title: Maternity care options influence readmission of newborns.
abstract: OBJECTIVE
  To analyse morbidity and mortality in healthy newborn infants in relation to various routines of post-natal follow-up.
  
  
  METHODS
  cross-sectional study.
  
  
  METHODS
  maternity care in Sweden.
  
  
  METHODS
  healthy infants born at term between 1999 and 2002 (n = 197,898).
  
  
  METHODS
  Assessment of post-natal follow-up routines after uncomplicated childbirth in 48 hospitals and data collected from the Swedish Medical Birth Register, Hospital Discharge Register and Cause-of-Death Register.
  
  
  METHODS
  neonatal mortality and readmission as proxy for morbidity.
  
  
  RESULTS
  During the first 28 days, 2.1% of the infants were readmitted generally because of infections, jaundice and feeding-related problems. Infants born in hospitals with a routine neonatal examination before 48 h and a home care programme had a readmission rate [OR, 1.3 (95% CI, 1.16-1.48)] higher than infants born in hospitals with routine neonatal examination after 48 h and 24-h care. There were 26 neonatal deaths.
  
  
  CONCLUSIONS
  Post-delivery care options and routines influence neonatal morbidity as measured by hospital readmission rate. A final infant examination at 49-72 h and an active follow-up programme may reduce the risk of readmission.
authors.affiliation: Obstetrics and Gynecology, Department of Clinical Science Umeå University, Umeå, Sweden. lotta.ellberg@obgyn.umu.se
authors.forename: Lotta
authors.initials: L
authors.lastname: Ellberg
authors.forename: Ulf
authors.initials: U
authors.lastname: Högberg
authors.forename: Berit
authors.initials: B
authors.lastname: Lundman
authors.forename: Karin
authors.initials: K
authors.lastname: Källén
authors.forename: Stellan
authors.initials: S
authors.lastname: Håkansson
authors.forename: Viveca
authors.initials: V
authors.lastname: Lindh
mesh_terms: D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000401:mortality*; D007902:Length of Stay; D008297:Male; D008423:Maternal Age; D010359:Patient Readmission / Q000706:statistics & numerical data*; D011181:Postnatal Care / Q000706:statistics & numerical data*; D012042:Registries; D013548:Sweden / Q000453:epidemiology