Newborn Delivery Discharge Criteria from Hospital
Who is Newborn Baby or Neonate?
A newborn infant, or neonate, is a child under 28 days of age. During these first 28 days of life, the child is at highest risk of dying. Newborn define as a product of conception with signs of life, between birth and 28 days of age.
Normal Newborn Delivery Discharge Criteria and Timing from Hospital:
As a midwife I will discharge planning of home care for normal newborn baby from hospital by the below ways:
A normal baby should stay in the health facility for at least 24 hours. Smaller babies or those with feeding problems or sickness should remain in hospital as required.
The following criteria should be met in all the babies prior 1 hour to discharge:
1. The routine formal examination of the newborn has been performed and documented.
2. The newborn is breastfeeding properly.
You can read: Nursing Care of Newborn Baby at Birth
3. The adequacy of feeds can be determined by passage of urine 6 to 8 times every 24 hours.
4. Baby sleeping well for 2-3 hour after feeds.
5. The newborn has received the immunization as per schedule.
6. The mother is confident and trained to take care of the neonate.
7. The newborn is not having significant jaundice or any other illness requiring closer observation by a health provider.
8. The mother has been counseled regarding routine newborn care and her queries are answered.
9. Following advice should be communicated to the mother.
a) Babies, particularly born to primigravida mothers should be called for follow un visit at 48 hour of discharge if discharged before 48 hr.
b) Parents have been explained the following ‘danger signs’ when they need to bring the baby to the hospital.
- Difficulty in feeding,
- Convulsion,
- Lethargy (movement only when stimulated),
- Fast breathing (RR>60/min),
- Severe chest indrawing,
- Temperature of more than 37.5°C or below 35.5°
10. A data for follow up has been assigned. A normal newborn with adequacy of breastfeeding and no significant jaundice by 72 hour of age can be seen at 6 weeks of age. In presence of any high risk factor (e.g. low birth weight, prematurity, significant jaundice, or feeding not established), the baby should be seen within 2-3 days of discharge.
Home Teaching of Newborn and Mother:
It includes-
- Facilitating family and group support of women.
- Respecting the concerns of women.
- Providing information on postnatal care and danger signs in the new mother and baby.
- Tailoring to the specific needs of the depressed postnatal woman.
More questions related to this article:
- What is newborn baby?
- Define newborn.
- Who is a neonate baby?
- As a midwife how will you discharge planning of home care for healthy baby?
- How will you prepare discharge and home care for mother and newborn baby?
- When will you discharge of normal newborn from hospital?
- Write down the timing of discharge in a normal newborn.
- Write down the timing of normal delivery discharge from hospital?
- Write down the criteria of normal delivery discharge from hospital?
- Point out all the normal delivery discharge criteria from hospital.
- Write down the home teaching of newborn and mother.
