Early discharge of low birthweight infants as a hospital policy. 1990

R E Schmidt, and D H Levine
Department of Pediatrics, University of Cincinnati Children's Hospital Medical Center, OH 45229.

All 123 infants with birthweights less than or equal to 2000 g born at a private institution between February 1, 1987, and January 31, 1988, were eligible for early discharge if they met the following criteria: weight about 1800 g, medically stable, feeding well by nipple, satisfactory weight gain, thermostability, and parents and home prepared. Forty-one of 48 (85.4%) infants who satisfied these criteria were discharged at birthweights less than 2100 g. None of the 35 infants for whom follow-up was possible were rehospitalized, had a serious illness, or died as a result of the policy. The policy was universally accepted by the staff. Such a policy has the potential to unite babies and families sooner, promote the mental health of the families, save medical dollars, and make the medical resources of newborn intensive care units available for critically ill infants.

UI MeSH Term Description Entries
D007224 Infant Care Care of infants in the home or institution.
D007230 Infant, Low Birth Weight An infant having a birth weight of 2500 gm. (5.5 lb.) or less but INFANT, VERY LOW BIRTH WEIGHT is available for infants having a birth weight of 1500 grams (3.3 lb.) or less. Low Birth Weight,Low-Birth-Weight Infant,Birth Weight, Low,Birth Weights, Low,Infant, Low-Birth-Weight,Infants, Low-Birth-Weight,Low Birth Weight Infant,Low Birth Weights,Low-Birth-Weight Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D009725 Nurseries, Hospital Hospital facilities which provide care for newborn infants. Hospital Nurseries,Hospital Nursery,Nursery, Hospital
D010290 Parents Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent. Step-Parents,Parental Age,Parenthood Status,Stepparent,Age, Parental,Ages, Parental,Parent,Parental Ages,Status, Parenthood,Step Parents,Step-Parent,Stepparents
D010351 Patient Discharge The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities. Discharge Planning,Discharge Plannings,Discharge, Patient,Discharges, Patient,Patient Discharges,Planning, Discharge,Plannings, Discharge
D010820 Physicians Individuals licensed to practice medicine. Physician
D001724 Birth Weight The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms. Birthweight,Birth Weights,Birthweights,Weight, Birth,Weights, Birth
D001833 Body Temperature Regulation The processes of heating and cooling that an organism uses to control its temperature. Heat Loss,Thermoregulation,Regulation, Body Temperature,Temperature Regulation, Body,Body Temperature Regulations,Heat Losses,Loss, Heat,Losses, Heat,Regulations, Body Temperature,Temperature Regulations, Body,Thermoregulations
D001942 Breast Feeding The nursing of an infant at the breast. Breast Fed,Breastfed,Milk Sharing,Wet Nursing,Breast Feeding, Exclusive,Breastfeeding,Breastfeeding, Exclusive,Exclusive Breast Feeding,Exclusive Breastfeeding,Sharing, Milk

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