title: [Effectiveness of an early discharge program after normal childbirth].
abstract: OBJECTIVE
  To implement a program of early hospital discharge after an uncomplicated birth, in order to improve the effectiveness, as well as ensuring clinical safety and patient acceptability.
  
  
  METHODS
  Descriptive study of the effectiveness of an early discharge program after uncomplicated delivery between February 2012 and September 2013. The populations are post-partum women and newborns admitted to the University Hospital of Fuenlabrada, with a duration of less than 24h after uncomplicated delivery that met the defined inclusion criteria. Satisfaction was assessed using a Likert scale. The effectiveness of the program was monitored by safety indicators, productivity, adaptation, and continuity of care.
  
  
  RESULTS
  A total of 20% of cases capable of early discharge from Fuenlabrada University Hospital completed the program. Almost all (94%) were normal deliveries. The 188 cases included were from 911 patients with uncomplicated childbirth, accounting for 6.5% of the 2,857 total births. The mean stay of patients included showed a decrease of 50% (2.4 to 1.2 days). All patients received continuity of care after hospital discharge. The review consultation was reprogrammed for 4.8% of cases, with 2% of patients re-admitted within 96h. with no serious problems. Four newborns (2%) required attention in the emergency department (mother or newborn) before 96h. The assessment of patient satisfaction achieved a score of 4.5 out of 5.
  
  
  CONCLUSIONS
  The program achieved a decrease in the average stay by 50%, favouring the autonomy of midwives. This acceptance level is in line with similar interventions. The deployment of the program may be useful for other changes in care processes.
authors.affiliation: Servicio de Ginecología y Obstetricia, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España. Electronic address: maria.teulon@salud.madrid.org.
authors.forename: M
authors.initials: M
authors.lastname: Teulón González
authors.affiliation: Medicina Familiar y Comunitaria, Área Xestion Integrada de Pontevedra Salnés, Pontevedra, España.
authors.forename: M
authors.initials: M
authors.lastname: Martínez Pillado
authors.affiliation: Servicio de Pediatría, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
authors.forename: M M
authors.initials: MM
authors.lastname: Cuadrado Martín
authors.affiliation: Servicio de Pediatría, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Rivero Martín
authors.affiliation: Servicio de Ginecología y Obstetricia, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
authors.forename: J F
authors.initials: JF
authors.lastname: Cerezuela Requena
mesh_terms: D000328:Adult; D003266:Continuity of Patient Care; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data; D008880:Midwifery; D036801:Parturition; D010342:Patient Acceptance of Health Care; D010351:Patient Discharge / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000706:statistics & numerical data; D061214:Patient Safety; D049590:Postpartum Period; D011247:Pregnancy; D015397:Program Evaluation
keywords: Delivery; Health outcomes; Parto; Puerperio; Puerperium; Resultados en salud