Cochrane · systematic review · CD002958

Early postnatal discharge from hospital for healthy mothers and term infants

Jones, E, Stewart, F, Taylor, B, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
9
No studies
1
Included studies
NR
No studies 1 · 10%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 40%Moderate 5 · 50%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Early discharge compared to standard discharge for healthy mothers and term infants

Population: healthy mothers and term infants
10 questions
OutcomeEffectEvidenceStatus / GRADE
Infants readmitted for neonatal morbidity within 28 days
Early discharge vs standard discharge
RR 1.59 [1.27, 1.98]10 studies · 6918 participantsModerate
Downgraded: risk of bias
Infant mortality within 1 year
Early discharge vs standard discharge
RR 0.45 [0.07, 2.77]3 studies · 4984 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Number of infants having contact with healthcare professionals regarding infant health issues within 4 weeks of birth
Early discharge vs standard discharge
RR 0.88 [0.67, 1.16]3 studies · 639 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Women readmitted within 6 weeks
Early discharge vs standard discharge
RR 1.12 [0.82, 1.54]11 studies · 6992 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Maternal mortality within 6 weeks ‐ not reported
Early discharge vs standard discharge
no estimate extractedNRNo studies
Women probably depressed within 6 months
Early discharge vs standard discharge
RR 0.8 [0.46, 1.42]5 studies · 4333 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Women breastfeeding (exclusively or partially) at 6 weeks postpartum
Early discharge vs standard discharge
RR 1.04 [0.96, 1.13]10 studies · 7156 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Number of women having contact with healthcare professionals regarding maternal health issues within 6 weeks of giving birth
Early discharge vs standard discharge
RR 0.72 [0.43, 1.2]2 studies · 464 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Costs of hospital care in the period immediately following the birth up to the time of discharge
Early discharge vs standard discharge
no estimate extracted3 studies · 1011 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Costs of postnatal care following discharge from hospital in the period up to 6 weeks after the birth
Early discharge vs standard discharge
no estimate extracted3 studies · 1011 participantsLow
Downgraded: risk of bias, imprecision, inconsistency