On what day are they discharged from the hospital after childbirth?

The mother of a newborn baby always wants the days that need to be spent in the maternity hospital to pass as quickly as possible.

And all the relatives are looking forward to the moment when the mother and newborn baby are discharged from the maternity hospital.

Indeed, in our time, the birth of a child and discharge from the maternity hospital is a whole ritual, accompanied by warm congratulations and many gifts. So, after how many days can mother and baby be discharged from the hospital?

Many expectant mothers are interested in how discharge from the maternity hospital occurs. First of all, you need to understand that mother and child will be discharged only when they are both ready for this. And how many days they stay in the maternity hospital after giving birth depends primarily on the health status of the mother and baby.

As a rule, with a successful birth (when not only the newborn baby is healthy, but also the mother), discharge occurs already on the third day. If a woman experiences any health complications during childbirth, it may happen that doctors extend her stay in the maternity hospital to 10 days.

Also, discharge may be delayed if any health problems arise in the newborn baby.

Thus, the timing of discharge from the maternity hospital depends on 3 components:

• successful childbirth,
• mother's health,
• child's health.

In the maternity hospital, the mother of the newborn baby and the baby himself are under the supervision of a gynecologist and pediatrician.

It is the responsibility of the obstetrician-gynecologist to monitor how the woman’s postpartum period progresses, while the pediatrician is obliged to monitor the health and development of the newborn child.

The opinions of these two doctors together play a decisive role in determining on what day you are discharged from the hospital after childbirth.

Often, if the mother still needs the help of doctors, the baby remains with her in the maternity hospital until the woman is ready to be discharged. If everything is fine with the mother, and the baby requires regular medical supervision, then there are cases when the mother is discharged, and the child remains under the supervision of experienced doctors.

Many parents are concerned about the question, what documents should they have on hand when leaving the maternity hospital? Of course, maternity hospital workers themselves know very well what documents they must give to the family into which the child was born. But most parents prefer to play it safe and educate themselves in this matter.

Upon discharge from the maternity hospital, a woman must be given the following documents:

• Child's birth certificate. This certificate is necessary for the registry office to issue a tiny important document - a birth certificate. The child's birth certificate contains the following information: the date and time of birth of the child, the gender of the child, as well as the surname and initials of the doctor who delivered the child. A birth certificate will also be needed to receive a one-time state benefit issued at the birth of a child.
• An extract (exchange card) with a conclusion about the health of the woman in labor (mother). This extract is given to the woman so that she can submit it to the medical institution (antenatal clinic) where she was observed throughout the entire period of pregnancy.
• An extract (exchange card) with a conclusion about the health of the newborn child. Parents must provide this extract to the children's clinic where the baby will be observed. But most often, medical workers themselves transfer the extract to the children's clinic, without the participation of parents.

It is important that the parents of the newborn baby receive all of the above documents. And on the second or third day of staying at home, the mother of the newborn should expect guests: the pediatrician is obliged to visit the mother and the newborn baby.

First, the doctor must check the conditions in which the child is.

And secondly, the pediatrician is obliged to help and advise the young mother regarding the proper care of the child: give useful advice, tell and clearly show how to bathe the baby, how to massage, how to provide first aid. This approach is very important, especially if a woman has given birth to her first child and does not know many of the nuances in caring for children.

An obstetrician-gynecologist, when setting a discharge date, is based on several factors:

• What type of birth was it (easy birth, natural birth or cesarean section, accompanied by heavy bleeding or not). So, with a natural and easy birth, the mother and child will be discharged as expected, on the 3rd day.
• General health of the mother;
• Uterine contractions;
• The nature of vaginal discharge;
• How well do the sutures heal (during a caesarean section or if there are ruptures, incisions made during natural childbirth). The doctor can discharge a woman only after making sure that the sutures are healing well and there are no inflammatory processes;
• Conditions of the mammary glands. It is important that the woman does not have any prerequisites for mastitis, and that there are no cracks in her breasts.

In any case, before discharge, the woman will need to give blood and urine tests. A blood test will reveal signs of anemia, and a urine test will reveal signs of urinary system diseases.

In some maternity hospitals, doctors offer to undergo an ultrasound to finally make sure that there are no blood clots or remnants of the placenta in the uterus of the woman who gave birth.

Only after the woman has passed all the tests can the obstetrician-gynecologist accurately set a date for discharge from the maternity hospital.

It would be fair to note that not only the obstetrician-gynecologist, but also the pediatrician is responsible for how long they stay in the maternity hospital after childbirth. After all, it is very important that upon discharge the baby does not have any health problems.

While staying in the maternity hospital, children's doctors monitor the baby every day: they conduct a general examination, check how the umbilical wound is healing, weigh the baby, see if the baby's stool is normal, and if there are any problems with urination.

The following types of tests are also taken from babies: a general blood test, a blood test for the presence of congenital diseases, and a urine test. The first vaccinations are given to a newborn baby already in the maternity hospital.

These are BCG (tuberculosis vaccination) and hepatitis B vaccine.

Before discharging a newborn baby, the pediatrician must make sure that:

• The baby is of normal weight. Not everyone knows that 2-3 days after birth, babies lose a little weight compared to the initial indicators. It is considered normal if the child has lost no more than 7% of his original weight. If this indicator exceeds the norm, then doctors will postpone discharge until the reasons are identified.
• the child does not have infectious diseases. If a newborn baby has any infection (it could be a skin infection, a urinary tract infection, or any other type of infection), then his discharge will be delayed until the appropriate course of treatment has been completed.
• the newborn did not have oxygen starvation. Hypoxia (oxygen starvation) can lead to disorders of the child’s nervous system. Therefore, if the baby develops hypoxia in the womb or during childbirth, doctors will leave the baby in the hospital for a longer period in order to identify possible abnormalities and provide timely assistance.

