Comparison of reduced hospital stays and readmission rates among antenatal COVID-19-positive patients

A retrospective cohort study

Authors

  • Uroš Višič University Medical Centre Ljubljana, The Division of Gynaecology and Obstetrics, and University of Novo mesto, Faculty of Health Sciences, Na Loko 2, 8000 Novo mesto, Slovenia https://orcid.org/0000-0002-9563-6903

DOI:

https://doi.org/10.14528/snr.2024.58.4.3254

Keywords:

infection, nursing, duration, postpartum, rehabilitation

Abstract

Introduction: The COVID-19 pandemic also posed a major  risk in the perinatal area. The aim of the study was to investigate the length of hospital stays among COVID-19 positive patients in the early postpartum period compared to the standard duration, and their readmission rates compared to the standard readmission rates in the healthy population.
Methods: The length of stay in hospital after vaginal delivery and caesarean section was examined through a retrospective cohort study. A total of 322 patients were included. The data were obtained from the Hipokrat information system and analysed using descriptive statistics and t-test, with a statistical significance threshold of p < 0.05.
Results: On average, the length of stay in hospital after vaginal delivery (Me = 2.45) and caesarean section (Me = 4.05) was longer than the predetermined duration. The minimum length of stay was approximately three days (Max = 3.06) after a vaginal delivery and four days (Max = 4.38) after a caesarean section. The results showed no statistically significant differences between the length of stay after vaginal delivery (p = 0.38) and after caesarean section (p = 0.21) in COVID-19-positive patients.
Discussion and conclusions: It was found that despite the expected shorter length of stay in hospital in COVID-19 positive patients, their treatment was only negligibly  longer. Further studies focusing on the early postnatal period are needed.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Alves Mascarenhas, V. H., Caroci-Becker, A., Pereira Venancio, K. C. M., Girardi Baraldi, N., Caroci Durkin, A., & Gonzalez Riesco, M. L. (2020). Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: A scoping review. Revista Latino-Americana de Enfermagem, 28(2), Article e3359. https://doi.org/10.1590/1518-8345.4596.3359 PMid:32785566; PMCid:PMC7417133

Barbosa, R. N., Aparecida Braga, M., Braga Costa, B., & Amedee, F. J. (2022). Treatment of pregnant and early postpartum women with severe and critical COVID-19: Experience at a tertiary center. European Journal of Medical Research, 27(26), Article 269. https://doi.org/10.1186/s40001-022-00907-5 PMid:36461042; PMCid:PMC9716514

Darido, J., El Haddad, C., Diari, J., Grevoul Fesquet, J., Bouzid, N., Bobric, A., Lakhdara, N., Bazzi, Z., Lebis, C., Khadam, L., & Rigonnot, L. (2020). COVID-19 in pregnancy: Our experience at a tertiary maternity unit in France. Clinical Journal of Obstetrics and Gynecology, 3(2), 54-64. https://doi.org/10.29328/journal.cjog.1001051

Elling, C., Rider Sleutel, M., Wells, J., Valdez, E., Walker, K., & Nguyen, T. (2022). Women's and nurses' perceptions of visitor restrictions after childbirth during the COVID-19 pandemic. Clinical Evaluation & Improvement Childbearing, 26(4), 278-287. https://doi.org/10.1016%2Fj.nwh.2022.05.002 PMid:35697080; PMCid:PMC9187511

Flannery, D., Zevallos Barboza, A., Pfeifer, M., Hudak, M., Barnette, K., Getzlaff, T., Ellington, S. R., Woodworth, K. R., Dhudasia, M. R., Mukhopadhyay, S., Weinberg, W. W., Foglia, E. E., & Puopolo, K. (2022). Perinatal COVID-19 maternal and neonatal outcomes at two academic birth hospitals. Journal of Perinatology, 42(2), 1338-1345. https://doi.org/10.1038/s41372-022-01446-x PMid:35778485; PMCid:PMC9247898

George, E., Weiseth, A., & Edmonds, J. (2021). Roles and experiences of registered nurses on labor and delivery units in the United States during the COVID-19 pandemic. Journal of Obstetric, Gynecologic and Neonatal Nursing, 50(2), 742-752. https://doi.org/10.1016/j.jogn.2021.08.096 PMid:34474005; PMCid:PMC8387218

