Using quality improvement to increase human milk use for preterm infants

ABSTRACT This review will provide an overview of quality improvement methods that have been used to improve human milk use (mother’s own milk and donor milk) for very low-birth-weight infants in the hospital setting in the last decade. We will review the following: (1) evidence-based practices known...

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Bibliographic Details
Published in:Seminars in perinatology 2017-04, Vol.41 (3), p.175-186
Main Authors: Parker, Margaret G., MD, MPH, Patel, Aloka L., MD
Format: Article
Language:English
Subjects:
Breast Feeding - statistics & numerical data
Directive Counseling
Early initiation
Enterocolitis, Necrotizing - prevention & control
Evidence-Based Practice
Female
Health Knowledge, Attitudes, Practice
Human milk
Humans
Infant Nutritional Physiological Phenomena
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Lactation
Milk Banks - utilization
Milk, Human
Neonatal and Perinatal Medicine
Neonatal intensive care unit
Preterm
Program Evaluation
Quality improvement
Quality Improvement - organization & administration
Sepsis - prevention & control
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Summary:ABSTRACT This review will provide an overview of quality improvement methods that have been used to improve human milk use (mother’s own milk and donor milk) for very low-birth-weight infants in the hospital setting in the last decade. We will review the following: (1) evidence-based practices known to increase mother’s own milk for very low-birth-weight infants; (2) individual hospitals with exemplary lactation programs and past and current US-based statewide quality improvement collaboratives focused on increasing mother’s own milk; and (3) existing quality metrics for human milk and gaps in metrics. Finally, we will provide practical examples of key driver diagrams and change concepts that may be used to inform quality improvement for mother’s own milk for very low-birth-weight infants.
ISSN:0146-0005
1558-075X
DOI:10.1053/j.semperi.2017.03.007