Abstract

ASENSI MONZO, M.; FABREGAT FERRER, E.; GUTIERREZ SIGLER, M.D.  and  SORIANO FAURA, J.. Assistance on the first 48 hours after discharge from maternity in Primary Care Practice. Rev Pediatr Aten Primaria [online]. 2014, vol.16, n.62, pp.117-124. ISSN 1139-7632.  https://dx.doi.org/10.4321/S1139-76322014000300004.

Introduction: a critical period of time, sometimes too long, passes since healthy term infants are discharged from hospital until they are visited at primary care practices. Objective: to assess the age after birth when healthy term infants are first checked at primary care practices in Comunitat Valenciana. Material and methods: survey of primary care pediatricians from Comunitat Valenciana. Results: Forty-six Primary Care Practices participated in the provinces of Castellón and Valencia (from a total of 162 practices). Data from 248 term infants from April 9^th to June 30^th 2013 were collected. Fifty-eight percent of the infants were first seen after the fifth day of life. Children born in a public hospital are almost twice as much likely to be visited before 6 days of life than children born in a private hospital (odds ratio [OR]: 1.97, 95% CI: 0.92 to 4.1, p = 0.07). Exclusive breastfeeding and mixed feeding were seen after the fifth day of life in 56.93%. No health insurance card at discharge (most of children born in a private maternity), essential to make an appointment, was observed in 24.2% of the cases studied. Conclusions: since the time healthy term infants are discharged from hospital until they are first visited by the pediatric-nurse team, a too long critical period passes.

Keywords : Breastfeeding; Prevention newborn; Infant; newborn; Postnatal visit.

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