Discharge readiness and its associated factors among first-time mothers undergoing cesarean section in China


cesarean section
discharge readiness
patient discharge
hospital to home transition

How to Cite

Ran, M., Songwathana, P., & Damkliang, J. (2022). Discharge readiness and its associated factors among first-time mothers undergoing cesarean section in China. Belitung Nursing Journal, 8(6), 497–504. https://doi.org/10.33546/bnj.2341
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Background: Helping first-time mothers who have just undergone cesarean section and transitioning from hospital to home with their infant is a complex process. Therefore, understanding what contributes to discharge readiness is necessary.

Objective: This study aimed to determine discharge readiness level and its associated factors among first-time mothers who have undergone cesarean section.

Methods: A descriptive cross-sectional study was conducted among 233 first-time mothers who had undergone cesarean sections selected using quota sampling from the two largest referral centers in China. Data were collected from March to June 2021 using a demographic characteristics form, Readiness for Hospital Discharge Scale-New Mother Form (RHDS-NMF), and Quality Discharge Teaching Scale-New Mother Form (QDTS-NMF). Descriptive and inferential statistics were used for data analysis.

Results: The discharge readiness of the respondents was at a moderate level. Age (r = -0.129, p = 0.049) and complications after cesarean section (r = -0.136, p = 0.038) had a negative correlation with discharge readiness. In contrast, the subscales of QDTS-NMF, particularly the content (r = 0.519, p = 0.000) and delivery (r = 0.643, p = 0.000), had a positive correlation with discharge readiness.

Conclusion: The findings enable nurses, midwives, and other healthcare professionals to understand discharge readiness and its related factors among first-time mothers undergoing cesarean section. It is also suggested that the quality of discharge teaching with a comprehensive assessment of first-time mothers preparing for discharge from the hospital and following the guideline to prevent post-cesarean section complications should be reinforced.


Supporting Agencies

Graduate School, Prince of Songkla University, Thailand


Copyright (c) 2022 Mingfei Ran, Praneed Songwathana, Jintana Damkliang

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors declared no conflict of interest.


The authors thanked the Graduate School of Prince of Songkla University, Thailand, for the funding support.

Authors’ Contributions

All authors contributed to the final manuscript. PS and MR designed the study, wrote, and revised the manuscript. PS and MR analyzed the data and drafted and revised the manuscript. JD contributed to the study design and manuscript draft. All authors met the authorship criteria and were accountable at each study stage. All authors also agreed to the final version of the article to be published.

Data Availability

The datasets generated during or analyzed during the current study are available from the corresponding author upon reasonable request.


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