We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Early Discharge of Newborns-Reply

Susan Egerter, PhD; Paula Braveman, MD, MPH; Julius Richmond, M; Woodie Kessel, MD, MPH
JAMA. 1997;278(23):2067. doi:10.1001/jama.1997.03550230043033.
Text Size: A A A
Published online


In Reply  —Drs Cass and Volk suggest that the NNT concept should be applied to inform decisions about the trade-offs between postpartum hospital days and newborn readmissions. Based on findings from the studies by Dr Liu and colleagues' and by Dr Edmonson and colleagues,2 they calculate that society and insurers would be expected to pay for an estimated 232 additional days of postpartum hospitalization to save an estimated 2.5 newborn readmission days. We believe that framing decisions about early discharge in terms of a trade-off between LOS and newborn readmissions oversimplifies the relationship between services and outcomes. The experiences of Dr Cook and colleagues, who describe the range of services associated with a voluntary early-discharge program offered by their managed care organization in Connecticut, suggest that we should consider the full span of relevant services actually received by mothers and infants before, during, and after the postpartum hospital stay, rather than


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.