It is important to know that premature babies are kept in the maternity hospital longer. This is due to the fact that premature babies have very little weight, and given that on the 2-3rd day the child still loses weight, this can become a threat to life.

In addition, some babies who were born prematurely require special medical devices, such as incubators and incubators.

In rare cases, if a newborn baby has jaundice, this is also a good reason for postponing the discharge of mother and baby. After all, treatment of such a disease should only occur under the strict supervision of doctors.

Doctors should make sure that a woman who has recently given birth is healing well, and that the general health of the new mother is not cause for concern. The period of stay in the maternity hospital is extended in the following cases:

• In case of difficult childbirth (for example, after a caesarean section, mother and baby are discharged no earlier than on the 8-10th day).
• With high blood pressure. High blood pressure in a nursing mother may be accompanied by edema and the presence of protein in the urine. In this case, discharge is delayed until blood pressure normalizes.
• In inflammatory processes. Sometimes after childbirth, a woman experiences inflammation of the mammary glands (which can lead to mastitis) or inflammation of the cervical mucosa. Both types of inflammation require medical intervention, so the woman will be discharged only after completing the course of treatment - no earlier than on the 8-10th day.
• If there was bleeding during childbirth. Bleeding itself is very dangerous: the mother’s hemoglobin drops sharply, which can lead to anemia (anemia). Therefore, women who had heavy bleeding during childbirth are discharged no earlier than on the 7-8th day, after making sure that there is no threat to her life.
• If the stitches heal poorly. If a woman had a cesarean section or had ruptures during natural childbirth, sometimes the sutures applied do not heal well. If inflammation is present, discharge from the maternity hospital will be delayed until the condition improves (approximately until the 6-7th day).

Thus, with a successful birth, when the mother is healthy and the newborn baby is healthy, discharge from the maternity hospital occurs according to the standard procedure, and already on the 3rd (maximum 5th) day the baby and mother are at home.

You should be prepared for the fact that, despite the above information, most births are still a process that occurs favorably, which means that the period of stay in the maternity hospital should not be too long!

Source: https://vdecret.com/childrenbirth/maternity-home/na-kakoj-den-vypisyvayut-iz-roddoma-posle-rodov/

Discharge from the maternity hospital after cesarean or natural birth without complications and with complications: on what day after birth are they discharged, what documents are given

Discharge from the maternity hospital is a special procedure that includes a thorough examination of the mother and child. There are a number of reasons why doctors do not let you go home, but leave you under supervision.

When discharged after childbirth: basic rules

After the birth of a baby, a woman dreams of being home as soon as possible to enjoy the long-awaited motherhood.

In the absence of contraindications, discharge after natural birth occurs on the 3rd day, after cesarean - on the 7th. However, labor does not always occur without complications. Pathologies are often detected not only in the mother, but also in the child. In this case, being under the supervision of a specialist is required, so discharge from the maternity hospital is postponed.

Discharge from the maternity hospital: what day after birth does it occur?

Depending on the type of labor, as well as complications after it, doctors set different lengths of stay for the woman and child in the maternity hospital. Let's consider how many days a woman needs to be under the supervision of specialists.

Natural childbirth: on what day is it discharged?

If a woman gives birth on her own, and there are no postpartum consequences, then discharge occurs on the 3rd day. This procedure includes a mandatory examination by a gynecologist and a neonatologist; based on the results, a decision is made on the discharge procedure.

Childbirth with maternal complications

There are situations when labor is accompanied by serious complications for a woman. In this case, discharge from the maternity hospital is postponed until the problem is resolved. The most common postpartum complications are:

• severe tears, which are accompanied by suturing (the woman is allowed to go home no earlier than 4-5 days);
• heavy bleeding during childbirth, manual separation of the placenta or curettage (the patient is left under the supervision of doctors for a week);
• inflammatory process on the scar after cesarean section, etc. (for treatment, intravenous drips with antibiotics or surgical intervention are prescribed, the patient is left in the maternity hospital until complete recovery);
• anemia due to severe blood loss;
• weak uterine contraction;
• consequences of gestosis (staying in the maternity hospital is required until blood pressure is completely stabilized).

To determine the pathology, the woman is examined on a gynecological chair, then an ultrasound procedure is prescribed. Based on the results of a comprehensive examination, a decision is made on the length of stay in the maternity hospital.

An important point is the appearance of colostrum and breast milk in a woman. To establish this process, the patient is examined and trained by a breastfeeding specialist.

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Normally, immediately after birth, the baby is applied to the breast to release colostrum. The arrival of milk after a natural birth occurs on the 3rd day, after a cesarean section a little later. Weak lactation is not a reason for a delay in discharge from the hospital.

Fetal pathologies: how many days do they stay in the maternity hospital?

After birth, the baby is examined by a neonatologist and assessed his condition using the Apgar scale. A common reason for delayed discharge from the maternity hospital is severe pathologies of the child. They can occur during labor or during fetal development. The main types of complications are:

• congenital diseases (phenylketonuria, hypothyroidism, etc.);
• lack of weight (normally, weight loss should stop on the 3-4th day after birth, if this indicator is very high, then the baby is left under the supervision of doctors);
• jaundice of newborns;
• premature birth;
• pathologies of the nervous system against the background of severe hypoxia;
• decreased muscle tone;
• lack of basic reflexes;
• infectious diseases.

