A Quality Improvement Initiative to Increase Mother's Own Milk Use in a Chinese Neonatal Intensive Care Unit.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Qi ZhouYun Cao

Abstract

Background: To evaluate the efficacy of a multidisciplinary quality improvement intervention to promote mother's own milk feeding and reduce necrotizing enterocolitis (NEC) in very low-birth-weight infants. Materials and Methods: We conducted a pre (January 2014 to March 2015)-post (April 2015 to June 2016), nonrandomized, interventional cohort study of infants born at <1,500 g birth weight and admitted to the Fudan University Children's Hospital level III neonatal intensive care unit in Shanghai. The intervention included establishing a breast milk promotion team and breast milk pumping room, educating staff and parents, and distributing teaching materials. The primary outcome was breast milk feeding rate. Secondary outcomes included incidences of NEC, NEC needing surgery, mortality, and time to full enteral feeds. Results: A total of 488 infants (210 baseline, 278 intervention) <1,500 g were enrolled. The intervention group had significantly increased feeding rates for any mother's milk (34.76% vs. 80.58%; p < 0.01) and high-volume mother's milk (≥50% of feeds; 22.86% vs. 61.15%; p < 0.01), and decreased incidence of NEC needing surgery (7.62% vs. 3.24%; adjusted odds ratio [OR] 0.32, 95% confidence interval [CI] 0.14-0.76). ...Continue Reading

References

Jun 1, 1988·American Journal of Infection Control·J S GarnerJ M Hughes
Feb 1, 1986·Pediatric Clinics of North America·M C Walsh, R M Kliegman
Jun 13, 2001·American Journal of Respiratory and Critical Care Medicine·A H Jobe, E Bancalari
Jul 13, 2005·Archives of Ophthalmology·UNKNOWN International Committee for the Classification of Retinopathy of Prematurity
May 15, 2009·Archives of Disease in Childhood. Fetal and Neonatal Edition·S H Westby WoldT Markestad
Aug 12, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shoo K LeePeter von Dadelszen
Oct 30, 2009·Journal of the American Dietetic Association·Delores C S JamesUNKNOWN American Dietetic Association
Mar 1, 2012·Pediatrics·UNKNOWN Section on Breastfeeding
May 23, 2012·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Laura WardUma R Kotagal
Mar 22, 2014·PloS One·Luigi CorvagliaUNKNOWN "Emilia Romagna Perinatal Network"
May 7, 2014·Nursing & Health Sciences·Yan Qun LiuJudith A Maloni
Jul 23, 2014·Pediatrics·Elisabeth Synnøve HusebyeTrond Markestad
Dec 2, 2015·The Journal of Pediatrics·Juliane SpieglerUNKNOWN German Neonatal Network GNN
Jan 21, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Amy B HairSteven A Abrams
Feb 13, 2016·Lancet·Nigel C RollinsUNKNOWN Lancet Breastfeeding Series Group
Feb 24, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Christine BixbyCaroline Steele
May 18, 2016·Nutrients·Camilia R MartinGeorge L Blackburn
May 27, 2017·Seminars in Perinatology·Margaret G Parker, Aloka L Patel
Aug 18, 2017·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Ruth Petersen
Nov 28, 2017·The Journal of Pediatrics·Darshna BhattMehul V Raval
Dec 26, 2017·Seminars in Pediatric Surgery·Aloka L Patel, Jae H Kim
Jun 28, 2018·Archives of Disease in Childhood. Fetal and Neonatal Edition·Eva-Maria HauUlf Kessler
Oct 20, 2018·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Valerie Montgomery Rice

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Citations

May 28, 2021·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Maria ObaidBoriana Parvez

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Clinical Trials Mentioned

NCT02897388

Software Mentioned

SPSS

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