Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Il neonato dimesso precocemente

EARLY DISCHARGE OF THE NEWBORN BABY

LUISA MAROLLA

Pediatra di Famiglia, Roma

Dicembre 2002 - pagg. 674 -677

Abstract
The practice of early discharge of the newborn baby has become more common, due to the needs for cost containment and in response to the demand for demedicalisation of childbirth. Family paediatricians are concerned about the potential risks for the health of newborn babies linked to this practice. The available studies in fact do not provide any evidence for increased health risks, with the exception of term newborns discharged earlier than 30 hours after birth. The crucial point remains the timeliness and quality of clinical follow-up, particularly to ensure early detection of danger signs and advice for feeding problems.
Parole chiave
Assistenza neonatale cura del neonato Dimissione precoce early discharge Newborn care
Suggerite dall'AI
Allattamento al seno Breastfeeding
Classificazione MeSH
Physiological Phenomena Diet, Food, and Nutrition Nutritional Physiological Phenomena Child Nutritional Physiological Phenomena Infant Nutritional Physiological Phenomena Breast Feeding (213)
Health Services Administration Patient Care Management Comprehensive Health Care Primary Health Care Continuity of Patient Care (40)
Pathological Conditions, Signs and Symptoms Pathologic Processes Hyperbilirubinemia Hyperbilirubinemia, Neonatal (16)
Persons Age Groups Infant Infant, Newborn (284)
Health Services Administration Patient Care Management Comprehensive Health Care Primary Health Care Continuity of Patient Care Patient Discharge (22)
Health Care Facilities Workforce and Services Health Services Patient Care Hospitalization Patient Readmission (2)
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Bibliografia
1. Parisi VM, Meyer BA. To stay or not to stay? That is the question. N Engl J Med 1995; 333:1635-7.
2. Parisi Eaton A. Early postpartum discharge: recommandations from a preliminary report to congress. Pediatrics 2001;107:400-3.
3. Claris O. La situation dans les autres pays de la communauté européenne. Arch Pédiatr 2001;8(suppl2):498.
4. Raccomandazioni per l’assistenza alla madre in puerperio e al neonato. Riv Ital Pediatr 2000;26:232-43.
5. Braveman P. Early discharge and evidencebased practice. JAMA 1997;278:334-6.
6. Margolis LH. A critical review of studies of newborn discharge timing. Clin Pediatr 1995; 34:626-34.
7. Gagnon AJ, Dougherty G, Jimenez V, Leduc N. Randomized trial postpartum care after hospital discharge. Pediatrics 2002;109:1074-80.
8. Liu LL, Clemens CJ, Shay DK, et al. The safety of newborn early discharge. JAMA 1997; 278:293-8.
9. Danielsen B, Castles AG, Damberg CL, et al. Newborn discharge timing and readmissions: California, 1992-1995. Pediatrics 2000;106:31-9.
10. Edmonson MB, Stoddard JJ, Owens LM. Hospital readmission with feeding-related problems after early postpartum discharge of normal newborns. JAMA 1997;278:299-303.
11. Gartner LM, Herschel M. Jaundice and breastfeeding. Pediatric Clin North Am 2001; 48(2):389-99.
12. Gazzetta Ufficiale della Repubblica Italiana, serie generale, n.263 10/11/2000.
13. Cattaneo A, Buzzetti R. Effect on rates of breastfeeding of training for the Baby Friendly Hospital Initiative. BMJ 2001;3213: 1358-61.
14. Neifert MR. Prevention of breastfeeding tragedies. Pediatr Clin North Am 2001;48(2): 273-97.
15. Kotagal UR, Atherton HD, Eshett R, et al. Safety of early discharge for medicaid newborns. JAMA 1999;282:1150-6.
16. Poland RL. Preventing kernicterus: almost there. J Pediatr 2002;140:385-6.
17. Johnson LH, Bhutani VK. System-based approach to management of neonatal jaundice and prevention of kernicterus. J Pediatr 2002;140:396-403.
18. Bhutani VK, Johnson L, Sivieri EM. Predictive ability of a predischarge hour-specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and nearterm newborns. Pediatrics 1999;103:6-14.
19. De Carvahlo M, Robertson S, Klaus M. Fecal bilirubin excretion and serum bilirubin concentrations in breastfed and bottle-fed infants. J Pediatr 1985;107:786-90.
20. Ward KE, Pryor RW, Matson JR, et al. Delayed detection of coarctation in infancy: implications for timing of newborn follow-up. Pediatrics 1990;86:972-6.
21. Ainsworth SB, Wyllie JP, Wren C. Prevalence of clinical significance of cardiac murmurs in neonates. Arch Dis Child Fetal Neonatal Ed 1999;80:F43-F45.
22. Wren C, Richmond S, Donaldson L. Presentation of congenital heart disease in infancy: implications for routine examination. Arch Dis Child Fetal Neonatal Ed 1999;80: F49-F53.
23. Kuehl KS, Loffredo CA, Ferencz C. Failure to diagnose congenital heart disease in infancy. Pediatrics 1999;103:743-7.
24. Janson S, Rydberg B. Early postpartum discharge and subsequent breastfeeding. Birth 1998;25:222-5.