Table of Content Details

Abstract

Background: Maternal and neonatal health requires skilled care and evidence-based
practices to minimize morbidity and mortality. Effective clinical and nonclinical
interventions, infrastructure, and trained professionals ensure high-quality care.
Cloudnine Hospital Network (CHN) has strategically reduced Length of Stay (LoS)
resulting in cost reduction.
Objective: This retrospective study aimed to identify factors influencing LoS after
delivery at the CHN to optimize postpartum care in India.
Methods: Data from CHN hospital records (January 2007 - 2023, covering 156000
deliveries, were analyzed for LoS associated with normal vaginal and cesarean deliveries.
Results: The mean LoS was 2.67±1.65 days. Normal vaginal and cesarean deliveries
had mean LoS of 2.63±1.41 days and 2.75±2.08 days, respectively. The LoS was
shorter than the national averages with over 80% discharged by the second and third
days post-delivery.
Conclusion: Risk assessment and post-natal care must balance with functional
recovery and resource utilization. The LoS should be individualized based on health,
caregiving capabilities, and follow-up access. Enhanced recovery programs, like the
Monarch Centre model, have notably reduced LoS, particularly for cesarean deliveries.
Innovative post-discharge support through telemedicine and outpatient clinics
complements high-quality, evidence-based practices, essential for improved maternal
outcomes with shortened LoS.

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