Postpartum discharge: do varying perceptions of readiness impact health outcomes?

Journal Name: 
Ambul Pediatr
Authors: 
Bernstein,H.H.
Spino,C.
Baker,A.
Slora,E.J.
Touloukian,C.L.
McCormick,M.C.
Abstract: 
OBJECTIVE: To assess maternal and pediatrician perceptions of mother-infant readiness for postpartum discharge and the impact of this decision making during the neonatal period. METHODOLOGY: We performed a prospective cohort study of mothers and healthy term infants during the first month of life. On nursery discharge and 1 month later, mothers and practitioners completed self-administered questionnaires assessing the discharge decision, maternal confidence in newborn care, and the adequacy of the length of obstetric care. We used Fisher exact tests, Wilcoxon tests, and exact logistic regression for analysis. RESULTS: Twenty percent of 55 mother-infant pairs were classified as unready at postpartum discharge. Maternal education less than high school was a significant predictor for lack of readiness (P =.01). During the month after discharge, unready mothers identified themselves as being less happy, made twice as many phone calls on behalf of their infants, and more often placed their infants in the prone sleeping position (P
9
2002
Volume: 
2
Pages: 
388-395
Keywords: 
300, Adult, analysis, Cohort Studies, decision, Decision Making, education, Female, Health, Health Status, hospital, Human, Infant, Infant,Newborn, Life, Male, Mothers, Outcome Assessment (Health Care), Patient Discharge, Pediatrics, Perception, perceptions, PROS, Puerperium, Questionnaires, regression, Support,Non-U.S.Gov't, Support,U.S.Gov't,P.H.S., varying