Fetal death

A distinction is made between antenatal and intranatal fetal death. In the first case, doctors diagnose the death of the child during pregnancy, and removal is carried out within 14 days after the diagnosis is established.

Intrapartum fetal death is caused by problems during childbirth. This may be due to the placenta, amniotic fluid, genetic problems, hypoxia and other reasons. In this case, the woman is left in the maternity hospital for 7 days, after which, in the absence of contraindications, she is sent home.

Caesarean section without complications

If the birth took place by cesarean section without visible complications, then the woman is discharged on the 5-7th day. Upon discharge, they evaluate how well the sutures are healing, how the woman’s recovery is going, etc.

Where to transfer from the maternity hospital in case of fetal pathologies

Each maternity hospital has a neonatal pathology department. This is where mother and child are transferred if there are pathologies. In this department, the necessary treatment is carried out, and after successful completion they are sent home.

How long can they be kept in a maternity hospital by law?

According to the legislative framework, in the absence of complications, a woman is kept in the maternity hospital for no more than 4 days (after a natural birth) and no more than 10 days (after a cesarean section).

The stay in the pathology department is determined by the doctor individually and can last up to several months (in the case of premature babies).

If complications appear after discharge from the maternity hospital (incomplete removal of the placenta, development of an infectious process, etc.), the woman in labor should go to the maternity hospital where she gave birth.

According to the law, she will undergo treatment and eliminate the existing problem.

The only negative point is that the woman is in the department of pathology of pregnant women without a child (regular pumping is recommended to maintain lactation).

Is it possible to discharge yourself from the maternity hospital?

If a woman wants to go home ahead of schedule, this can be done after writing an official statement.

It must stipulate that the patient takes responsibility for all possible risks and complications that may occur after discharge from the hospital.

In this case, the doctor conducts a mandatory examination of the woman and child; if pathologies are detected, discharge is refused.

Support after discharge

The next day after arriving home, a visiting nurse from the children's clinic at the place of residence comes to the child.

She conducts an external examination of the baby, carefully examines the umbilical wound, etc. During the first month of life, the local pediatrician conducts a weekly examination of the child at home.

From the second month, mother and child visit the children's clinic independently.

What documents should be issued at the maternity hospital after discharge?

Among the mandatory documents from the maternity hospital, the mother should have in her hands:

1. A certificate of birth of a child, which is provided to the district registry office when issuing a birth certificate.
2. Child's exchange card for transfer to the district clinic. It indicates all the conclusions of the neonatologist from the maternity hospital: the weight, height of the child, as well as mandatory information about the vaccination performed. In the maternity hospital, the baby is vaccinated against tuberculosis and hepatitis B.
3. A woman's exchange card, which is given to the antenatal clinic. 2 months after giving birth, the mother undergoes a mandatory examination by a doctor.
4. Birth certificate spine. It is transferred to a children's clinic, where the child is monitored during the first year after birth.

Discharge from the maternity hospital occurs on the 4th to 10th day after birth. It all depends on the type of labor, the condition of the mother and child. If there are complications or congenital pathologies, a stay in the neonatal pathology department is required. The timing is determined by the doctor individually; the mother and baby are discharged after all problems have been eliminated.

Source: https://justmama.online/rody-i-prebyvanie-v-roddome/kogda-vypisyvayut-iz-roddoma-posle-rodov.html

Discharge from the maternity hospital: when can you go home?

Discharged from the maternity hospital on the 3rd–9th day after birth. The timing of discharge from the maternity hospital depends on many factors: the method of delivery, the condition of the child and mother, and the absence of complications after childbirth. Under the best circumstances, you can be discharged from the maternity hospital on the 3rd day.

A little later, on the 5th–6th day, they are discharged if sutures were placed on the perineum, cervix, or vagina during childbirth. Discharge is planned on the 5th–7th day if bleeding was noted during childbirth, curettage or manual separation of the placenta was performed. After a caesarean section, the mother is allowed to go home only on the 7th–9th day after birth.

This time is necessary for the restoration of the woman’s body, for the treatment and primary healing of the sutures.

The decision on discharge from the maternity hospital is made by two doctors at once: an obstetrician-gynecologist and a pediatrician (neonatologist). If complications arise on the part of the mother after childbirth, the discharge of the child is delayed until she recovers.

If the woman is healthy, and the newborn needs additional observation and treatment, then she can be sent home, but the baby will remain under observation in the children's department until his condition returns to normal.

Discharge from the maternity hospital: criteria for mother

While a woman is in the maternity hospital, she is monitored daily by a doctor and midwife. They assess the general condition of the postpartum woman, measure pulse, blood pressure, body temperature, etc. In case of complications in the postpartum period, the doctor will prescribe the necessary treatment. Discharge from the maternity hospital will be allowed after the mother is examined by a gynecologist.

He will assess the condition of the mammary glands: whether lactation has been established, whether there are any lumps, redness, or cracks in the nipples. During a careful gynecological examination, she will check how the uterus contracts, whether postpartum lochia is receding well, and how the sutures on the vagina and cervix are healing.

