A Multidisciplinary Quality Improvement Approach Increases Breastmilk Availability at Discharge from the Neonatal Intensive Care Unit for the Very-Low-Birth-Weight Infant

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Christine BixbyCaroline Steele

Abstract

Mothers of very-low-birth-weight (VLBW) infants often struggle to establish and maintain a milk supply. Children's Hospital of Orange County (CHOC Children's) data from 2005 to 2011 showed that while the total percentage of all neonatal intensive care unit (NICU) babies being discharged on breastmilk had remained stable, the percentage of VLBW babies with breastmilk at discharge had declined. This information resulted in a quality improvement initiative to remove barriers and implement programs shown to have the greatest impact on initiating and sustaining lactation in this patient subset. The objective of this initiative was to increase breastmilk availability at discharge for the VLBW population. A multidisciplinary program was initiated, which included NICU parent and staff education, clarification of roles, and improved access to pumping supplies. Physicians and nurses completed online education. An algorithm defining roles in lactation support was developed, and a resource team of trained bedside nurses was formed. Lactation consultant time was then refocused on the VLBW population. In addition, "Lactation Support" was added to the physician daily documentation to bring the topic to daily bedside rounds. Twice weekly lacta...Continue Reading

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Citations

Nov 22, 2017·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Sharareh GharibBeatrice E Lechner
Mar 10, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Arthur I Eidelman
Jul 12, 2018·Journal of Perinatal Medicine·Marta Cabrera LafuenteMiguel Sáenz de Pipaón Marcos
Apr 9, 2019·Journal of Paediatrics and Child Health·Louise EvansAmy Keir
Jun 23, 2019·Journal of Paediatrics and Child Health·Cathie HilditchAmy Keir
Mar 5, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Qi ZhouYun Cao
Nov 21, 2019·Pediatric Quality & Safety·Nikita S KalluriMargaret G Parker
Aug 18, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Nitasha BaggaDinesh Kumar Chirla
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May 28, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Maria ObaidBoriana Parvez
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Oct 13, 2021·Pediatrics·Margaret G ParkerUNKNOWN SECTION ON BREASTFEEDING, COMMITTEE ON NUTRITION, COMMITTEE ON FETUS AND NEWBORN

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