A quality initiative to improve exclusive breast milk feeding in preterm neonates

International Journal of Pediatrics & Adolescent Medicine
Nitasha BaggaDinesh Kumar Chirla

Abstract

Preterm babies thrive well on exclusive breastfeeding with fewer complications. In a retrospective analysis, challenges were noticed in the form of delayed first milk expression and frequency of expression, which was limited to 2-3 times a day. A quality improvement initiative was designed to increase the exclusive breast milk feeding rates in admitted preterm babies. The purpose of the present study is to evaluate the proportion of preterm neonates receiving mother's own milk by day 7 of life after such an initiative. The quality improvement initiative was conducted at a level 3 neonatal intensive care unit from May 10, 2018, to August 10, 2018. Inborn preterm neonates <34 weeks with a minimum hospital stay of 7 days were included. Neonates of critically sick mothers and neonates having major congenital malformations were excluded. Mothers were given structured antenatal counseling regarding expressing breast milk (EBM). Postnatal visits were conducted to provide information through a video and a leaflet and formation of breastfeeding support group. A total of 30 babies were recruited during a period of 3 months and compared to historical controls. The median age of the first EBM improved from 2.5 days to 1.16 days, and the am...Continue Reading

Citations

Apr 22, 2020·Pediatrics International : Official Journal of the Japan Pediatric Society·Kıymet ÇelikMehmet Şah İpek
Jun 10, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Dattatray V KulkarniYadalaxmi Raggala
Aug 18, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Nitasha BaggaDinesh Kumar Chirla

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