Forty infants whose birth weight was 2,200gm or less were randomly divided at birth into two groups. The mean weight at discharge was 1,889.5gm for group Ⅰ and 2,281.0gm for group Ⅱ (P<0.01). The mean age at discharge was 18.9 days for group Ⅰ and 29.8 days for group Ⅱ (P<0.01). The criteria used for early discharge were (1) no clinical evidence of disease, (2)stable body temperature at room temperature, (3) satisfactory feeding by mouth and (4) having passed the nadir of postnatal weight loss. The rationale for early discharge of infants of low birth weight is (1) to decrease the poor psychological effect for both infant and mother of early maternal deprivation, (2) to decrease risk of hospital infection for the infant, (3)to allow more medical and nursing care time for sick babies, and (4) to decrease expense for the family. In neither group did any baby need to be readmitted to hospital over the study period. This study suggests that, under meticulous evaluation of clinical progress, a policy of early discharge of infants of low birth weight can become safe and effective.
Forty infants whose birth weight was 2,200gm or less were randomly divided at birth into two groups. The mean weight at discharge was 1,889.5gm for group Ⅰ and 2,281.0gm for group Ⅱ (P<0.01). The mean age at discharge was 18.9 days for group Ⅰ and 29.8 days for group Ⅱ (P<0.01). The criteria used for early discharge were (1) no clinical evidence of disease, (2)stable body temperature at room temperature, (3) satisfactory feeding by mouth and (4) having passed the nadir of postnatal weight loss. The rationale for early discharge of infants of low birth weight is (1) to decrease the poor psychological effect for both infant and mother of early maternal deprivation, (2) to decrease risk of hospital infection for the infant, (3)to allow more medical and nursing care time for sick babies, and (4) to decrease expense for the family. In neither group did any baby need to be readmitted to hospital over the study period. This study suggests that, under meticulous evaluation of clinical progress, a policy of early discharge of infants of low birth weight can become safe and effective.