[Length of postpartum women hospital stay].
OBJECTIVE
Finding maternal factors and hospital characteristics responsible for postpartum length of stay in hospital, as well as assessment of impact of the factors.


METHODS
28,469 maternal medical records gathered in 2001-2002 througout nationwide telematic perinatal registry. Linear Mixed Models were used for statistical analysis of two groups: vaginal deliveries and cesarean sections. The outcome variable: postpartum length of stay in hospital. As factors were used: Maternal sociodemographic variables: place of residence, education, marital status, age. Health facts: body mass, if newborn is first baby, length of pregnancy, obstetrical history, diseases before pregnancy. Facts concerning pregnancy, delivery, puerperium: diseases during pregnancy and special events in pregnancy. Hospitals were characterised by reference level.


METHODS
Postpartum length of stay depends on mode of delivery, maternal clinical profile (especially length of pregnancy), place of residence, education as well as hospital reference level.


RESULTS
Postpartum length of stay for vaginal deliveries is 4,03 days, for CC 6,21 days. Length of stay for urban areas and for the first baby is greater. For delivery < 37 weeks and for complications of puerperium length of stay is greater. For vaginal deliveries under and normal weight shorten it. In CC women with underweight, university education and special events in pregnancy and delivery stay is shorter. Stay in local hospital is longer.
Borkowski
Włodzimierz
W
Centrum Medyczne Kształcenia Podyplomowego w Warszawie. wborkow@cmkp.edu.pl
Mielniczuk
Hanna
H
D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data*; D008429:Maternal Welfare / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011044:Poland / Q000453:epidemiology; D011181:Postnatal Care / Q000458:organization & administration; D049590:Postpartum Period; D011247:Pregnancy; D012042:Registries; D012189:Retrospective Studies; D012424:Rural Population / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014505:Urban Population / Q000706:statistics & numerical data