Increasing usage of mother’s own milk in neonates at risk of neonatal abstinence syndrome: MOM-NAS quality improvement initiative

Objective To increase the usage rate of mothers’ own milk (MOM) among neonates with prenatal opioid exposure from a baseline average of 47% to an average of 75% over two years. Study design Between October 2018 and December 2020, we implemented various Plan-Do-Study-Act cycles that involved engaging...

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Bibliographic Details
Published in:Journal of perinatology 2021-11, Vol.41 (11), p.2684-2689
Main Authors: Shukla, Samarth, Hanna, Issa, Cortez, Josef, Mansour, Marwa, Eiges, Alexia, Sharma, Priya, Aderhold, Ashley, Meyers, Jennifer, VanRavestein, Jenny, Hudak, Mark L.
Format: Article
Language:English
Subjects:
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Breast Feeding
Breast milk
Counseling
Drug dependence
Drug withdrawal
Electronic health records
Electronic medical records
Female
Health aspects
Health counseling
Humans
Infant
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Maternal health services
Medicine
Medicine & Public Health
Methods
Milk, Human
Mothers
Narcotics
Neonatal abstinence syndrome
Neonatal Abstinence Syndrome - epidemiology
Neonates
Newborn babies
Opioids
Pediatric Surgery
Pediatrics
Plant Extracts
Postpartum
Pregnancy
Prenatal experience
Quality control
Quality Improvement
Quality Improvement Article
Quality management
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Summary:Objective To increase the usage rate of mothers’ own milk (MOM) among neonates with prenatal opioid exposure from a baseline average of 47% to an average of 75% over two years. Study design Between October 2018 and December 2020, we implemented various Plan-Do-Study-Act cycles that involved engaging providers in postpartum counseling for mothers with opioid dependence, using electronic medical records to track the rate of counseling, providing NAS educational materials to parents, and establishing a rooming-in unit. Our outcome measure was the provision of MOM to eligible neonates, while our process measure was the rate of postpartum counseling. Results During this initiative, we witnessed a special cause variation with an increase in the usage rate of MOM from a baseline of 47% to a 27-month average of 85% by December 2020. Conclusion A series of quality improvement efforts resulted in increased usage of MOM among infants at risk of NAS.
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-021-01209-0