Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»284210.69541/NRIPH.2024.03.015Научная статьяLength of stay of a maternity patient in the materinity hospital after an uncomplicated birthNizamovaElvira R.elvirarust@gmail.comhttps://orcid.org/0000-0002-2802-1714VasilyevaTatyana P.vasileva_tp@mail.ruhttps://orcid.org/0000-0003-4831-1783N. A. Semashko National Research Institute of Public Health0110202439810227052025Copyright © 2025,2025<p>The healthcare system is characterized by a shortage of resources and the need to manage them: a balance is constantly being sought in terms of the possibility of replacing the patients inpatient stay in favor of providing outpatient care. The author studies the issue of timing from the maternity hospital after an uncomplicated birth. Regulatory acts (no longer in force and currently in force) containing various requirements and instructions (as well as recommendations) regarding the length of stay of postpartum women in hospitals after childbirth were studied. More than 200 documents, including foreign ones, were analyzed. A tendency has been established to reduce the length of time a woman in labor spends in a maternity care facility (in the absence of complications of physiological labor or cesarean section), due to the improvement of social and living conditions and the development of outpatient services. At the same time, the mandatory requirements regarding the period of stay after obstetric care in a hospital must be brought into line with each other, including establishing a minimum period of stay. In addition, a unified procedure for monitoring newborns after early discharge should be approved as mandatory requirements, with subsequent monitoring of their implementation by both insurance companies and government agencies.</p>obstetricstreatment timedischargeearly dischargeродовспоможениесроки лечениявыпискаранняя выписка[Gruzdev VS. Brief outline of the history of obstetrics and gynecology in Russia. Journal of Obstetrics and Women's Diseases. [ZHurnal akusherskikh i zhenskikh boleznei]. 1906;20(3—6):1—6.][Veselovskii VV. History of zemstvos for 40 years. Sankt-Peterburg : Izd-vo O.N.Popovoi; 1909—1911. 412 p.][Levi MV. History of obstetrics in the USSR. Moskva : Vestnik AMN SSSR; 1960. 206 p.][Arkhangel'skaia AG. On the history of the development of obstetrics in zemstvo provinces. Journal of Obstetrics and Women's Diseases. [ZHurnal akusherskikh i zhenskikh boleznei]. 1898;(12).][Levi MF. Some data on the state of obstetrics in the RSFSR. Protection of motherhood and infancy. [Okhrana materinstva i mladenchestva]. 1932;(9).][Materials of the first All-Russian meeting on the protection of motherhood and infancy, Moskva, 1—5 dekabria 1920 goda. Moskva : Otd. okhrany materinstva i mladenchestva Narkomzdrava; 1987. 176 p.][Proceedings of the III All-Union Conference on the Protection of Motherhood and Infancy, Moskva, 1—7 dekabria 1925 goda. Moskva : Okhrana materinstva i mladenchestva; 1964. 596 p.][ZHordania IF. Obstetrics textbook. Moskva : Meditsina; 1964. 596 p.][Savel'eva GM. Obstetrics. Moskva : Meditsina; 2000. 818 p.][Duda VI. Obstetrics: textbook. Minsk : RIPO; 2013. 576 p.][Ozhiganova AA. “What women want”: motives for abandoning the maternity hospital in favor of home birth. Monitoring public opinion: economic and social changes. 2019;2:263—281. DOI: 10.14515/monitoring.2019.2.12][Campbell OM, Cegolon L, Macleod D, BenovaL. Length of Stay After Childbirth in 92 Countries and Associated Factors in 30 Low- and Middle-Income Countries; Compilation of Reported Data and a Cross-sectional Analysis from Nationally Representative Surveys. PLoS Med. 2016;8(13):3. DOI: 10.1371/journal.pmed.1001972]