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Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania. | LitMetric

AI Article Synopsis

  • Early discharge after childbirth has increased neonatal readmissions, prompting research on their risk factors, incidence, and prevention strategies.
  • The study at a pediatric hospital in Romania included 108 neonates, identifying malnutrition, fever, and bronchiolitis as the most common issues, with no recorded deaths.
  • Key findings emphasize the importance of follow-up care, proper hand hygiene, and breastfeeding education to reduce risks, supported by a multidisciplinary approach for better outcomes.

Article Abstract

: Early discharge after childbirth has led to a rise in neonatal readmission, thereby becoming a major concern in recent decades. Our research aimed to identify the risk factors and incidence of neonatal readmission and explore preventive measures. : Our study at the Clinical Hospital of Pediatrics in Ploiești, Romania, included 108 neonates admitted during the neonatal period. : This accounted for 2.06% of all admissions (5226). The most prevalent cases were malnutrition (25%), fever (20.3%), and bronchiolitis (17.5%). Diarrhea and infectious gastroenteritis were also observed (14.8%), along with acute rhinoconjunctivitis (9.2%) and late-onset sepsis (3.7%). No deaths were recorded. The most significant characteristics identified were number of children ( < 0.001) and age at maternity discharge ( < 0.001). By following the prevention rules, malnutrition, feeding errors, and infections can be avoided. This includes practicing proper hand hygiene for both mothers and medical staff, as well as educating and demonstrating to mothers the benefits of breastfeeding. In addition, all newborns discharged from the maternity ward would benefit from follow-up at 7-10 days of life. : Our results confirm the effectiveness of a multidisciplinary team and endorse the promotion of breastfeeding. Implementing quality control measures and regularly evaluating the surveillance program will help improve its effectiveness.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11123246PMC
http://dx.doi.org/10.3390/medicina60050705DOI Listing

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