Maternity, Mother-Child Relations
Conditions
Brief summary
Prior to the HAS recommendations of March 2014, the mother - newborn couple was discharged from the maternity home at 4 days after delivery by AVB and 5 days after caesarean section. The stay in maternity allowed a follow-up of the newborn whose weight gain and the occurrence of a jaundice; And monitoring of the mother whose milky ascent and psychological feelings. In March 2014, the HAS published new recommendations on maternity leave arrangements for the mother - newborn couple, the organization of postpartum follow - up for the mother and pediatric follow - up for the newborn. The HAS then defines so-called optimal conditions for so-called standard outputs, with 9 criteria to respect respectively for the mother and the newborn. If the mother-to-newborn couple respects these so-called optimal conditions and is eligible according to the respective criteria, the latter leaves at home after 72 hours and before 96 hours for an AVB and after 96 completed hours and Before 120 hours for caesarean delivery. As no pediatric discharge was done in the afternoons at the maternity hospital of Amiens, an arbitrary choice was made to allow a standard release to the mother-newborn couple only if the child was born between 00H00 and 11H59 so that his clinical examination of exit is carried out at 72 hours of the birth as recommended by the recommendations of the HAS. These recommendations being recent (2014), no study has studied the impact and consequences on the triad father / mother-newborn of these exits including the occurrence of possible complications or events: re-hospitalizations again The early termination of breastfeeding, and whether the follow-up procedures advocated by the HAS are being followed.
Interventions
OTHERTo study the absence of increased complications and events occurring in the mother-newborn
To study the absence of increased complications and events occurring in the mother-newborn couple who made a standard exit compared to the mother-newborn couples who had benefited from an extra day of Hospitalization in maternity.
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Be taken care of in the Maternity Department of the Amiens-Picardie University Hospital. * Parents' agreement * Mother and Newborn who meet the eligibility criteria of the HAS for a standard exit. Mother : * 1\. Absence of a situation of psychological, social vulnerability, behaviors of addiction and severe dependencies * 2\. Adequate family and / or social support * 3\. Absence of chronic ill-balanced pathology * 4\. Absence of complications or pathologies requiring observation or continuous medical treatment * 5\. Absence of haemorrhage of the delivery, this one was checked and treated (if necessary) * 6\. Absence of active infection or signs of infection * 7\. Absence of thromboembolic signs * 8\. Controlled Pain * 9\. Satisfactory mother-child interactions Child: * 1\. Newborn at term ≥ 37 weeks of amenorrhea, singleton and eutroph * 2\. Normal clinical examination performed imperatively 48 hours after birth and before discharge * 3\. Axillary temperature between 36 and 37 ° C or central between 36.5 and 37.5 ° C * 4\. Established feeding (if breastfeeding: observation of at least 2 feeds ensuring effective transfer of colostrum / milk recognized by the mother), urination and spontaneous stool emissions, established transit * 5\. Weight loss \<8% of birth weight * 6\. Absence of jaundice requiring phototherapy according to the therapeutic indication curve and measurement of transcutaneous and / or blood bilirubin at the output referred to the nomogram (low risk and low intermediate risk only) * 7\. Lack of clinical or paraclinical evidence for infection; If risk factors of infection: recovered and negative biological and bacteriological samples * 8\. Planned neonatal screening and traceability * 9\. Post-partum follow-up after the organized event: an appointment with a referral professional within 48 hours following the exit or even in the week
Exclusion criteria
* Patient not speaking French * Patient who does not meet the HAS criteria: newborn or ineligible mother (minor mother, non-singleton birth) * Assumption in another department than the Maternity department of the CHU Amiens-Picardie.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The occurrence of complications in the first month of life in the mother-newborn couple. | 1 month |
Countries
France
Outcome results
None listed