title: [Hospital readmission after postpartum discharge of term newborns in two maternity wards in Stockholm and Marseille].
abstract: The consequences of early postpartum discharge (EPPD, within 2 days after birth) on newborn health remain debated. Early discharge has been associated with increased neonatal morbidity. However, neonatal re-hospitalization can be prevented by careful follow-up during the 1st week after birth. We compared the early neonatal hospitalization of term newborns over 2 years in two hospitals: Karolinska University Hospital in Stockholm (n=7300 births), which allowed early discharge from 6h after birth with specific neonatal follow-up, and Marseille University Hospital (AP-HM) (n=4385) where postpartum discharge was more conventional after 72 h. During the study period, the EPPD rate was 41% vs. 2% in Stockholm and Marseille, respectively (P<0.001). Hospital readmission was comparable (5.6‰ vs. 7‰, P=0.2). The leading cause associated with hospitalization was icterus in Stockholm (76% vs. 26%, P<0.001) and feeding difficulties in Marseille (17% vs. 48%, P<0.001). In conclusion, close neonatal follow-up during the 1st week of life associated with restricted maternal and neonatal eligibility criteria for EPPD are required to prevent early neonatal re-hospitalization.
authors.affiliation: Service de médecine et réanimation néonatales, hôpital La Conception, Aix-Marseille université, CHU La Conception, 147, boulevard Baille, 13385 Marseille, France. Electronic address: farid.boubred@ap-hm.fr.
authors.forename: F
authors.initials: F
authors.lastname: Boubred
authors.affiliation: Department of Women's and Children's Health, Karolinska University Hospital, Karolinska Institutet, Stockholm, Suède.
authors.forename: E
authors.initials: E
authors.lastname: Herlenius
authors.affiliation: Service de médecine et réanimation néonatales, hôpital La Conception, Aix-Marseille université, CHU La Conception, 147, boulevard Baille, 13385 Marseille, France.
authors.forename: V
authors.initials: V
authors.lastname: Andres
authors.affiliation: Service de médecine et réanimation néonatales, hôpital La Conception, Aix-Marseille université, CHU La Conception, 147, boulevard Baille, 13385 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: des Robert
authors.affiliation: Department of Women's and Children's Health, Karolinska University Hospital, Karolinska Institutet, Stockholm, Suède.
authors.forename: G
authors.initials: G
authors.lastname: Marchini
mesh_terms: D000293:Adolescent; D000328:Adult; D005602:France; D006748:Hospital Departments; D006801:Humans; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data*; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data*; D049590:Postpartum Period; D012189:Retrospective Studies; D013548:Sweden; D047929:Term Birth; D055815:Young Adult