Unreadiness for postpartum discharge following healthy term pregnancy: impact on health care use and outcomes

Journal Name: 
Acad.Pediatr.
Authors: 
Bernstein,H.H.
Spino,C.
Lalama,C.M.
Finch,S.A.
Wasserman,R.C.
McCormick,M.C.
Abstract: 
OBJECTIVE: To document the association between a lack of readiness, termed "unreadiness," for postpartum discharge and the health of mothers and their term newborns. METHODS: Prospective observational cohort study of 4300 mother-infant dyads in a national, pediatric, practice-based research network. The association between unreadiness for discharge and health care use, health-related behaviors, and health outcomes was analyzed by the use of bivariate, multivariate linear, and logistic models. RESULTS: Sixteen percent of mother-infant dyads were unready for discharge. Unreadiness was significantly associated with maternal and infant health care use and health outcomes but not independently associated with health-related behaviors. In multivariable analyses, after we controlled for important covariates and confounders, unready dyads had more calls to health care providers than ready dyads (13.3% increase for mothers, P = .01; 18.7% increase for infants, P < .01) during the first 2 weeks after discharge. In this same time frame, unready dyads also had more symptom days (8.5% increase for mothers, P < .01; 8.7% increase for infants, P < .01). Unready mothers had lower mean physical (5.0% decrease, P < .01) and mental (4.4% decrease, P < .01) health status scores at 4 weeks after discharge. CONCLUSIONS: Unreadiness at postpartum discharge was associated with increased health care use and poorer health outcomes in the first 2 to 4 weeks after discharge. Discharge plans should be individualized and jointly tailored to a family's needs rather than to a set timescale
1
2013
Volume: 
13
Pages: 
27-39
Keywords: 
4300, Cohort Studies, electronic, Health, health care, Health Status, Infant, Logistic Models, medical, Medicine, Methods, Mothers, Pediatrics, Pregnancy, provider, Research, Research Support, support, Time