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Cited by 52Maternal and Neonatal HealthcareMaternal and Perinatal Health InterventionsInfant Development and Preterm Care

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Unreadiness for Postpartum Discharge Following Healthy Term Pregnancy: Impact on Health Care Use and Outcomes

Bernstein, Henry H., Spino, Cathie, Lalama, Christina M., Finch, Stacia A., Wasserman, Richard C., McCormick, Marie C.·2013·Academic Pediatrics
DOI 10.1016/j.acap.2012.08.005
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Abstract

Objective To document the association between a lack of readiness, termed "unreadiness," for postpartum discharge and the health of mothers and their term newborns.Methods Prospective observational cohort study of 4300 mother-infant dyads in a national, pediatric, practice-based research network. The association between unreadiness for discharge and health care use, health-related behaviors, and health outcomes was analyzed by the use of bivariate, multivariate linear, and logistic models.Results Sixteen percent of mother-infant dyads were unready for discharge. Unreadiness was significantly associated with maternal and infant health care use and health outcomes but not independently associated with health-related behaviors. In multivariable analyses, after we controlled for important covariates and confounders, unready dyads had more calls to health care providers than ready dyads (13.3% increase for mothers, P = .01; 18.7% increase for infants, P < .01) during the first 2 weeks after discharge. In this same time frame, unready dyads also had more symptom days (8.5% increase for mothers, P < .01; 8.7% increase for infants, P < .01). Unready mothers had lower mean physical (5.0% decrease, P < .01) and mental (4.4% decrease, P < .01) health status scores at 4 weeks after discharge.Conclusions Unreadiness at postpartum discharge was associated with increased health care use and poorer health outcomes in the first 2 to 4 weeks after discharge. Discharge plans should be individualized and jointly tailored to a family's needs rather than to a set timescale.

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Crossref · 10.1016/j.acap.2012.08.005

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37 of 37 references verified0 citation errors · 0 not checkable

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  • Discharge education is an essential part of maternity care and is key to the successful developmental and physical transition of women to becoming a mother.

    “Discharge education is an essential part of maternity care and is key to the successful developmental and physical transition of women to becoming a mother (Bernstein et al., 2013; Malagon-Maldonado et al., 2017).”

    From Scoping Review of Postpartum Discharge Education Provided by Nurses (2022) · cites this paper as Bernstein et al., 2013

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Metadata

Authors
Bernstein, H. H., Spino, C., Lalama, C. M., Finch, S. A., Wasserman, R. C., & McCormick, M. C.
Affiliations
  • Hofstra University (US)
  • University of Michigan (US)
  • Harvard University (US)
  • American Academy of Pediatrics (US)
ORCID
Venue
Academic Pediatrics
Publisher
Elsevier BV
Published
2013-01
Volume
13
Issue
1
Pages
27-39
ISSN
1876-2859 (ISSN-L)
DOI
10.1016/j.acap.2012.08.005
OpenAlex
W2151672112
Cited by
52
References
36
Citations by year
2026: 4 · 2024: 4 · 2023: 3 · 2022: 9 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 9 · 2016: 5 · 2015: 1 · 2013: 1
FWCI
1.14
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Academic Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. Public Health Service (2R60 MC 00107-09, R40 MC00117)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
term pregnancy, maternal health, infant health, health care utilization, postpartum symptoms, maternal mental health, maternal physical health, mother-infant dyads
MeSH terms
Adult, Child Health Services, Female, Health Status, Humans, Infant, Newborn, Maternal Health Services, Mothers, Patient Discharge, Pregnancy, Prospective Studies, Cohort Studies, Health Behavior, Multivariate Analysis, Linear Models, Logistic Models, Postpartum Period, Young Adult

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