How Realize-365 unifies documented maternal and infant data so care teams can review changes earlier during the postpartum period.
Per nursing round
Earlier visibility into jaundice & dehydration signs
Reduced maternal readmission risk
Patients: Mrs. Priya Kapoor (32y, Post-C-section, mild gestational hypertension) & Baby Aria Kapoor (3d old, mild jaundice)
Setting: Inpatient maternity → home health follow-up → outpatient newborn clinic. Obstetric History: G2P1, prior uncomplicated vaginal delivery. Challenges included monitoring maternal hypertension and infant feeding/jaundice simultaneously, with data fragmented across two separate patient charts.
On post-op day 1, Priya reports mild dizziness; BP is borderline elevated (148/92). Baby Aria has had only two effective feeds in 8 hours, one wet diaper, and visible facial jaundice. Maternal vitals and infant logs are fragmented. Missing these early patterns risks worsening postpartum hypertension and neonatal dehydration.
Query: "Analyze maternal vitals and output + infant weight trend, bilirubin levels, feeding for the first 24 hours. Compare all findings to ACOG & AAP early postpartum benchmarks."
| Parameter | Value | Insight |
|---|---|---|
| Infant Feeds | 6 feeds/24h | Below target (8-12) |
| Bilirubin | 5.8 → 7.1 mg/dL | Rising (3.9% weight loss) |
| Maternal BP | 142/90 → 148/92 | Rising |
Insight: Documented feeds are below target and bilirubin is rising faster than average. Maternal BP is trending upward — flagged for clinician evaluation for postpartum hypertension.
On post-operative day 2, Priya reports her incision "feels warmer than yesterday." Notes are scattered: one nurse noted mild serous drainage, another noted 1 cm erythema, and overnight vitals showed low-grade temps. Clinicians rarely see these synthesized.
Realize-365 surfaces a structured summary of the documented findings:
Insight: Documented findings are inconsistent with expected POD2 recovery, flagged for clinician review with the documented wound-care entries linked in one view.
On day 4 post-discharge, home health observes mild scleral icterus and notes the infant now weighs 6 lbs 0 oz (–7% from birth). Parents report difficulty waking the baby for feeds.
Query: "Summarize bilirubin progression, feeding volume, and weight changes since birth relevant to jaundice monitoring."
Insight: Documented bilirubin trend is approaching the AAP 2022 phototherapy threshold, alongside a below-target feeding pattern — flagged for clinician review, shown against the published AAP 2022 reference thresholds with source links for the care team.
At the 1-week outpatient newborn visit, parents report feeding 6–7 times/day, longer sleep intervals, and less than 3 wet diapers/day. These symptoms often go unnoticed without integrated log-based analysis.
Query: "Analyze home feeding logs, diaper output, weight change, and parent-submitted photos. Compare findings to expected 7-day newborn benchmarks."
Insight: Documented feeding frequency and output are consistently below expected newborn norms, consistent with early dehydration and breastfeeding difficulty — flagged for clinician review, with the documented feeding log linked so the care team can plan support.
Realize-365 is unique in its ability to link maternal and infant charts, treating them as a dyad so care teams can review documented changes affecting both together.
Documented values are shown alongside ACOG and AAP reference benchmarks so care teams can review subtle changes early.
Earlier visibility of documented feeding trends helps care teams arrange timely lactation support and pursue their readmission-reduction goals.