hospital due to medical complications. 488 (56%) of the mothers went home within 96 hours, and only 23 (2.6%) stayed more than 120 hours. The weight of the infants reached a nadir on the fourth day post partum (-5.2% of birth weight).


CONCLUSIONS
The patient hotel is a medically safe alternative to the traditional well-baby nursery, provided that appropriate criteria for referral are used.
Lindgren
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C
Barneintensiv avdeling, Kvinne-barn klinikken, Barnesentret Ullevål sykehus, Oslo.
D000359:Aftercare; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007224:Infant Care; D007229:Infant Welfare; D007231:Infant, Newborn; D007902:Length of Stay; D008429:Maternal Welfare; D016389:Maternal-Child Nursing; D009664:Norway; D010351:Patient Discharge; D010359:Patient Readmission; D011181:Postnatal Care; D049590:Postpartum Period; D011247:Pregnancy; D012017:Referral and Consultation; D012449:Safety
Eftervård av nyfödda barn på patienthotell.