Effect of breastfeeding quality improvement on breastfeeding rate in very low birth weight and extremely low birth weight infants

LIU Feng; HAN Shu-Ping; YU Zhang-Bin; ZHANG Jun; CHEN Xiao-Hui; WU Wei-Min; CHU Xue; LIU Bei-Bei

doi:10.7499/j.issn.1008-8830.2016.10.004

PDF(1284 KB)

Chinese Journal of Contemporary Pediatrics ›› 2016, Vol. 18 ›› Issue (10) : 937-942. DOI: 10.7499/j.issn.1008-8830.2016.10.004

TOPIC OF BREASTFEEDING

Effect of breastfeeding quality improvement on breastfeeding rate in very low birth weight and extremely low birth weight infants

LIU Feng, HAN Shu-Ping, YU Zhang-Bin, ZHANG Jun, CHEN Xiao-Hui, WU Wei-Min, CHU Xue, LIU Bei-Bei

Author information +

History +

Abstract

Objective To study the effect of breastfeeding quality improvement on the breastfeeding rate in very low birth weight (VLBW) and extremely low birth weight (ELBW) infants in the neonatal intensive care unit (NICU). Methods A retrospective analysis was performed for the clinical data of VLBW and ELBW infants who were admitted from July 2014 to July 2015 (pre-improvement group) and those who were admitted from August 2015 to June 2016 after the implementation of breastfeeding quality improvement measures (post-improvement group). The parameters including condition of breastfeeding (breastfeeding rate, breastfeeding amount, and breastfeeding time), duration of parenteral nutrition, time to enteral feeding, and incidence of feeding intolerance were compared between the two groups. Results The implementation of breastfeeding quality improvement measures significantly increased breastfeeding rate and amount, significantly shortened time to addition of human milk fortifier, duration of parenteral nutrition, and time to enteral feeding, and significantly decreased the incidence of feeding intolerance. Conclusions Breastfeeding quality improvement measures can increase breastfeeding rate in the NICU and decrease gastrointestinal complications in preterm infants.

Key words

Quality improvement / Breast milk / Very low birth weight infant / Extremely low birth weight infant

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

LIU Feng, HAN Shu-Ping, YU Zhang-Bin, ZHANG Jun, CHEN Xiao-Hui, WU Wei-Min, CHU Xue, LIU Bei-Bei. Effect of breastfeeding quality improvement on breastfeeding rate in very low birth weight and extremely low birth weight infants[J]. Chinese Journal of Contemporary Pediatrics. 2016, 18(10): 937-942 https://doi.org/10.7499/j.issn.1008-8830.2016.10.004