Gomez, J., Wardell, D., Cron, S., & Hurst, N. (2022). Relationship between maternal COVID-19 infection and inhospital exclusive breastfeeding for term newborns. Journal of Obstetric, Gynecologic & Neonatal Nursing, 51(5), 517-525. https://doi.org/10.1016/j.jogn.2022.05.002 PMid:35661652; PMCid:PMC9120128

González-Gil, M.T., González-Blázquez, C., Parro-Moreno, A.I., Pedraz-Marcos, A., Palmar-Santos, A., Otero-García, L., Navarta-Sanchez,M. V., Alcolea-Cosin, M. T., Arguello-Lopez, M. T., Canalejas-Perez, C., Carrillo-Camacho, M. E., Casillas- Santana, M. L., Diaz-Martinez, M. L., Garcia-Gonzalez, A., Garcia-Perea, E., Martinez-Marcos, M., Martinez-Martin, M. L., Palazuelos-Puerta, M. P., Sellan-Soto, C., & Oter-Quintana, C., (2021). Nurses' perceptions and demands regarding COVID-19 care delivery in crtical care units and hospital emergency services. Intensive & Critical Care Nursing, 62(2), Article 102966. https://doi.org/10.1016/j.iccn.2020.102966 PMid:33172732; PMCid:PMC7598734

Gupta, V., Yadav, Y., Sharma, R., Mishra, M., Ambedkar, D., & Gupta, V. (2022). Maternal and perinatal outcomes of hospitalized COVID-19 positive pregnant women. Cureus, 14(2), 1–6. https://doi.org/10.7759/cureus.21817 PMid:35261836; PMCid:PMC8894144

Handley, S., Gallagher, K., Breden, A., Lindgren, E., Lo, J., Son, M., Murosko, D., Dysart, K., Lorch, S. A., Greenspan, J., Culhane, J. F., & Burris, H. (2021). Birth hospital length of stay and rehospitalization during COVID-19. Pediatrics, 149(1), Article e2021053498. https://doi.org/10.3389/fsoc.2021.655401 PMid:34889449; PMCid:PMC9645693

Kang, H., Son, Y., Kim, M. J., & Chae, A. M. (2021). Experiences of nurses caring for perinatal women and newborns during the COVID-19 pandemic: A descriptive qualitative study. Nursing Open, 8(6), 3358-3365. https://doi.org/10.1002/nop2.881 PMid:33942555; PMCid:PMC8242804

Kodeks etike v zdravstveni negi in oskrbi Slovenije in Kodeks etike za babice Slovenije. (2014). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

Kugelman, N., Toledano Hacohen, M., Karmakar, D., Segev, Y., Shalabna, E., Damti, A., Kedar, R., & Zilberlicht, A. (2021). Consequences of the COVID-19 pandemic on the postpartum course: Lessons learnt from a large-scale comparative study in a teaching hospital. International Journal of Gynaecology and Obstetrics, 153(2), 315-321. https://doi.org/10.1002/ijgo.13633 PMid:33523481; PMCid:PMC9087621

Lubbe, W., Niela-Vilen, H., Thomson, G., & Botha, E. (2022). Impact of the COVID-19 pandemic on breastfeeding support services and women's experiences of breastfeeding: A review. International Journal of Womens Health, 14(3), 1447-1457. https://doi.org/10.2147/IJWH.S342754 PMid:36225180; PMCid:PMC9549794

McClymont, E., Albert, A. Y., Alton, G. D., Boucoiran, I., Castillo, E., Fell, D. B., Kuret, V., Poliquin, V., Reeve, T., Scott, H., Sprague, A. E., Carson, G., Cassell, K., Crane, J., Elwood, C., Joynt, C., Murphy, P., Murphy-Kaulbeck, L., Saunders, S., … for the CANCOVID-Preg Team. (2022). Association of sarscov- 2 infection during pregnancy with maternal and perinatal outcomes. JAMA, 327(20), 1983-1991. http://doi.org./10.1001/jama.2022.5906

Meaney, S., Leitao, S., Olander, E., Pope, J., & Matvienko-Sikar, K. (2022). The impact of COVID-19 on pregnant women's experiences and perceptions of antenatal maternity care, social support and stress-reduction strategies. Women in Birth, 35(3), 307-316. https://doi.org/10.1016/j.wombi.2021.04.013 PMid:33994134; PMCid:PMC9051126

