Improving Human Milk and Breastfeeding Rates in a Perinatal Hospital in Japan: A Quality Improvement Project.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Hara TakakoDiane L Spatz

Abstract

The leadership team at the Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University in Tokyo, Japan sought to improve our human milk (HM) and breastfeeding rates for vulnerable infants. This article describes the quality improvement (QI) initiative, which involved the implementation of the first three steps of the Spatz 10-step model for HM and breastfeeding in vulnerable infants. Our main objectives were to ensure that: (1) families were making informed feeding decisions about HM and breastfeeding as a medical intervention; (2) mothers were pumping early and often; (3) the staff implemented HM management; and (4) the proportion of infants who received HM at 1 month of life increased. Using a QI approach led by a nursing team, we were able to achieve all our goals. Our prenatal education was effective at having more families choose HM and breastfeeding versus formula. Our time to first milk expression improved as did the mothers' adherence with pumping early and often. We purchased physical resources to ensure that all milk was efficiently delivered to the infant in appropriate storage containers. At the initiation of this QI project, exclusive HM rates at discharge were only 15%. In ...Continue Reading

References

Feb 19, 2002·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·P D HillR T Chatterton
Jan 14, 2005·The Journal of Perinatal & Neonatal Nursing·Diane L Spatz
Feb 1, 2005·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Pamela D HillMichael Zinaman
Aug 18, 2005·The Journal of Perinatal & Neonatal Nursing·Pamela D Hill, Jean C Aldag
Sep 10, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·L A ParkerM Mueller
Oct 9, 2012·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Danielle K PrimeJacqueline C Kent
Oct 27, 2012·International Breastfeeding Journal·Madoka InoueManami Matsubara
Jul 31, 2014·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Elizabeth B Froh, Diane L Spatz
Feb 7, 2015·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Leslie A ParkerMartina Mueller
Apr 3, 2015·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Karen FugateDiane L Spatz
Apr 11, 2015·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Kimberly MartinoDiane L Spatz
Feb 3, 2016·The Journal of Perinatal Education·Diane L SpatzMichelle Olkkola
Feb 26, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·P P MeierJ L Engstrom
Jun 6, 2018·Journal of Perinatology : Official Journal of the California Perinatal Association·Beverly RossmanDiane L Spatz
Oct 20, 2018·MCN. the American Journal of Maternal Child Nursing·Diane L Spatz

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Citations

Feb 23, 2021·Frontiers in Pediatrics·Diane L SpatzLars Bode

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