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Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study

BACKGROUND: Current practice in the Western Cape region of South Africa is to discharge newborns born in-hospital within 24 h following uncomplicated vaginal delivery and two days after caesarean section. Mothers are instructed to bring their newborn to a clinic after discharge for a health assessme...

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Autores principales: Milambo, Jean Paul Muambangu, Cho, KaWing, Okwundu, Charles, Olowoyeye, Abiola, Ndayisaba, Leonidas, Chand, Sanjay, Corden, Mark H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765667/
https://www.ncbi.nlm.nih.gov/pubmed/29372186
http://dx.doi.org/10.1186/s41256-017-0057-4
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author Milambo, Jean Paul Muambangu
Cho, KaWing
Okwundu, Charles
Olowoyeye, Abiola
Ndayisaba, Leonidas
Chand, Sanjay
Corden, Mark H.
author_facet Milambo, Jean Paul Muambangu
Cho, KaWing
Okwundu, Charles
Olowoyeye, Abiola
Ndayisaba, Leonidas
Chand, Sanjay
Corden, Mark H.
author_sort Milambo, Jean Paul Muambangu
collection PubMed
description BACKGROUND: Current practice in the Western Cape region of South Africa is to discharge newborns born in-hospital within 24 h following uncomplicated vaginal delivery and two days after caesarean section. Mothers are instructed to bring their newborn to a clinic after discharge for a health assessment. We sought to determine the rate of newborn follow-up visits and the potential barriers to timely follow-up. METHODS: Mother-newborn dyads at Tygerberg Hospital in Cape Town, South Africa were enrolled from November 2014 to April 2015. Demographic data were obtained via questionnaire and medical records. Mothers were contacted one week after discharge to determine if they had brought their newborns for a follow-up visit, and if not, the barriers to follow-up. Factors associated with follow-up were analyzed using logistic regression. RESULTS: Of 972 newborns, 794 (82%) were seen at a clinic for a follow-up visit within one week of discharge. Mothers with a higher education level or whose newborns were less than 37 weeks were more likely to follow up. The follow-up rate did not differ based on hospital length of stay. Main reported barriers to follow-up included maternal illness, lack of money for transportation, and mother felt follow-up was unnecessary because newborn was healthy. CONCLUSIONS: Nearly 4 in 5 newborns were seen at a clinic within one week after hospital discharge, in keeping with local practice guidelines. Further research on the outcomes of this population and those who fail to follow up is needed to determine the impact of postnatal healthcare policy.
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spelling pubmed-57656672018-01-25 Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study Milambo, Jean Paul Muambangu Cho, KaWing Okwundu, Charles Olowoyeye, Abiola Ndayisaba, Leonidas Chand, Sanjay Corden, Mark H. Glob Health Res Policy Research BACKGROUND: Current practice in the Western Cape region of South Africa is to discharge newborns born in-hospital within 24 h following uncomplicated vaginal delivery and two days after caesarean section. Mothers are instructed to bring their newborn to a clinic after discharge for a health assessment. We sought to determine the rate of newborn follow-up visits and the potential barriers to timely follow-up. METHODS: Mother-newborn dyads at Tygerberg Hospital in Cape Town, South Africa were enrolled from November 2014 to April 2015. Demographic data were obtained via questionnaire and medical records. Mothers were contacted one week after discharge to determine if they had brought their newborns for a follow-up visit, and if not, the barriers to follow-up. Factors associated with follow-up were analyzed using logistic regression. RESULTS: Of 972 newborns, 794 (82%) were seen at a clinic for a follow-up visit within one week of discharge. Mothers with a higher education level or whose newborns were less than 37 weeks were more likely to follow up. The follow-up rate did not differ based on hospital length of stay. Main reported barriers to follow-up included maternal illness, lack of money for transportation, and mother felt follow-up was unnecessary because newborn was healthy. CONCLUSIONS: Nearly 4 in 5 newborns were seen at a clinic within one week after hospital discharge, in keeping with local practice guidelines. Further research on the outcomes of this population and those who fail to follow up is needed to determine the impact of postnatal healthcare policy. BioMed Central 2018-01-12 /pmc/articles/PMC5765667/ /pubmed/29372186 http://dx.doi.org/10.1186/s41256-017-0057-4 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Milambo, Jean Paul Muambangu
Cho, KaWing
Okwundu, Charles
Olowoyeye, Abiola
Ndayisaba, Leonidas
Chand, Sanjay
Corden, Mark H.
Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study
title Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study
title_full Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study
title_fullStr Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study
title_full_unstemmed Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study
title_short Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study
title_sort newborn follow-up after discharge from a tertiary care hospital in the western cape region of south africa: a prospective observational cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765667/
https://www.ncbi.nlm.nih.gov/pubmed/29372186
http://dx.doi.org/10.1186/s41256-017-0057-4
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