n South African Journal of Obstetrics and Gynaecology - Early discharge from hospital after caesarean section at Chris Hani Baragwanath Hospital : scientific letter




It has become common practice to discharge women from hospital early after caesarean section, to satisfy their wishes or to reduce workload. This practice has not been evaluated in South Africa. We undertook this study to find out if discharge from hospital on the 2nd postoperative day after uncomplicated caesarean section was acceptable to women, and to what extent it was followed by adverse clinical outcomes. Only one such study has been performed in Africa, in which Nigerian women were discharged on the 3rd instead of the usual 7th postoperative day, with good results. No studies from Africa have investigated discharge from hospital on the 2nd postoperative day, although there have been reports of good outcomes from high-income countries. The objectives of this study were to determine women's satisfaction, and rates of wound infection, maternal readmission, infant readmission and early postnatal depression.


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