If any doubts arise, the woman is sent for an ultrasound scan (in some maternity hospitals, ultrasound scans are performed for all postpartum women). This study helps determine the condition of the uterine cavity (normally no placenta remains are found there) and the scar on the uterus after a cesarean section.

At the time of discharge, a general blood test is also performed, which allows us to assume the presence of inflammatory processes, allergic reactions, and to assess the general condition of the woman. A urine test is done to rule out diseases of the urinary system or gestosis.

In the absence of complaints, satisfactory condition, positive results of examinations and tests, a decision is made to discharge the young mother. If any abnormalities are detected, the woman is left in the maternity hospital for appropriate treatment.

Discharge from the maternity hospital: criteria for the child

The time a baby needs to spend under medical supervision depends on his condition at birth, the presence of complications after birth, and the method of delivery. Please note that during surgical delivery, adaptation takes longer. Just like the mother, the child is monitored by pediatric nurses and neonatologists throughout his or her stay in the maternity hospital. Every day, doctors evaluate the condition of the skin, umbilical cord, stool and urination, changes in weight, motor activity, muscle tone, and the severity of unconditioned reflexes. The necessary examination is carried out: general blood and urine tests. Also, all newborns, without exception, undergo a blood test for the presence of severe congenital diseases, such as hypothyroidism, phenylketonuria, galactosemia, cystic fibrosis and adrenogenital syndrome. Their diagnosis is important already in the first weeks of life, since the timing of the start of treatment will directly determine the health and development of babies throughout their lives. For the test, the child’s capillary blood is used: it is taken from a finger or heel. In addition, before being discharged from the hospital, the baby must receive all mandatory vaccinations (hepatitis B and tuberculosis).

If everything is fine with the mother and baby and no abnormalities in their health are found, then they are discharged home.

Reasons for mother's late discharge from the hospital

The reasons for late discharge can be various complications after childbirth.

Postpartum hemorrhage, the causes of which are various injuries during childbirth, disturbances in the separation of the placenta and membranes, as well as disturbances in uterine contraction. Various surgical interventions, medications and donated blood products are used for treatment.

Subinvolution of the uterus is a decrease in the rate of contraction of the uterus due to retention of postpartum discharge in it. This condition can lead to endometritis (inflammation of the uterine lining).

Symptoms of the disease are fever, an unpleasant odor of lochia, and aching pain in the lower abdomen. To clarify the diagnosis, an ultrasound examination and, if necessary, surgery are performed, during which the uterus is washed or curetted.

After surgery, antibiotics are required.

Inflamed wounds of the soft tissues of the birth canal are called postpartum ulcers. When infection occurs, these wounds swell and become covered with purulent plaque. They are treated with various antiseptics, sometimes there is a need for surgical treatment.

Lactostasis is stagnation of milk in the mammary gland. In this case, the breast swells and becomes painful, pockets of compaction appear, and a short-term rise in temperature is possible.

Lactostasis itself is not a disease, requiring only careful pumping of the breast, limiting fluid intake and frequent feeding of painful breasts.

However, when an infection occurs, it turns into mastitis, which requires immediate medical attention, antibiotic therapy, and sometimes surgery.

Cracked nipples , the main cause of which is improper attachment of the child to the breast. Treatment consists of using special pads and treating the nipple with wound-healing preparations. Fissures can be an entry point for infection, which subsequently causes mastitis. In this regard, a woman can be discharged only without signs of inflammation in the area of ​​the fissures.

In addition, complications from the woman’s general condition may delay discharge from the maternity hospital.

Anemia occurs with severe blood loss and is accompanied by a decrease in the content of hemoglobin and red blood cells (erythrocytes) in the blood. Depending on the degree of anemia, either treatment is carried out with iron-containing preparations and vitamins, or components of donor blood are transfused.

Preeclampsia occurs during pregnancy; the symptoms of this disease are the appearance of edema, protein in the urine, and increased blood pressure. If a woman has had gestosis, especially in its severe form, then in the first days after childbirth she may have high blood pressure, which requires hospital stay and treatment.

Exacerbation of chronic general diseases often occurs in the postpartum period and requires appropriate treatment.

If the postpartum complications that arise cannot be dealt with within 10–14 days, the woman may be transferred for further treatment to a specialized department for postpartum complications.

Usually in such a department it is possible to stay with the child, if, of course, the condition of the young mother allows this. If this is not possible, then one of the relatives will be issued a sick leave certificate to care for the newborn.

The baby is healthy!

The deadline for a child’s discharge from the maternity hospital is determined by the neonatologist and the head of the children’s department based on the following indicators:

• normal (pale pink) color and absence of rashes on the skin and mucous membranes;
• fallen umbilical cord stump without signs of inflammation;
• cessation of weight loss and the beginning of weight gain;
• urination adequate to feeding (up to 20 times a day, which indicates normal kidney function) and normal stool (brownish or yellow);
• active sucking, no regurgitation;
• Completed full examination and vaccination.

If these health indicators are present, the baby can be discharged from the maternity hospital home on the 4th day after birth.

Reasons for late discharge from the maternity hospital for a child

In the first days of life, all newborns are characterized by the appearance of so-called transitional states, that is, states bordering between health and illness, which can delay discharge from the hospital.

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Loss of body weight is mainly due to low intake and the baby’s increased need for nutrients and water.

Normally, maximum weight loss is observed on the 3rd–4th day of life.

If this indicator is high, then it is necessary to find the cause (the general weakened condition of the child, sluggish sucking, congenital diseases or lack of milk from the mother) and only then prepare for discharge.

