title: Is there a difference in the maternal and neonatal outcomes between patients discharged after 24 h versus 72 h following cesarean section? A prospective randomized observational study on 2998 patients.
abstract: OBJECTIVE
  To compare the incidence of postpartum maternal and neonatal complications and hospital readmission in patients discharged 24 versus 72 h after cesarean section.
  
  
  METHODS
  Using randomization, 1495 patients were discharged after 24 h and 1503 patients were discharged after 72 h. All patients fulfilled the discharge criteria. Patients were assessed 6 weeks after delivery, any maternal or neonatal problems or hospital readmissions during this time interval were reported.
  
  
  RESULTS
  There was no difference in maternal hospital readmission between the two groups, but there was a significantly higher neonatal readmission rate in the 24-h group mainly due to neonatal jaundice. As for the complications reported after 6 weeks, the only two significant outcomes were initiating breast feeding, being significantly higher in the 72-h group [OR and 95% CI 0.77 (0.66-0.89)] and the mood swings being significantly lower in the 72-h group [OR and 95% CI 2.28 (1.94-2.68)].
  
  
  CONCLUSIONS
  Our recommendation is still in favor of late discharge, after cesarean delivery. Bearing in mind, that an early 24-h discharge, after cesarean delivery is feasible, but with special care of the neonate, with early visit to the pediatrician and early establishment of effective lactation.
authors.affiliation: a Department of Obstetrics and Gynecology and.
authors.forename: Yomna Ali
authors.initials: YA
authors.lastname: Bayoumi
authors.affiliation: a Department of Obstetrics and Gynecology and.
authors.forename: Yasmin Ahmed
authors.initials: YA
authors.lastname: Bassiouny
authors.affiliation: a Department of Obstetrics and Gynecology and.
authors.forename: Ayman Ahmed
authors.initials: AA
authors.lastname: Hassan
authors.affiliation: a Department of Obstetrics and Gynecology and.
authors.forename: Hisham Mohamed
authors.initials: HM
authors.lastname: Gouda
authors.affiliation: a Department of Obstetrics and Gynecology and.
authors.forename: Sherif Sameh
authors.initials: SS
authors.lastname: Zaki
authors.affiliation: b Department of Pediatrics , Cairo University , Cairo , Egypt.
authors.forename: Abdelrahman Ahmed
authors.initials: AA
authors.lastname: Abdelrazek
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D001942:Breast Feeding; D002585:Cesarean Section; D004534:Egypt / Q000453:epidemiology; D007567:Jaundice, Neonatal / Q000453:epidemiology; D019964:Mood Disorders / Q000453:epidemiology; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data; D011446:Prospective Studies; D013997:Time Factors
keywords: Cesarean section discharge; hospital readmission; maternal outcome; neonatal outcome; postpartum complications