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Signing yourself out of hospital

  • 23-01-2014 1:25pm
    #1
    Registered Users, Registered Users 2 Posts: 51 ✭✭


    I have a bit of an odd question but I was wondering since I was pregnant, I know after I give birth I can sign myself out of hospital as quickly as I want too but I sign myself out can I sign my baby out too? Provided we are both healthy of course

    I realise that wouldn't be the best idea too do but I was curious and was hoping someone could answer me I'd be great full


Comments

  • Registered Users, Registered Users 2 Posts: 1,490 ✭✭✭monflat


    I have a bit of an odd question but I was wondering since I was pregnant, I know after I give birth I can sign myself out of hospital as quickly as I want too but I sign myself out can I sign my baby out too? Provided we are both healthy of course

    I realise that wouldn't be the best idea too do but I was curious and was hoping someone could answer me I'd be great full

    It really depends on how u gave birth where u gave birth are you under a domino scheme?

    If you had a section it would b a different story

    If you intend to breast feed I say stay as long as u can so they can help you as much

    Any reason why u want out so quick


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    monflat wrote: »
    It really depends on how u gave birth where u gave birth are you under a domino scheme?

    If you had a section it would b a different story

    If you intend to breast feed I say stay as long as u can so they can help you as much

    Any reason why u want out so quick

    No not under a domino scheme, I don't really plan on checking myself out early I was just curious really. I know I could sign myself out but I didn't know if I could sign baby out
    The only reason it crossed my mind was the maternity here I'm limerick isn't particularly clean, and last time I was in with my daughter I couldn't eat there as I didn't like the food and couldn't sleep either, so the thought of discharging myself early crossed my mind that's all.


  • Registered Users, Registered Users 2 Posts: 358 ✭✭Madisson


    I signed myself out early and it was the best decision I ever made. In the rotunda anyways if u go early they will send midwives out to your house if you're in their catchment area. I found I got no support for breast feeding in the hospital as it was so busy but because I left early I got one to one attention. Obviously only do that if you're both healthy :)


  • Registered Users, Registered Users 2 Posts: 358 ✭✭Madisson


    I wasnt on the domino scheme either and they still arranged that for me :)


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    Madisson wrote: »
    I wasnt on the domino scheme either and they still arranged that for me :)

    Thanks very much :) yeah I will only consider it if we both healthy of course. I feel like I would recover better at home personally. But I'll see how things go at the time of the birth


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  • Registered Users, Registered Users 2 Posts: 12,644 ✭✭✭✭lazygal


    I told my consultant I'd recover better from my section at home and left after four rather than five nights. I don't see how they can force your baby or you to stay if you're healthy.


  • Closed Accounts Posts: 3,948 ✭✭✭Sligo1


    If uve had a normal vaginal delivery with no complications to you or baby can you not be discharged on request after 24 hours?? I know in Holles Street in dublin you can.


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    lazygal wrote: »
    I told my consultant I'd recover better from my section at home and left after four rather than five nights. I don't see how they can force your baby or you to stay if you're healthy.

    I'm not sure, for my first baby last year I had an emergency c section. My water broke 4 weeks early and my little miss was breech. She got quite jaundiced and was in the special care for a bit so I never even thought about leaving early because it suited me being so close too her.
    But this time I'm hoping for a VBAC so I'm totally clueless about this birth stuff


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    Sligo1 wrote: »
    If uve had a normal vaginal delivery with no complications to you or baby can you not be discharged on request after 24 hours?? I know in Holles Street in dublin you can.

    I haven't a clue to be honest but that would be great


  • Closed Accounts Posts: 3,284 ✭✭✭Chattastrophe!


    I know when I was in Holles St a couple of weeks ago, they were practically kicking mothers and babies out the minute 24 hours was up. I wasn't expecting that, as we were told in antenatal classes to expect to stay in for 3 nights after a natural birth, or 5 nights after a section.

    One woman on the ward wanted to go home the day after having a section ... the doctor really didn't seem at all happy about it, but agreed in the end.

    They're not going to want to hold you there against your will. Assuming all is well with the mother and baby, I can't imagine you'd have any problems with being allowed home as soon as you feel ready.


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  • Registered Users, Registered Users 2 Posts: 4,852 ✭✭✭ncmc


    I was actually wondering about this too. I’m not sure how long CUMH keep you after a straightforward delivery, but I am due in June and that place is a furnace at the best of times, if it’s anything like June last year, I’d imagine the heat would be unbearable. The thought of being kept in for three days fills me with horror. But I suppose it is totally down to the circumstances of the birth.

    Interesting to see how Zara Phillips was discharged 4 hours after giving birth last week and even the heir to the throne, little George was in hospital for less than 24 hours. Obviously they don’t hang about in England!