Severe jaundice of newborns. Neonatal jaundice occurs in the first few days of life and is associated with the destruction of red blood cells (erythrocytes) in the baby's blood.

In case of intense jaundice, a blood test is performed for bilirubin, a pigment that is formed as a result of the destruction of red blood cells, and in high concentrations has a toxic effect on the brain.

The most severe jaundice is observed with hemolytic disease, when there is a conflict between the groups and/or Rh factors of the blood of the mother and fetus.

To treat this condition, phototherapy is performed: the child is placed under a special lamp, under the influence of light, bilirubin turns into a non-toxic form and is excreted from the body in the urine. Intravenous fluids are also prescribed, and in severe cases, replacement blood transfusions.

Immaturity. Children born immature, with signs of intrauterine growth retardation, are predisposed to large weight losses and often have more pronounced and sometimes prolonged jaundice. In addition, they often have difficulty feeding, which may require longer monitoring.

Consequences of intrauterine hypoxia (oxygen starvation).

Even if on the first day the baby’s condition does not cause concern, after a few days anxiety, frequent regurgitation, and disturbances in muscle tone and reflexes of newborns may appear, indicating damage to the nervous system.

In such cases, children sometimes require not only medical supervision, but also medication to reduce the risk of long-term consequences of hypoxia.

Regurgitation after a short period of time after feeding can be not only a consequence of oxygen starvation, but also a manifestation of pyloric stenosis - a disease in which the outlet from the stomach is narrowed, which makes it difficult for food to pass into the intestines. This condition requires hospital treatment, and in severe cases, surgery may be necessary.

A rash on a child's body may be associated with vesiculopustulosis. This is an infectious disease caused by staphylococci.

Infection occurs in utero if the pregnant woman has foci of chronic infection (carious teeth, chronic tonsillitis and others).

Children suffering from vesiculopustulosis or other foci of infection (inflammation of the eyes, umbilical wound, lungs), as well as inflammatory changes in blood tests, are prescribed a course of antibacterial drugs.

If a newborn child requires long-term treatment, he is transferred for nursing to specialized neonatal pathology departments. Thus, premature babies born at less than 34 weeks of pregnancy are transferred to departments for the second stage of nursing.

Babies with developmental defects often require emergency surgical care, which is provided in pediatric surgical departments.

Children after hypoxia are transferred, if necessary, to neurological departments, and if there are signs of infection, to neonatal pathology departments or infectious diseases departments.

Photo source: depositphotos.com

Source: https://www.9months.ru/rodybase/6105/vypiska-iz-roddoma-kogda-mozhno-domoy

Discharge from the maternity hospital: on what day? 10 reasons for delay for mother and newborn. Discharge from the maternity hospital after cesarean section and after normal childbirth

Content:

The birth is over, and now you want to get home with your baby as soon as possible. Discharge from the maternity hospital is a whole event, joyful and exciting at the same time. But in order to go home, both mother and child must be ready for this. Let's talk about the timing of discharge from the maternity hospital and what sometimes delays it.

What determines the timing of discharge from the hospital?

The timing of a woman and her child’s discharge from the maternity hospital, as a rule, depends on three main factors:

• method of delivery;
• condition of mother and child;
• no complications after childbirth.

If the birth went well, the mother and baby are healthy and there were no complications after childbirth, then discharge occurs on the 3rd day after the birth of the child. After a caesarean section, a woman is discharged later - on the 7th–9th day after birth. Everything here will depend on how the mother’s body recovers, how the postoperative period proceeds, and how the stitches heal.

While the mother and baby are in the maternity hospital, they are monitored by an obstetrician-gynecologist and a pediatrician (neonatologist). An obstetrician-gynecologist monitors the course of the postpartum period in a woman, and a pediatrician monitors the condition and development of the baby. And it is these two doctors who jointly make the decision on discharge.

If the mother has any complications after childbirth, the child is left in the maternity hospital until the mother becomes healthy. If the mother is healthy, and for some reason the baby needs additional observation and treatment in a hospital, then the woman is most often discharged, and the child is left in a specialized children's department until recovery.

What do obstetricians look for?

What do obstetricians-gynecologists take into account when deciding whether it is possible to discharge a mother from the maternity hospital and when is the best time to do this? First of all, the doctor evaluates the general well-being of the mother, contraction of the uterus, the nature of postpartum discharge (lochia), and will also check whether the sutures on the genitals or the sutures after a cesarean section are healing well. In addition, the doctor examines the woman’s mammary glands to see if there is an inflammatory process, cracks, etc.

Before discharge, the doctor will refer the woman for an ultrasound of the internal genital organs. True, it is not yet done in all maternity hospitals, but in most modern clinics this study is carried out on all women who have given birth.

Ultrasound is performed both after natural childbirth and after cesarean section. With this test, you can find out for sure whether parts of the placenta remain in the uterus and whether there are a large number of blood clots in it.

The doctor may also prescribe a woman a general blood test, which can detect anemia, inflammation in the body and simply assess the general condition. A urine test will be done to rule out diseases of the urinary system or gestosis. And only after such a complete examination, the obstetrician-gynecologist decides when to discharge the mother.

What can delay a woman’s discharge from the hospital? First of all, there are some deviations in the birth itself or in the postpartum period.

