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RISK LESS DELETION OF EARLY HOSPITUL DISCHARYC ON FIRST DA Y POST CESARIA OM SECTION

Cesarean section is one of the most frequent operations in the field of ob & Gyn. Medical consensus (1996) recommends hospital stay of up to 96 hours following uncomplicated cesarean delivery The average length of postpartum stay in the United States was recently surveyed by the center for disease control and prevention and they found the above recommendation . Now some insurance companies and prepaid health plans specify lengths of stay up to 72 hours for cesarean births . In order to satisfy the desire of the patients for early discharge and economic benefits we studied the safety of early discharge, 24 hours after cesarean delivery . This was a quasi experimental study and we followed 501 cesarean sections, including elective , emergency and elective repeat cesarean sections from June to April 2000 in a private hospital , operated on by different gynecologists. They were discharged during the first 24 hours post cesarean births to be followed in the office. We had only one post discharge readmission with the diagnosis of puerperal infection which had medical treatment and was discharged in a good condition . Eight patients (1.6%) developed postpartum infection (stated 13%) with a meaningful p- value (P=0.001) who were treated on an outpatient basis with no problem . One patient developed superficial wound infection who was followed in the office with no sequela . In conclusion early hospital discharge in cesarean births is a feasible option and with a morbidity reduction and is cost effective with no increased risk to the patient .