Early discharge appears safe for Medicai...( tis dehydration and feeding problems....),Health

tis, dehydration, and feeding problems. "The risk for jaundice is known to be greater in breast-fed newborns compared to formula-fed newborns, and breast-feeding rates are historically low in the Medicaid population," says Dr. Kotagal. "This may have played an important role in the low rehospitalization rates we observed."

Mothers whose children were rehospitalized tended to be white, married, new mothers, and to have delivered vaginally and had a shorter pregnancy. Post-discharge coordination of care resulted in "dramatic increases" in primary care visits and home health visits, according to Dr. Kotagal.

"This, along with low rates of breast-feeding, may explain the reduced rates of rehospitalization - even in the face of decreasing hospital lengths of stay," she says.

"However, follow-up visits remain considerably less than optimal," adds Dr. Kotagal. "More attention needs to be paid to these services for new mothers."

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Contact: Jim Feuer
feuej0@chmcc.org
513-636-4656
Cincinnati Children's Hospital Medical Center
20-Sep-1999

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