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  • 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

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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

https://doi.org/10.1136/ebn.1.3.73

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    York R, Brown LP, Samuels P, et al.A randomized trial of early discharge and nurse specialist transitional follow-up care of high-risk childbearing women.Nurs Res1997 Sep/Oct;46:254–61.OpenUrlCrossRefPubMedWeb of Science

    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?

    Design

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

    Setting

    A university hospital in Philadelphia, Pennsylvania, USA.

    Patients

    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 …

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    Footnotes

    • Source of funding: National Institute for Nursing Research.

    • For article reprint: Dr R York, School of Nursing, University of Pennsylvania, 420 Guardian Drive, Philadelphia, PA 19104–6096, USA. Fax +1 215 573 7291.