Study of the Prevalence of Complications Occurring in the Mother-newborn Couple During the First Month After Returning Home, Since the Introduction of Standard Outpatients (According to HAS 2014 Recommendations) at the Amiens-Picardie University Hospital
Study of the Prevalence of Complications Occurring in the Mother-newborn Couple During the First Month After Returning Home, Since the Introduction of Standard Outpatients (According to HAS 2014 Recommendations) at the Amiens-Picardie University Hospital
Prior to the HAS recommendations of March 2014, the "mother - newborn" couple was discharged
 from the maternity home at 4 days after delivery by AVB and 5 days after caesarean section.

 The stay in maternity allowed a follow-up of the newborn whose weight gain and the occurrence
 of a jaundice; And monitoring of the mother whose milky ascent and psychological feelings.

 In March 2014, the HAS published new recommendations on maternity leave arrangements for the
 "mother - newborn" couple, the organization of postpartum follow - up for the mother and
 pediatric follow - up for the newborn. The HAS then defines so-called "optimal" conditions
 for so-called "standard" outputs, with 9 criteria to respect respectively for the mother and
 the newborn.

 If the mother-to-newborn couple respects these so-called optimal conditions and is eligible
 according to the respective criteria, the latter leaves at home after 72 hours and before 96
 hours for an AVB and after 96 completed hours and Before 120 hours for caesarean delivery.

 As no pediatric discharge was done in the afternoons at the maternity hospital of Amiens, an
 arbitrary choice was made to allow a "standard" release to the "mother-newborn" couple only
 if the child was born between 00H00 and 11H59 so that his clinical examination of exit is
 carried out at 72 hours of the birth as recommended by the recommendations of the HAS.

 These recommendations being recent (2014), no study has studied the impact and consequences
 on the triad "father / mother-newborn" of these exits including the occurrence of possible
 complications or events: re-hospitalizations again The early termination of breastfeeding,
 and whether the follow-up procedures advocated by the HAS are being followed.
Inclusion Criteria:

 -  Be taken care of in the Maternity Department of the Amiens-Picardie University
 Hospital.

 -  Parents' agreement

 -  Mother and Newborn who meet the eligibility criteria of the HAS for a "standard" exit.

 Mother :

 -  1. Absence of a situation of psychological, social vulnerability, behaviors of
 addiction and severe dependencies

 -  2. Adequate family and / or social support

 -  3. Absence of chronic ill-balanced pathology

 -  4. Absence of complications or pathologies requiring observation or continuous medical
 treatment

 -  5. Absence of haemorrhage of the delivery, this one was checked and treated (if
 necessary)

 -  6. Absence of active infection or signs of infection

 -  7. Absence of thromboembolic signs

 -  8. Controlled Pain

 -  9. Satisfactory mother-child interactions

 Child:

 -  1. Newborn at term ≥ 37 weeks of amenorrhea, singleton and eutroph

 -  2. Normal clinical examination performed imperatively 48 hours after birth and before
 discharge

 -  3. Axillary temperature between 36 and 37 ° C or central between 36.5 and 37.5 ° C

 -  4. Established feeding (if breastfeeding: observation of at least 2 feeds ensuring
 effective transfer of colostrum / milk recognized by the mother), urination and
 spontaneous stool emissions, established transit

 -  5. Weight loss <8% of birth weight

 -  6. Absence of jaundice requiring phototherapy according to the therapeutic indication
 curve and measurement of transcutaneous and / or blood bilirubin at the output
 referred to the nomogram (low risk and low intermediate risk only)

 -  7. Lack of clinical or paraclinical evidence for infection; If risk factors of
 infection: recovered and negative biological and bacteriological samples

 -  8. Planned neonatal screening and traceability

 -  9. Post-partum follow-up after the organized event: an appointment with a referral
 professional within 48 hours following the exit or even in the week

 Exclusion Criteria:

 -  Patient not speaking French

 -  Patient who does not meet the HAS criteria: newborn or ineligible mother (minor
 mother, non-singleton birth)

 -  Assumption in another department than the Maternity department of the CHU
 Amiens-Picardie.