{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:44:30Z","timestamp":1791395070129,"version":"4.3.3"},"reference-count":48,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"unspecified","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000245","name":"Michael Smith Health Research BC","doi-asserted-by":"publisher","award":["RT-2022-2583"],"award-info":[{"award-number":["RT-2022-2583"]}],"id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000245","name":"Michael Smith Health Research BC","doi-asserted-by":"publisher","award":["SCH-2021-1581"],"award-info":[{"award-number":["SCH-2021-1581"]}],"id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["AWD-019909"],"award-info":[{"award-number":["AWD-019909"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,5,6]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Maternal and newborn morbidity and mortality are a global concern. Understanding the epidemiology of post-discharge complications could identify opportunities for interventions. We aimed to quantify mortality, care-seeking events and readmission among mothers and newborns in Uganda following facility-based delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective observational study (Apr 2022-Sep 2023) enrolled women presenting for delivery at two regional referral hospitals in Uganda. Data were collected during admission and 6\u2009weeks after delivery by phone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 7131\u2009women delivered 7359 newborns, of whom 7129 (99%) women and 6968 (94%) newborns were discharged alive. The newborn mortality rate was 2.7% and 32% of deaths occurred post-discharge. Following discharge, 230 (3%) women and 287 (4%) newborns were readmitted. Suspected sepsis and infections were the most common reasons for readmission among mothers (62.2%) and newborns (89.9%). Caesarean delivery (OR:2\u00b726 (1\u00b775-2\u00b793)) and perinatal death (OR:3\u00b718 (2\u00b709-4\u00b769)) were associated with post-discharge maternal readmission. Both maternal and newborn readmission were associated with household food insecurity during pregnancy (maternal OR:1\u00b756 (1\u00b715-2\u00b708); newborn OR: 1\u00b773 (1\u00b731-2\u00b725)). Newborn resuscitation with oxygen was associated with maternal readmission (OR:2.24 (1.24\u20133\u00b778)), newborn readmission (OR: 2\u00b774 (1\u00b754-4\u00b756)) and newborn death (OR: 4\u00b701 (1\u00b773-8\u00b721)). Although &gt;99% of women had \u22651 antenatal care visit, only 511 (7%) had \u22651 routine postnatal care visit. There were no routine postnatal care visits among 211 (91\u00b77%) readmitted mothers, 276 (96\u00b72%) newborns and 57 (91\u00b79%) newborns who died.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Post-discharge complications occur in a context of low routine postnatal care use. Risk-informed discharge planning, postnatal care and health education strategies may improve outcomes in mothers, newborns and their families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-108734","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:50:35Z","timestamp":1780422635000},"page":"e108734","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Post-discharge mortality, readmission and care seeking among postpartum women and their newborns following facility-based delivery in Uganda: a prospective observational study"],"prefix":"10.1136","volume":"16","clinical-trial-number":[{"clinical-trial-number":"nct05730387","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5814-7975","authenticated-orcid":false,"given":"Yashodani","family":"Pillay","sequence":"first","affiliation":[{"name":"Institute for Global Health, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"},{"name":"The University of British Columbia Department of Anesthesiology Pharmacology & Therapeutics, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9070-9803","authenticated-orcid":false,"given":"Vuong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Institute for Global Health, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Komugisha","sequence":"additional","affiliation":[{"name":"Walimu, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2205-0362","authenticated-orcid":false,"given":"Pascal M","family":"Lavoie","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, BC Children\u2019s Hospital, The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M","family":"Bebell","sequence":"additional","affiliation":[{"name":"Medical Practice Evaluation Centre, Centre for Global Health, Department of Medicine and Division of 22 Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7633-8812","authenticated-orcid":false,"given":"Marianne","family":"Vidler","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth A","family":"Payne","sequence":"additional","affiliation":[{"name":"BC Children\u2019s Hospital Research Institute, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Trawin","sequence":"additional","affiliation":[{"name":"Institute for Global Health, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Christofferson-Deb","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, The University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Mwesigwa","sequence":"additional","affiliation":[{"name":"Walimu, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Happy Annet","family":"Twinomujuni","sequence":"additional","affiliation":[{"name":"Walimu, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie K","family":"Novakowski","sequence":"additional","affiliation":[{"name":"Institute for Global Health, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"},{"name":"The University of British Columbia Department of Anesthesiology Pharmacology & Therapeutics, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dustin","family":"Dunsmuir","sequence":"additional","affiliation":[{"name":"Institute for Global Health, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"},{"name":"The University of British Columbia Department of Anesthesiology Pharmacology & Therapeutics, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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