Reducing the number of obstetrical beds by challenging traditions

Acta Obstetricia Et Gynecologica Scandinavica
Camilla D SalvigNiels Uldbjerg

Abstract

The aim of this commentary is to describe changes in women's care at an obstetric department that made it possible to reduce the number of beds from 40 to 29. Patient pathways were reviewed and revised using lean methodology. The mean length of stay was reduced from 70 to 59 h and the mean numbers of hospitalizations per woman from 1.26 to 1.20. At the organizational level, we introduced a Family Department, home management of newborns, home monitoring of the women with cardiotocography and blood samples, and intrapartum Group B Streptococcus-PCR. Additionally, an After Birth Clinic and network meetings for vulnerable women were established. In patient pathway, we reduced the hospitalization indicated by preterm premature rupture of membranes, preeclampsia and observation after birth laceration. According to National Patient Satisfaction surveys, there was no decrease in women's satisfaction after reducing the number of beds.

References

May 5, 2012·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Riccardo DavanzoSergio Demarini
Jul 5, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Laura A MageeUNKNOWN Canadian Hypertensive Disorders of Pregnancy HDP Working Group
Feb 2, 2017·BMC Health Services Research·Marie Höjriis StorkholmCarl Savage

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Citations

Sep 27, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Jane M BendixEllen C Løkkegaard

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