Evid Based Nurs 1:73 doi:10.1136/ebn.1.3.73
  • Treatment

Early discharge after nurse specialist education and planning plus follow up visits and telephone calls was cost effective for high risk pregnant women and their newborn infants

 Question Compared with routine care and discharge, does early hospital discharge with home follow up care by a clinical nurse specialist (CNS) improve maternal and infant outcomes and reduce cost of care for women with high risk pregnancies and their infants?


Randomised controlled trial with follow up for 8 weeks after delivery.


A university hospital in Philadelphia, Pennsylvania, USA.


103 women with hypertension or diabetes mellitus were studied (mean age 27.5 y, 70% with ≥ high school education, 37% married, 81% African-American). Inclusion criteria were speaking English at home and access to a telephone. Women were enrolled at the time of their first hospital admission during the pregnancy (n=55) or at the time of delivery if no previous hospital admission had occurred (n=41). Follow up was 93%.


Women in the intervention group (n=44) were …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article