  • Registered Users, Registered Users 2 Posts: 1,816 ✭✭✭Suucee


    Sligo1 wrote: »
    If uve had a normal vaginal delivery with no complications to you or baby can you not be discharged on request after 24 hours?? I know in Holles Street in dublin you can.

    I had normal birth at 41 weeks. Baba and me were fine and they wouldnt let me go home when i asked (approx 39hrs aftr) as baba wasnt 48hrs old. She was born at 7pm so i asked could i go t at 7pm as she would be 48hrs old and i live close to hospital but wouldnt let me. I had to stay another night.
    This was mullingar though.


  • Registered Users, Registered Users 2 Posts: 12,644 ✭✭✭✭lazygal


    I'm not sure, for my first baby last year I had an emergency c section. My water broke 4 weeks early and my little miss was breech. She got quite jaundiced and was in the special care for a bit so I never even thought about leaving early because it suited me being so close too her.
    But this time I'm hoping for a VBAC so I'm totally clueless about this birth stuff

    I've had an elective (first time) and emergency (second time but not really an emergency as nothing was happening). I learned from the first time and told my consultant if it was a second section I'd be staying the minimum required because I would recover better and faster. Once my bloods were ok I was allowed out, but TBH I'd have looked at checking myself out anyway because I had a textbook experience and baby was fine.

    Most Dublin maternity units will let you home ASAP because they need the space, especially if all was ok.


  • Closed Accounts Posts: 3,284 ✭✭✭Chattastrophe!


    I was kept in for four nights because the baby's blood sugar was low, but I don't think I'd have been comfortable going home any sooner anyways. I found it a lot harder than I would have expected to get used to taking care of him, and it was brilliant having the midwives there to show me how to do everything and to check that everything was OK. We'd have been in serious bother if I'd been sent home the day after he'd been born - the nurses realised his blood sugar was low because he was "jittery" and he was rushed off to intensive care, I had just put it down to normal newborn jumpiness and didn't realise anything was wrong.

    Anyways I'd imagine it's completely different on your second pregnancy, when you know what's normal and what's not!


  • Closed Accounts Posts: 2,391 ✭✭✭fro9etb8j5qsl2


    A cousin of mine had her baby in limerick a few weeks ago. She was strep b positive and because her labour was very fast, they hadn't time to give her the antibiotics and her little girl was born with an infection. The baby needed 3 days of antibiotics and the doctors wanted to keep both mother and baby in for another 2 days for monitoring afterwards but she refused and signed herself and the baby out because she found the hospital to be dirty. She reckoned that if there were any problems then they wouldn't have let her go.

    Whether she was right or not to do it I couldn't say but she was allowed to leave with the baby nonetheless. The baby suffered no ill effects and is thriving now :)


  • Registered Users, Registered Users 2 Posts: 4,852 ✭✭✭ncmc


    No not under a domino scheme, I don't really plan on checking myself out early I was just curious really. I know I could sign myself out but I didn't know if I could sign baby out
    The only reason it crossed my mind was the maternity here I'm limerick isn't particularly clean, and last time I was in with my daughter I couldn't eat there as I didn't like the food and couldn't sleep either, so the thought of discharging myself early crossed my mind that's all.
    A cousin of mine had her baby in limerick a few weeks ago. She was strep b positive and because her labour was very fast, they hadn't time to give her the antibiotics and her little girl was born with an infection. The baby needed 3 days of antibiotics and the doctors wanted to keep both mother and baby in for another 2 days for monitoring afterwards but she refused and signed herself and the baby out because she found the hospital to be dirty. She reckoned that if there were any problems then they wouldn't have let her go.

    Whether she was right or not to do it I couldn't say but she was allowed to leave with the baby nonetheless. The baby suffered no ill effects and is thriving now :)
    Aside from anything else, it’s an absolute disgrace in this day in a first world country that women feel the need to sign themselves and their babies out of hospital due to lack of cleanliness. It must have been really bad for MrsPostman’s cousin to sign their baby out even though they had an infection.

    It’s a poor reflection of the Irish health system.


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    I know when I was in Holles St a couple of weeks ago, they were practically kicking mothers and babies out the minute 24 hours was up. I wasn't expecting that, as we were told in antenatal classes to expect to stay in for 3 nights after a natural birth, or 5 nights after a section.

    One woman on the ward wanted to go home the day after having a section ... the doctor really didn't seem at all happy about it, but agreed in the end.

    They're not going to want to hold you there against your will. Assuming all is well with the mother and baby, I can't imagine you'd have any problems with being allowed home as soon as you feel ready.

