The Effect of Early Versus Traditional Hospital Discharge for Women Undergoing Elective Cesarean Section Clinical Trial
Official title:
The Effect of Early Versus Traditional Hospital Discharge on Maternal Outcome for Women Undergoing Elective Cesarean Section
This study will investigate the effect of early hospital discharge versus traditional one on
maternal outcome for women undergoing elective cesarean sections.
aim of the work is to assess rate of maternal hospital revisits after early hospital
discharge at 8-12 hours following elective cesarean delivery compared to the current practice
of discharge at 24-48 hours postoperatively.
The effect of early versus traditional hospital discharge on maternal outcome for women
undergoing elective cesarean section
Randomized clinical trial
Protocol of a thesis for partial fulfillment of master degree in obstetrics and gynecology
Postgraduate Student: Hebatallah Saad Sedky Mohamed Degree: M.B.B.Ch., faculty of medicine-
Alexandria university (2013)
Co-DIRECTOR: Prof. Dr. Ahmed Hamdy Nagiub Abdulrahman Academic Position: professor of
Obstetrics and Gynecology Department: faculty of medicine- Ain Shams University
Co-DIRECTOR: Dr. Mohamed Esmat Abbas Shawky Academic Position: Lecturer of Obstetrics and
Gynecology Department: faculty of medicine- Ain Shams University
What is already known on this subject? What does this study add? The rate of cesarean
delivery is increasing, in developing countries, its rate ranges from 13 to 47% of all cases
of delivery (Gibbons et al 2010). Current practice is to discharge women from hospital 24-48
hours after cesarean delivery, however in some rural areas there is a common practice of
earlier discharge. The effect of earlier discharge on women health is controversial. The
present study will investigate the possibility of earlier discharge to reduce the cost of
hospitalization and postoperative care, increase the turnover rate of obstetric hospitals and
improve maternal outcome.
Many studies were concerned by early discharge of patients as there is evidence for
colorectal surgery suggests that enhanced recovery programmes can reduce hospital stays by
0.5-3.5 days compared with conventional care (Fiona Paton et al 2014).
The average hospital stay following Cesarean delivery in most hospitals is 2 to 4 days (Tan
et al 2012). Hospitalization allows close monitoring of women and early discovery and
management of complication. Early discharge would, therefore, be a disadvantage and may delay
identification and treatment of maternal and infant morbidity (National Institute of Health
2011). In contrast, several studies concluded that early discharge after Cesarean delivery is
not associated with maternal readmissions (Brown et al 2011) and is associated with more
maternal satisfaction and lesser cost (Umbeli et al 2010) and will decrease burden on medical
facilities, increase turnover of obstetrics, reduce the cost of postoperative care, reduce
rate of hospital acquired complications and Improve maternal neonatal relationship.
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