Early discharge from hospital after caesarean section at Chris Hani Baragwanath Hospital
Design: Prospective descriptive study.
Setting: Chris Hani Baragwanath Hospital postnatal ward.
Participants: 98 women, at low risk for postoperative complications and are discharged two days after caesarean section.
Methods: Women were approached two days after caesarean section. Their antenatal information, caesarean section details and contact numbers were documented. Fourteen days after discharge the women were contacted telephonically and asked a series of questions.
Main outcomes: Rates of choosing early discharge again, maternal and infant re-admission, and wound complications.
Results: There were three maternal readmissions, for endometritis, eclampsia and a sprained ankle. There was no infant readmission. Eighty eight women (89.8%) would again choose to have early discharge should they require another caesarean section in a future pregnancy. Nine (9.2%) experienced minor wound dehiscence and eight wounds (8.2%) were described as infected. Four of the wounds (4.1%) bled excessively. Thirteen women (13.2%) experienced some degree of wound pain.
Conclusions: In this environment it appears safe to discharge low risk postoperative mothers two days after caesarean section without midwife visits or home follow-up.
Eckhart Johannes Buchmann, University of the Witwatersrand
N Pillay, University of the Witwatersrand
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Date published: 2011-03-02
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