    If that was me I'd be delighted weird as it sounds, can't bare the thought of staying on the ward any longer then I have too. 24 hours even seems like forever too be away from my home.

    Thanks very much for your reply though, I'm so relieved too know I have the option too leave if I want :)


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    ncmc wrote: »
    Aside from anything else, it’s an absolute disgrace in this day in a first world country that women feel the need to sign themselves and their babies out of hospital due to lack of cleanliness. It must have been really bad for MrsPostman’s cousin to sign their baby out even though they had an infection.

    It’s a poor reflection of the Irish health system.

    I'll totally agree with you there, it's sad that it's so bad. It was easy for me too ignore it with my first because I spent all my time down in special care with her. But if everything goes too plan this time, I'll be leaving there ASAP!


  • Registered Users, Registered Users 2 Posts: 856 ✭✭✭Hello Lady!


    I signed myself out early. I was told I could go home the next day provided the paediatrician signed out the babies. However during the night my bp went crazy high and they wanted me to stay another night for observation. However I was shattered thanks to another mothers baby literally crying for 2 days and nights, and two babies of my own to look after who were feeding every 2 hours and no one to help. Add to this that despite them wanting to 'observe' me no one checked my bp for 6 hours and I had to remind them to give me medication:rolleyes: I knew staying was only making me worse so I signed myself out. I had bp problems for 7 weeks so knew well what to look out for and be careful of.

    I also know of someone who signed their baby out because they were 8 hours waiting for the paediatrician to discharge the baby and they just got sick waiting. They had a normal delivery, baby was fine and she was due back 2 days later for the heel prick so by 6 o'clock that evening she said sod it and discharged the baby (she had already been discharged herself).


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    I signed myself out early. I was told I could go home the next day provided the paediatrician signed out the babies. However during the night my bp went crazy high and they wanted me to stay another night for observation. However I was shattered thanks to another mothers baby literally crying for 2 days and nights, and two babies of my own to look after who were feeding every 2 hours and no one to help. Add to this that despite them wanting to 'observe' me no one checked my bp for 6 hours and I had to remind them to give me medication:rolleyes: I knew staying was only making me worse so I signed myself out. I had bp problems for 7 weeks so knew well what to look out for and be careful of.

    I also know of someone who signed their baby out because they were 8 hours waiting for the paediatrician to discharge the baby and they just got sick waiting. They had a normal delivery, baby was fine and she was due back 2 days later for the heel prick so by 6 o'clock that evening she said sod it and discharged the baby (she had already been discharged herself).

    That's insane, your much better off at home I think a lot of the time.
    That's my thinking on this early discharge stuff you have too be back too get the heel prick soon after not too mention the public health nurse calling in too. And I live 15 minutes drive from the maternity too. I'd rather just be out of the place


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  • Closed Accounts Posts: 3,948 ✭✭✭Sligo1


    That's insane, your much better off at home I think a lot of the time.
    That's my thinking on this early discharge stuff you have too be back too get the heel prick soon after not too mention the public health nurse calling in too. And I live 15 minutes drive from the maternity too. I'd rather just be out of the place

    How come you guys had to go into the hospital to get the heel prick? I thought the PHNs do this when they come for their first home visit? Or was I just lucky last time?


  • Registered Users, Registered Users 2 Posts: 123 ✭✭Zil2011


    I was in our lady of Lourdes hospital drogheda and was out 24 hours after having my babies. It was great to get out so quick and home to my own shower and bed.


  • Closed Accounts Posts: 23,862 ✭✭✭✭January


    Sligo1 wrote: »
    How come you guys had to go into the hospital to get the heel prick? I thought the PHNs do this when they come for their first home visit? Or was I just lucky last time?

    In 2008 the PHN did the heel prick, in 2010 and 2011 I had to bring them back to the hospital for it, I'm not sure why.


  • Closed Accounts Posts: 3,948 ✭✭✭Sligo1


    January wrote: »
    In 2008 the PHN did the heel prick, in 2010 and 2011 I had to bring them back to the hospital for it, I'm not sure why.

    How annoying! My PHN did it in november 2012... Would be handy if she did it again this time.


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    Yeah I heard the public health nurse used too do it but now it's done at the hospital for some reason

    Probably depends on where you live


  • Registered Users, Registered Users 2 Posts: 51 ✭✭Mrs.Curtin to be


    Sligo1 wrote: »
    How annoying! My PHN did it in november 2012... Would be handy if she did it again this time.

    In 2012? Hmm not sure so, I heard it stopped a few years ago. Could always ask the doctor at your next appointment


  • Registered Users, Registered Users 2 Posts: 12,644 ✭✭✭✭lazygal


    Phn did my second child's heel.prick test last September.


  • Closed Accounts Posts: 3,284 ✭✭✭Chattastrophe!