For example, manipulations during childbirth, such as suturing the perineum, vagina, cervix, can delay discharge until the 4-5th day after birth, but only if the doctor believes that the mother still needs to monitor the condition of the sutures in maternity hospital

But if the tears were minor and heal well, then even with stitches, the mother can be discharged within the usual timeframe - on the 3rd day after birth.

Later - on the 5th-7th day - they are allowed to go home if there were more serious situations during childbirth: bleeding , curettage or manual separation of the placenta. After all, treating bleeding sometimes requires surgery, donated blood, and various medications.

Sometimes after giving birth, a woman experiences some kind of inflammatory processes - the scar after a cesarean section does not heal well or inflammation of the uterine mucosa (endometritis) begins.

To treat any inflammation after childbirth, antibacterial therapy is needed, and often also surgery, during which the contents of the uterine cavity are removed (it is washed or scraped).

If for some reason the blood loss was significant during childbirth, then the mother may experience anemia - a decrease in the content of hemoglobin and red blood cells (erythrocytes) in the blood. Depending on the degree of anemia, either treatment is carried out with iron-containing preparations and vitamins, or components of donor blood are transfused.

In women with gestosis (the appearance of edema, protein in the urine, increased blood pressure during pregnancy), especially in its severe form, high blood pressure may remain in the first days after childbirth, and it will take time to reduce it.

What to take from the maternity hospital upon discharge

• A certificate of birth of a child for the registry office - it will be needed to register the baby.
• Child exchange card - for a children's clinic.
• Mom's exchange card - for antenatal consultation.

Also in the mother’s hands is the “remainder” of the birth certificate - two coupons, which she takes to the children's clinic, where the child will be observed in the first year of life.

What do pediatricians look for?

Just like the mother, doctors monitor him the entire time the child is in the maternity hospital. Every day, the neonatologist examines the baby’s skin and umbilical cord, evaluates the baby’s stool and urination, muscle tone, reflexes, and notes changes in weight.

The child is examined: a general blood and urine test is done, and all newborns are given a blood test for the presence of five congenital diseases (hypothyroidism, phenylketonuria, galactosemia, cystic fibrosis and adrenogenital syndrome). Before being discharged from the hospital, the baby is vaccinated against hepatitis B and vaccinated against tuberculosis (BCG). And after this, the pediatrician decides whether the child can be discharged home.

Sometimes the discharge of a newborn is delayed, the following conditions can lead to this:

• Loss of body weight. Normally, maximum weight loss is observed on the 3rd–4th day of life and usually does not exceed 6–8% of the initial body weight. If the loss is more than normal, then it is necessary to find its cause and only then discharge the child. This takes some time.
• Severe jaundice of newborns , for example, due to a conflict between groups and/or Rh factors of the blood of the mother and fetus ( hemolytic disease ). To treat this disease, infusion therapy (intravenous fluids), phototherapy, and sometimes even exchange blood transfusions are performed. In such a situation, the child will have to stay in the maternity hospital until his condition returns to normal.
• Immature or premature babies. Children born immature or premature are predisposed to large weight losses, heat loss, and often need special living conditions (incubators or nursing incubators). All this requires long-term observation in the maternity hospital in the department for nursing premature babies or in the neonatal pathology department.
• Consequences of intrauterine hypoxia or hypoxia during childbirth. After oxygen starvation, the child may have some kind of nervous system disorders. If signs of pathology (impaired reflexes, muscle tone) appear on the first day after birth, the baby is left for treatment in the neonatal pathology department.
• Infectious diseases. Any infectious disease in a newborn, be it a urinary tract infection, a skin infection or cytomegalovirus, requires a course of antibacterial or antiviral therapy. Therefore, in such a situation, discharge is delayed.

If a newborn needs long-term treatment, he is transferred for nursing to specialized neonatal pathology departments. Typically, every major city has several such departments at a children's hospital or maternity hospital.

In conclusion, we will say that most births proceed favorably, and the postpartum period goes the same way for both the woman and the child. This means that most mothers and babies are still discharged from the maternity hospital without delay - in the first three, maximum four to five days after birth.

Source: https://www.7ya.ru/article/Vypiska-iz-roddoma-na-kakoj-den-10-prichin-zaderzhki-dlya-mamy-i-novorozhdennogo/

How many days and days do they stay in the maternity hospital after childbirth?

The birth of a long-awaited baby is always joy and happiness. And it is not surprising that many young mothers wonder how long they stay in the maternity hospital after giving birth ? The length of hospital stay depends on many factors.

Reasons for continuing hospital stay after childbirth

As soon as the baby is born, many mothers dream of immediately showing it to all their friends and family. The desire to quickly “break out” of the walls of the hospital and find yourself in a cozy apartment also visits women in labor. But there is no need to rush to go home, and the important question of how many days they stay in the maternity hospital after childbirth is decided only by the doctor.

The length of hospital stay depends on several factors:

• How was the birth? Naturally or by caesarean section?
• If the mother gave birth by caesarean section, then the doctor must monitor the healing after the surgical suture. The degree of tissue regeneration at the suture also affects the length of stay in the hospital.
• During a natural birth, the doctor monitors the degree of healing of postpartum sutures in the vagina.
• How do women and babies feel after childbirth?
• Are all preventive vaccinations given to the newborn? Has laboratory and instrumental testing of the baby’s health been carried out?

If the condition of the newborn and the mother in labor is satisfactory, then the happy family can be discharged from the hospital within 3-5 days.