References

[1] Rodríguez JM. The origin of human milk bacteria: is there a bacterial entero-mammary pathway during late pregnancy and lactation?[J]. Adv Nutr, 2014, 5(6): 779-784.
[2] Fanaro S. Feeding intolerance in the preterm infant[J]. Early Hum Dev, 2013, 89(Suppl 2): S13-S20.
[3] Sisk PM, Lovelady CA, Gruber KJ, et al. Human milk consumption and full enteral feeding among infants who weigh ≤ 1250 grams[J]. Pediatrics, 2008, 121(6): e1528-e1533.
[4] Patel AL, Johnson TJ, Engstrom JL, et al. Impact of early human milk on sepsis and health-care costs in very low birth weight infants[J]. J Perinatol, 2013, 33(7): 514-519.
[5] Herrmann K, Carroll K. An exclusively human milk diet reduces necrotizing enterocolitis[J]. Breastfeed Med, 2014, 9(4): 184-190.
[6] Johnson TJ, Patel AL, Bigger HR, et al. Cost savings of human milk as a strategy to reduce the incidence of necrotizing enterocolitis in very low birth weight infants[J]. Neonatology, 2015, 107(4): 271-276.
[7] Zhou J, Shukla VV, John D, et al. Human Milk Feeding as a Protective Factor for Retinopathy of Prematurity: A Metaanalysis[ J]. Pediatrics, 2015, 136(6): e1576-e1586.
[8] Sisk PM, Lovelady CA, Dillard RG, et al. Lactation counseling for mothers of very low birth weight infants: effect on maternal anxiety and infant intake of human milk[J]. Pediatrics, 2006, 117(1): e67-e75.
[9] Okamoto T, Shirai M, Kokubo M, et al. Human milk reduces the risk of retinal detachment in extremely low-birthweight infants[J]. Pediatr Int, 2007, 49(6): 894-897.
[10] Rozé JC, Darmaun D, Boquien CY, et al. The apparent breastfeeding paradox in very preterm infants: relationship between breast feeding, early weight gain and neurodevelopment based on results from two cohorts, EPIPAGE and LIFT[J]. BMJ Open, 2012, 2(2): e000834.
[11] Meier PP, Engstrom JL, Patel AL, et al. Improving the use of human milk during and after the NICU stay[J]. Clin Perinatol, 2010, 37(1): 217-245.
[12] Deoni SC, Dean DC 3rd, Piryatinsky I, et al. Breastfeeding and early white matter development: A cross-sectional study[J]. Neuroimage, 2013, 82: 77-86.
[13] 中国医师协会新生儿专业委员会-营养专家委员会协作组. 极低出生体质量早产儿院内营养现状多中心调查[J]. 临床儿科杂志, 2015, 33(1): 32-37.
[14] 韩树萍, 余章斌. 母乳库建立和运行管理的相关指南解读[J]. 中华围产医学杂志, 2014, 17(7): 433-437.
[15] 何必子, 孙秀静, 全美盈, 等. 早产母乳营养成分的分析[J]. 中国当代儿科杂志, 2014, 16(7): 679-683.
[16] 张俊, 刘凤, 韩树萍. NICU 母乳喂养质量改进进展[J]. 临床儿科杂志, 2016, 34(1): 74-77.
[17] Lee SK, Aziz K, Singhal N, et al. Improving the quality of care for infants: a cluster randomized controlled trial[J]. CMAJ, 2009, 181(8): 469-476.
[18] Mola SJ, Annibale DJ, Wagner CL, et al. NICU bedside caregivers sustain process improvement and decrease incidence of bronchopulmonary dysplasia in infants <30 weeks gestation[J]. Respir Care, 2015, 60(3): 309-320.
[19] Lee SK, Shah PS, Singhal N, et al. Association of a quality improvement program with neonatal outcomes in extremely preterm infants: a prospective cohort study[J]. CMAJ, 2014, 186(13): e485-e494.
[20] Wellington A, Perlman JM. Infant-driven feeding in premature infants: a quality improvement project[J]. Arch Dis Child Fetal Neonatal Ed, 2015, 100(6): F495-F500.
[21] Lu PL, Teich S, Di Lorenzo C, et al. Improvement of quality of life and symptoms after gastric electrical stimulation in children with functional dyspepsia[J]. Neurogastroenterol Motil, 2013, 25(7): 567-e456.
[22] 曹云. 早产儿喂养不耐受及处理策略[J]. 中国新生儿科杂志, 2015, 30(3): 169-171.
[23] Dutta S, Singh B, Chessell L, et al. Guidelines for feeding very low birth weight infants[J]. Nutrients, 2015, 7(1): 423-442.
[24] Nyqvist KH, Häggkvist AP, Hansen MN, et al. Expansion of the baby-friendly hospital initiative ten steps to successful breastfeeding into neonatal intensive care: expert group recommendations[J]. J Hum Lact, 2013, 29(3): 300-309.
[25] Lee HC, Kurtin PS, Wight NE, et al. A quality improvement project to increase breast milk use in very low birth weight infants[J]. Pediatrics, 2012, 130(6): e1679-e1687.
[26] Husebye ES, Kleven IA, Kroken LK, et al. See the search details. Targeted program for provision of mother's own milk to very low birth weight infants[J]. Pediatrics, 2014, 134(2): e489-e495.
[27] Battersby C, Santhakumaran S, Upton M, et al. The impact of a regional care bundle on maternal breast milk use in preterm infants: outcomes of the East of England quality improvement programme[J]. Arch Dis Child Fetal Neonatal Ed, 2014, 99(5): F395-F401.
[28] Ward L, Auer C, Smith C, et al. The human milk project: a quality improvement initiative to increase human milk consumption in very low birth weight infants[J]. Breastfeed Med, 2012, 7: 234-240.
[29] 胡艳玲, 万兴丽, 苏绍玉. 应用PDCA 持续提高新生儿母婴分离时的母乳喂养率[J]. 中国实用护理杂志, 2014, 30(z2): 82-83.
[30] Montjaux-Régis N, Cristini C, Arnaud C, et al. Improved growth of preterm infants receiving mother's own raw milk compared with pasteurized donor milk[J]. Acta Paediatr, 2011, 100(12): 1548-1554.
[31] Colaizy TT, Carlson S, Saftlas AF, et al. Growth in VLBW infants fed predominantly fortified maternal and donor human milk diets: a retrospective cohort study[J]. BMC Pediatr, 2012, 12: 124.
[32] Marín ML, Arroyo R, Jiménez E, et al. Cold storage of human milk: effect on its bacterial composition[J]. J Pediatr Gastroenterol Nutr, 2009, 49(3): 343-348.
[33] Rodriguez NA, Meier PP, Groer MW, et al. Oropharyngeal administration of colostrum to extremely low birth weight infants: theoretical perspectives[J]. J Perinatol, 2009, 29(1): 1-7.
[34] Perez PF, Doré J, Leclerc M, et al. Bacterial imprinting of the neonatal immune system: lessons from maternal cells?[J]. Pediatrics, 2007, 119(3): e724-e732.
[35] Albesharat R, Ehrmann MA, Korakli M, et al. Phenotypic and genotypic analyses of lactic acid bacteria in local fermented food, breast milk and faeces of mothers and their babies[J]. Syst Appl Microbiol, 2011, 34(2): 148-155.
[36] Martín R, Heilig HG, Zoetendal EG, et al. Cultivationindependent assessment of the bacterial diversity of breast milk among healthy women[J]. Res Microbiol, 2007, 158(1): 31-37.