{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T12:14:19Z","timestamp":1762604059113,"version":"3.37.3"},"reference-count":37,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2017,10,22]],"date-time":"2017-10-22T00:00:00Z","timestamp":1508630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2013\u20102093"],"award-info":[{"award-number":["2013\u20102093"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To (i) reveal care\u2010seeking patterns of emergency room visits within 30\u00a0days following childbirth (i.e., identify risk factors that trigger contact with emergency room, visit rate and diagnoses) and (ii) suggest clinical implications for postnatal follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The study had a longitudinal design; it used anonymised data from a county council database on all women in Stockholm County, Sweden, who gave birth in 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Descriptive and inferential data analysis methods were used. Cox regression was applied to these variables: age when giving birth, diagnostic codes at birth, care encounters and types (e.g., visits or hospital admissions), day of discharge and care organisation and type. The data covered the period from childbirth through a 30\u2010day period following discharge from hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The database contained 28,963 births and 59,202 healthcare or medical care encounters. Of these encounters, 50.3% (<jats:italic>n\u00a0<\/jats:italic>=\u00a029,774) were planned visits to hospital postnatal care units within 7\u00a0days following discharge and 1.2% (<jats:italic>n\u00a0<\/jats:italic>=\u00a0681) were admissions to hospitals. Of all women who gave birth, 12.2% (<jats:italic>n\u00a0<\/jats:italic>=\u00a03,533) visited the emergency room at least once. The number of visits peaked at day 6 following discharge. These factors significantly increased risk for emergency room visits: caesarean, assisted birth and sphincter injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Emergency room visits occurred most commonly immediately following discharge when there were no routine check\u2010ups. Greater risk of emergency room visits \u2013 following caesareans, assisted childbirths or sphincter injuries \u2013 indicated that early support for women with childbirth complications should be improved upon discharge from hospital. Other multiple risk factors for emergency room visits might exist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Many emergency room visits could be prevented through early, more qualified, appropriate follow\u2010up via maternity care systems and effective midwifery interventions. These initiatives could enhance care continuity and facilitate postpartum recovery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14090","type":"journal-article","created":{"date-parts":[[2017,9,28]],"date-time":"2017-09-28T15:37:00Z","timestamp":1506613020000},"page":"769-776","source":"Crossref","is-referenced-by-count":8,"title":["Postnatal <scp>ER<\/scp> visits within 30\u00a0days\u2014Pattern, risk factors and implications for care"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3746-3562","authenticated-orcid":false,"given":"Anna","family":"Vikstr\u00f6m","sequence":"first","affiliation":[{"name":"The Division of Family Medicine Department of Neurobiology, Care Sciences and Society Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven\u2010Erik","family":"Johansson","sequence":"additional","affiliation":[{"name":"The Division of Family Medicine Department of Neurobiology, Care Sciences and Society Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mia","family":"Barimani","sequence":"additional","affiliation":[{"name":"Division of Reproductive Health Department of Women\u2032s and Children\u2032s Health Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,22]]},"reference":[{"issue":"1","key":"e_1_2_12_2_1","first-page":"17","article-title":"Maternal postnatal hospital readmission\u2010trends and association with mode of delivery","volume":"104","author":"Ade\u2010Conde J. 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