Fördelar och nackdelar med tidig hemgång - Theseus

BACHELOR’S THESIS
Author: Linnéa Rynéus
Degree Programme: Nursing, Vaasa
Specialization: Midwifery
Supervisor: Monika Koskinen
Title: Advantages and disadvantages of early discharge of maternity patients
A theoretical study on early discharge from hospital after birth
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November 08, 2012 Number of pages 51 Appendices 1
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The purpose of this qualitative theoretical thesis is to present advantages and disadvantages
found in previous research on early discharge, within 48 hours, from hospital after child-
birth. The study is intended to provide a more nuanced picture and an opportunity to form
an opinion about early discharge and show the areas that need further study. The thesis will
answer the following questions: What are the benefits of early discharge after childbirth
and what are the disadvantages? The thesis method is literature studies with an overview
article. The 26 research articles are presented in a review article and analyzed using induc-
tive content analysis. The theoretical starting points are Maternity by Mercer, Nursing
relationship by Peplau and Orlando, and Comfort by Kolcaba. The theoretical background
presents statistics on days of care, care after labour, puerperium and the position statements
of the International Confederation of Midwives.
The results revealed six categories of advantages of early discharge: Positive impact on
breastfeeding, good experience of care, emotional well-being, togetherness within the fa-
mily, physical well-being of mother and child as well as cost effectiveness. Disadvantages
of early discharge resulted in four categories: Negative impact on breastfeeding, deficien-
cies in the postnatal care, disease and death among newborns as well as fatigue and lack of
sleep. It also revealed many results showing that there are no significant differences bet-
ween early discharge and longer hospital care, which is presented in the section “Other
results” with the following categories: Breastfeeding, mother's physical and mental health,
newborn’s health, and new mothers' views on early discharge. The care and support you
get influence whether early discharge provides more advantages or disadvantages.
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Language: Swedish Key words: early discharge, short hospital stay, delivery,
puerperium, motherhood, nursing, nurse-patient relationship, comfort
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