Ministrstvo za zdravje, Urad Republike Slovenije za nadzor, kakovost in investicije v zdravstvu. (2024). Kakovost zdravstvenega varstva. https://www.gov.si/teme/kakovost-zdravstvenega-varstva/

Panzer, A., Reed-Weston, A., Friedman, A., Goffman, D. & Wen, T. (2022). Expedited postpartum discharge during the COVID-19 pandemic and acute postpartum care utilization. The Journal of Maternal-Fetal & Neonatal Medicine, 35(25), 9585-9592. https://doi.org/10.1080/14767058.2022.2048815 PMid:35282750

Semaan, A., Dey, T., Kikula, A., Asefa, A., Delvaux, T., Langlois, E., van den Akker, T., & Benova, L. (2022). “Separated during the first hours”- postnatal care for women and newborns during the COVID-19 pandemic: A mixed-methods cross-sectional study from a global online survey of maternal and newborn healthcare providers. PLOS Global Public Health, 2(4), Article e0000214. https://doi.org/10.1371/journal.pgph.0000214 PMid:36962168; PMCid:PMC10022345

Vila-Candel, R., Gonzalez Chorda, V., Soriano-Vidal, F. J., Castro-Sanchez, E., Rodriguez-Blanco, N., Gomez-Segui, A., Andreu-Pejo, L., Martinez-Porcar, C., Rodriguez Gonzalvez, C., Torrent-Ramos, P., & Mena-Tudela, D. (2022). Obstetricneonatal care during birth and postpartum in symptomatic and asymptomatic women infected with SARS-CoV-2: A retrospective multicenter study. International Journal of Environmental Research and Public Health, 19(9), Article 5482. https://doi.org/10.3390/ijerph19095482 PMid:35564880; PMCid:PMC9103978

Villar, J., Ariff, S., Gunier, R., Thiruvengadam, R., Rauch, S., & Kholin, A. (2021). Maternal and neonatal morbidity and mortality among pregnant women with and without COVID-19 infection. JAMA Pediatrics, 175(8), 817-826. http://doi.org/10.1001/jamapediatrics.2021.1050 PMid:33885740; PMCid:PMC8063132

Visic, U., Stopar Pintaric, T., Albreht, T., Blajic, I., & Lucovnik, M. (2021). Multimodal stepwise analgesia for reducing opioid consumtion after cesarean delivery. Clinical and Experimental Obstetrics & Gynecology, 48(5), 1162-1166. https://doi.org/10.31083/j.ceog4805186

Višič, U. (2022). Digitalizacija zdravstveno-vzgojnih vsebin šole za starše v času pandemije COVID-19. In T. Marčun & E. Dornik (Eds.), Odločno digitalno za več zdravja: Kongres MI'2022: zbornik prispevkov in povzetkov, Ljubljana, November 2022 (pp. 79−80). Slovensko društvo za medicinsko informatiko.

Wagner, M., Falcone, V., Neururer, S., Leitner, H., Delmarko, I., Kiss, H., Berger, A., & Farr, A. (2021). Perinatal and postpartum care during the COVID-19 pandemic: A nationwide cohort study. Birth Issues in Perinatal Care, 49(2), 243-252. https://doi.org/10.1111/birt.12594 PMid:34617310; PMCid:PMC8653168

Wood, K., Schmitz, A., & Bhoojhawon, G. (2022). Early discharge from a Newborn Nursery in the United States during the COVID-19 pandemic. COVID, 2(3), 379-388. https://doi.org/10.3390/COVID2030026

World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714

Zavod za zdravstveno zavarovanje Slovenije. (2024). Kazalniki kakovosti. https://partner.zzzs.si/zdravstvene-storitve/kazalnikikakovosti/

Downloads

Published

2024-12-19

How to Cite

Višič, U. (2024). Comparison of reduced hospital stays and readmission rates among antenatal COVID-19-positive patients: A retrospective cohort study. Slovenian Nursing Review, 58(4), 245–251. https://doi.org/10.14528/snr.2024.58.4.3254

Issue

Section

Original scientific article