    I'm in D15, the Phn did the heel prick test for us just last week.

    Would be horrible having to go back into hospital for it when they're so little!


  • Registered Users, Registered Users 2 Posts: 230 ✭✭SanFran07


    Even without being on the DOMINO scheme you can leave early. Some private health insurance plans pay for private midwifery care at home. I've looked after mums who have discharged themselves 3 days after a caesarean so they can get postnatal care in their own bed. It's great to be able to give the mums and babies the care they deserve away from the postnatal wards especially after a difficult birth.


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  • Closed Accounts Posts: 23,862 ✭✭✭✭January


    I'm in D15, the Phn did the heel prick test for us just last week.

    Would be horrible having to go back into hospital for it when they're so little!

    I'm hoping that's the case this time too, I hate going back to the hospital to have it done. My sister was with the midwives clinic in the Rotunda in November and the midwife that visited her did the heel prick test. I'm with the consultants though so I'm not sure if I'll have a midwife visit me at home.


  • Registered Users, Registered Users 2 Posts: 478 ✭✭closifer


    In 2012? Hmm not sure so, I heard it stopped a few years ago. Could always ask the doctor at your next appointment

    Had my baby in Limk Maternity a few weeks back. Have to say that I had no issues with the hospital or the care I received. I even thought the food was pretty okay which surprised me...

    To answer a few of your questions though - if you have had a birth with no complications, you can sign up for the community midwife scheme so that you leave 24 hours after birth provided you live within a certain catchment area and they come to your house a few times to check in. You have to ring in advance and request this.

    Also - re the heel prick test - the PHN came to my house to do this and remove my stitches (i had an emergency c section) just a few weeks ago. I left 3 nights after my section so I was there 4 nights in total.


  • Closed Accounts Posts: 3,948 ✭✭✭Sligo1


    Ah ok. As there is a mixture of answers here, it must be to do with the area you live in then! As I said my LO's was done at home in Nov 2012 by PHN so hopefully it will be the same this time around. It's a very handy service to have.


  • Hosted Moderators Posts: 13,425 ✭✭✭✭Ginny


    I had my son at 7:10pm and they were looking to discharge us at 11am the next morning, even though we were induced due to lack of foetal movement and reduced fluid, and I was on meds for high BP. The only reason we stayed till the next day was someone noticed my son needed X-rays and they couldn't be done till the afternoon. We got the hill prick test done at home in 2012 in N. county dublin.


  • Registered Users, Registered Users 2 Posts: 856 ✭✭✭Hello Lady!


    Both my girls had their heel prick done in the hospital on day 3 so I imagine if you leave before that you need to arrange otherwise. My babies were born close to Christmas and all the other mums with vaginal births were told to come back to the hospital for it - some had to come back on Christmas day. I suppose time of year also plays a part because if you are discharged at Christmas or a bank holiday or something the PHN won't be available to come to you.

    I had a cesarean but didn't have to have any stitches removed - everything was dissolvable and already has faded enormously (which I am very happy about as it means my bikini modelling days aren't over ;) )


  • Moderators, Education Moderators, Society & Culture Moderators Posts: 19,019 Mod ✭✭✭✭Moonbeam


    none of mine had the heel prick done in hospital.
    One was born 1st jan so that was why and with the other 2 I went home the next morning.


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  • Registered Users, Registered Users 2 Posts: 7,729 ✭✭✭Millem


    We stayed less than 24 hours after the delivery (had vaginal delivery with no epidural) but we were in the domino but there was another girl who had her baby around the same time as me who asked to go home, I think it's called the early transfer home scheme. Holles street said baby must have done a poo, a pee, and seen pediatrician before going home. Also if you are breastfeeding they want to see you feel comfortable doing it by yourself. We have the midwives coming everyday who are great and I think you actually get more care this way than if we had stayed 3 days. According to one of the midwives the ward was mental 2 weeks ago and extra beds were brought in with no curtains.


  • Registered Users, Registered Users 2 Posts: 1,601 ✭✭✭kandr10


    In the rotunda they were trying their best to get people out after 24hours. Like that once baby pooed, did a wee, was discharged by paediatrician. I asked to stay an extra day as I wasn't comfortable breastfeeding and it wasn't a problem. I didn't get small awful lot of support though so not sure that I'd advise others to the same. I wasn't aware of how much the community midwives visit - they came in the first 3 days at home and the phn came twice one week and followed up the next week also. Think the community midwives only come if you're in the catchment area. Having said that, baby was jaundiced and had to be given phototherapy so would've been hard to leave her overnight at only 48 hours old which is what would've happened had I not elected to stay the extra day.

    The community midwife did the heel prick test for us


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