Natural childbirth - length of stay in the hospital

The length of hospital stay after a natural birth depends on the well-being of the woman and the newborn. Before discharge, the baby must have all the necessary vaccinations and blood and urine tests taken. An examination of the baby by specialized specialists is indicated - pediatrician, neurologist, neonatologist, ophthalmologist, cardiologist, otolaryngologist, etc.

Before the doctor discharges a woman from the maternity hospital, her body must also be thoroughly examined. After childbirth, the doctor regularly conducts examinations to identify symptoms of the development of the inflammatory process.

A study is required to determine the degree of contraction of the uterine walls. Before discharge, the young mother is prescribed an ultrasound of the pelvic organs and an ECG.

After receiving the results of laboratory and hardware tests, the doctor makes a decision to discharge the woman in labor from the maternity hospital or increase the length of stay in the hospital.

Upon receipt of satisfactory results of the studies, the woman and newborn are discharged home. As a rule, this occurs on the 3rd day after birth.

Read also: List of free medicines for children: up to 3 years, up to 1 year, how to get

The length of hospital stay increases if a woman ruptures during childbirth or has had an episiotomy (an incision in the perineum). In this case, discharge is carried out on the 5th day after birth. In case of complications after episiotomy (suppuration, inflammation, poor healing), the period of stay in the maternity hospital increases to 7-10 days.

Caesarean section - length of stay in the hospital

After a caesarean section, the woman’s body must recover. During her stay in the hospital, doctors monitor the woman’s well-being; during this period, her body temperature is measured daily, the suture is treated, and ultrasound is periodically performed.

If symptoms of complications occur (bleeding, formation of pus on wounds or ichors), the length of hospital stay is extended. In this case, the question of how many days they stay in the hospital after childbirth is decided by the doctor individually.

In the absence of complications, a woman with a newborn can be discharged from the hospital within 5-7 days.

Premature birth - length of stay in the hospital

Newborns born prematurely require special care. The stay of the baby and his mother in the maternity hospital may drag on until doctors, using medical research, determine that the child is strong enough and is able to further develop at home.

It is impossible to say exactly how long a baby should stay in the hospital after premature birth. It all depends on the date of birth and its physiological state.

Source: https://VsePosleRodov.ru/roddom/gotovimsya-k-rodam/v-roddome

On what day are they discharged from the hospital?

Hello, dear readers!

Every mother, on the eve of and especially after childbirth, is worried about the question of when she will be able to go home. The question of what day I am discharged from the hospital is important for various reasons. Firstly, is everything okay with the health of the child and mother, and secondly, when will dad and other loved ones be able to see their baby.

As a rule, they are discharged from the maternity hospital on the 3-4th day, if everything is in order, the mother and child feel well.

The first few days of a baby's life

1. 1 day. At birth, the child loses a lot of strength and energy, loses weight, and the next day recovers and adapts to new conditions. He sleeps a lot. On the first day, the baby is put to the breast, but as such there is no need for food yet.

   He can sleep for a long time without even waking up and this is considered the norm.

2. Day 2. During the second day, doctors monitor the child and mother. They monitor the current condition, look at how the baby is attached to the breast or eats an adapted milk formula if there are problems with lactation.

   The child's temperature is measured several times a day to prevent hypothermia or overheating. They look at urination and bowel movements.

3. Day 3. On the third day, they take a blood and urine test and get the first vaccination if all the indicators are normal.

   They donate blood from the big toe for congenital diseases. Next, the child is weighed. The difference in birth weight and current weight are recorded. Usually the child loses a little a few grams (about 5%), this is considered normal.

If the child’s condition is normal, he has a normal weight, positive test results and all the rules are followed, the child and his mother are discharged from the maternity hospital.

What should you have with you?

As for documents, you need to have with you the same documents as when entering the Maternity Hospital: passport, SNILS, marriage certificate (if any) and a medical card from the antenatal clinic.

Based on these documents, a medical certificate of the child’s birth is issued, with which in the future it will be necessary to obtain a birth certificate from the registry office, exchange cards of the child and mother for the children’s clinic and antenatal clinic.

Postpartum condition of mother

An important component for discharge from the maternity hospital is the mother’s well-being after childbirth. The postpartum period is very individual for each woman. This depends on many factors:

• age and physical fitness;
• what kind of births?
• caesarean section or natural birth;
• features of labor.

In the days following childbirth or surgery, obstetricians must look at the contraction of the uterus, pay attention to postpartum discharge (lochia), treat sutures if there were internal or external ruptures, and sutures after a cesarean section. Examine the mammary glands. Blood pressure and body temperature are measured. A woman takes a blood test if she has anemia, which is often found in pregnant women, or if there has been a large loss of blood.

After a caesarean section, a woman needs a little more time to recover, then she and the baby are discharged on the 7-8th day. It is necessary for the stitches to begin to heal. But the child practically does not need any special care or individual approach.

Children who were born in different ways no longer have any divisions in the future, unless there are some special indications for which the mother was caesareaned. Children grow, develop, and gain weight equally well. In rare cases, there are some individual situations.

Even if the woman was given anesthesia for some reason, the child, like everyone else, can be placed on the breast and all standard procedures can be performed.

