Multi-prong Quality Improvement Approach for Increasing Mother's Own Milk Use for Very Low Birth Weight Infants

Overview

Journal J Perinatol

Specialty Gynecology & Obstetrics

Date 2023 Dec 20

PMID 38123800

Authors

Neal Boone

Beth Bohara

Allison Rohrer

Molly Gros

Mathew J Gregoski

Kimberly Lee

Carol L Wagner

Katherine Chetta

Affiliations

Soon will be listed here.

Abstract

Objective: Evaluate a single center quality improvement (QI) collaborative designed to increase the provision of mother's own milk (MOM) at discharge to premature infants through evidence-based practices while targeting perinatal health disparities.

Design: This QI initiative was designed for preterm infants admitted to a single-center NICU within 24 h of life. Interventions were implemented between March 2022 and June 2022. MOM provision rates were compared between baseline (August 2021-February 2022), and after interventions (March 2022-December 2022).

Results: The percentage of mothers who discontinued pumping during the infant hospitalization decreased from 49% to 35% (p < 0.01). Infant discharge diet with MOM improved from 36% to 58% (p < 0.001). Pump frequency at two weeks increased from 4.0 ± 2.6 to 5.1 ± 2.4 (p = 0.026).

Conclusion: Our collaborative increased the percentage of preterm infants receiving MOM at discharge and reduced the number of mothers who discontinue pumping during the NICU hospitalization.

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