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Infants discharged 1 day after birth fare as well as those staying 2 days.
2003 JAN 16 - (NewsRx.com & NewsRx.net) -- A new study sponsored by the federal Agency for Healthcare Research and Quality found no ill effects from discharging infants in a large Massachusetts HMO from the hospital 1 day after uncomplicated vaginal birth, compared with sending them home with their mothers 2 days after birth.
But, because a sharp rise in hospital costs offset the savings realized by limiting postpartum stays to 1 day, the health plan's average per-delivery expenses decreased only $90 while this policy was in practice, according to the findings published in the December 19, 2002, issue of the New England Journal of Medicine.
After studying data on more than 20,000 pairs of mothers and newborn infants covered by the HMO, researchers found that emergency room visits and hospital readmission rates following hospital discharge did not change after the state established a 48-hour minimum stay. Prior to the minimum-stay legislation, effective in 1996, the HMO normally covered only a 1-night hospital stay for infants and their mothers after birth. This early-discharge protocol, first implemented in 1994, also included one home visit by a nurse within 48 hours of birth.
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