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• W2052025295 startingPage "364" @default.
• W2052025295 abstract "Context. Responding to safety concerns, federal and state legislation mandated coverage of minimum postnatal stays and state legislation in California mandated coverage of follow-up after early discharge. Little is known about the postnatal services newborns are receiving. Objective. To describe rates of early discharge and of timely follow-up for early-discharged newborns. Design and Setting. Retrospective, population-based cohort study using a 1999 postpartum survey in California. Participants. A total of 2828 infants of mothers with medically low-risk singleton births. Main Outcome Measures. Rates of early discharge (≤1-night stay after vaginal delivery and ≤3-night stay after cesarean section) and untimely follow-up (no home or office visit within 2 days of early discharge). Results. Overall, 49.4% of newborns were discharged early. Of these, 67.5% had untimely follow-up. The odds of early discharge were greater with lower incomes: the adjusted odds ratios (AORs) (with 95% confidence intervals) were 2.06 (1.50–2.83) for incomes ≤100% of poverty, 2.20 (1.65–2.93) for incomes from 101%–200% of poverty, and 2.24 (1.63–3.08) for incomes from 201%–300% of poverty. Untimely follow-up was more likely for infants of women with incomes ≤100% of poverty (AOR = 1.89 [1.13–3.17]) and 201%–300% of poverty (AOR = 1.78 [1.09–2.91]), Medicaid coverage (AOR = 1.73 [1.20–2.47]), Latina ethnicity (AOR = 1.47 [1.02–2.14]), and non-English language (AOR = 1.72 [1.16–2.55]). Conclusions. Despite an apparent decline in short stays after legislation, many newborns—particularly from lower-income families—continue to be discharged early. Most newborns discharged early—particularly those with Medicaid and those from low-income, Latina, and non–English-speaking homes—do not receive recommended follow-up. The most socioeconomically vulnerable newborns are receiving fewer postnatal services." @default.
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• W2052025295 date "2003-02-01" @default.
• W2052025295 modified "2023-10-17" @default.
• W2052025295 title "Newborn Early Discharge Revisited: Are California Newborns Receiving Recommended Postnatal Services?" @default.
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• W2052025295 doi "https://doi.org/10.1542/peds.111.2.364" @default.
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