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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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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 …

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  • 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.