Hospital discharge after a planned cesarean delivery
Hospital discharge on the first compared with the second day after a planned cesarean delivery had equivalent maternal postpartum outcomes, finds a study.

This study is a randomized clinical trial performed on 294 women who undergo an elective cesarean section. The patients were randomized into two groups by simple randomization method: Group A (discharge 24?h after cesarean) and group B (discharge for 48?h after cesarean).

In both groups, during the first 24?h, they received intravenous antibiotics (cefazolin as routine order) and pethidine at the time of pain. The patients were discharged with hematinic and mefenamic acid. The main outcome variables were the satisfaction of the patient, surgical site infection, separation of incision, endometritis, urinary tract infection, gastrointestinal complications, rehospitalization, secondary postpartum hemorrhage, and pain of the patient on discharge day, first and six weeks after cesarean.

- Satisfaction scores and pain scores at discharge day, one and six weeks after discharge were not significantly different in the study groups.

- Another key finding of this paper was no significant difference in the incidence of surgical site infection, separation of incision, endometritis, urinary tract infection, gastrointestinal complications, rehospitalization, secondary postpartum hemorrhage at one and six weeks after discharge in the study groups.

In particular, the time of discharge can be reduced to 24?h after surgery if the mother to be in good general condition, the vital signs are stable, the patient has no underlying problem and disease, and it is financed for the patient and the health system.

BMC Pregnancy and Childbirth
Source: https://doi.org/10.1186/s12884-021-03873-8
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