Peculiarities of being in the maternity hospital for mother and newborn

After birth, in 2017, newborns are consistently discharged on the full fourth day. This is due to the fact that doctors must make sure that the child is in good health, observe and give recommendations for further care. If the baby was born before 12 noon, then this day is considered the first day from which the countdown of the stay in the maternity hospital begins. If childbirth ends after 12 noon, then this day is considered “zero”. As a rule, now they no longer take babies away from their mother after birth and take them to separate rooms. During the entire stay in the maternity hospital, they are together. The mother has the opportunity to directly observe and control everything that is happening, ask questions to doctors about nutrition, about what is happening with the child, feed on demand, care for and learn to do things that she has never done.

There are situations when the child is ready to be discharged, but the mother is not, then the child remains in the maternity hospital until the mother recovers completely. But when the mother is healthy, and the baby, for some reason, requires hospital treatment or observation, then the mother is discharged, and the baby is transferred to a specialized children's department.

Quite often, upon discharge from the maternity hospital, doctors and mothers are faced with the phenomenon of jaundice. This is not a disease; they are discharged with jaundice and sent home safely.

These are the physiological characteristics of the child’s body. There is a special device that measures the level of this substance in the blood.

In rare cases, it happens that jaundice is pathological, but then treatment is prescribed by a doctor in a hospital or at home.

It must be said that most births go well. Children lose little body weight in the first days, after which they gain weight steadily and recover easily. They develop an appetite and the little ones eat well.

Instead of colostrum, the mother begins to produce milk. The mother calmly endures the postpartum period and then goes home with the baby already on the 3-4th day. Have a good birth. Positive emotions and impressions.

Happiness and health to the children.

See you in the next article.

Source: http://tvoirodi.ru/vosstanovlenie-posle-rodov/na-kakoj-den-vypisyvayut-iz-roddoma.html

When to be discharged from the hospital after childbirth

Discharge from the maternity hospital is an important, exciting, long-awaited event. Mom has already recovered a little after the difficult ordeal, and the baby is slowly adapting to life outside the womb. To go home, they both must be ready for it. So, let’s find out when it is customary to discharge a woman in labor from the maternity hospital, and why sometimes the discharge is delayed.

About the terms of discharge

The timing of discharge from the maternity hospital usually depends on the condition of the baby and his mother, the method of delivery and the absence of complications during childbirth.

If they went well, the baby and mother are healthy, then you can usually go home on the 3rd day after the baby is born. When a woman gives birth by cesarean section, she is discharged home 7-9 days after birth.

It all depends on the rate of recovery of the body, the course of the postoperative period, and the healing of sutures.

During the woman’s stay in the maternity hospital, she and the baby are monitored by an obstetrician-gynecologist and a neonatologist, that is, a pediatrician.

If she has complications after childbirth, the baby and mother are left in a medical facility until she recovers.

And when, on the contrary, she is healthy, but the baby needs additional examination or treatment in a hospital, then she is discharged. The child is left in a specialized children's department.

About observation of obstetricians

The specialist evaluates the woman’s general well-being, how her uterus contracts, and the nature of the lochia (postpartum discharge). He also watches how the sutures heal, examines the woman’s mammary glands for cracks and inflammation.

Before discharge, the doctor refers the patient for ultrasound diagnostics of the internal reproductive organs. Yes, this is not done in all maternity hospitals today. But in most clinics such a study is carried out for women after natural childbirth and cesarean section. It is ultrasound that makes it possible to accurately verify that no part of the placenta remains in the mother’s uterus and that there are no blood clots there.

And before discharge from the maternity hospital, the doctor prescribes a general blood test for the patient. It allows you to identify anemia, inflammation and assess the general condition of the new mother. A urine test is prescribed to rule out diseases of the urinary system or gestosis. If, based on the results of the examination and tests, there are no obstacles to discharge, then the woman goes home.

What delays discharge from the hospital? Deviations during childbirth and the postpartum period. For example, suturing the perineum, cervix. In this case, discharge is carried out 4-5 days after birth, if the doctor believes that the patient needs to be monitored further. When the ruptures were minor, they heal well, then the standard time for discharge of a woman in labor does not change.

On the 5-7th day she was sent home when there was bleeding during labor and the placenta was manually separated. Sometimes, after the birth of a baby, a woman experiences inflammatory processes, for example, endometritis, or the scar does not heal well after a cesarean section. In such cases, antibacterial therapy and often surgical intervention are mandatory.

About observation by pediatricians

Every day, the neonatologist examines the baby’s umbilical cord, his skin, evaluates the baby’s urination, stool, muscle tone and reflexes.

The baby is given a blood sample to check for congenital diseases: phenylketonuria, galactosemia, hypothyroidism, cystic fibrosis and adrenogenital syndrome. Before discharge, the baby is given the first vaccination against hepatitis B and tuberculosis.

The following conditions lead to a delay in the discharge of a newborn:

1. Weight loss. Its decrease is considered normal on the 3-4th day of life, when it does not exceed 6-8% of the indicator with which the baby was born. If the loss is greater, then the neonatologist looks for the reason, and then discharges the baby.
2. Severe jaundice. Treatment includes infusion therapy and phototherapy.
3. Prematurity of the child. Such a baby is predisposed to significant loss of weight and heat and needs to be placed in an incubator for nursing.
4. Nervous system disorders. They may be a consequence of hypoxia.
5. Infectious diseases. A skin infection and detected cytomegalovirus require a course of antibacterial and antiviral therapy.

All of the above are rare exceptions to the rule. The majority of births in women observed during pregnancy at the antenatal clinic proceed favorably, which means they are discharged from the maternity hospital without delay.

Source: https://beremennost.net/kogda-vypisyvayut-iz-roddoma-posle-rodov