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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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| Published in: | Journal of perinatology 2021-11, Vol.41 (11), p.2684-2689 |
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| Main Authors: | , , , , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c473t-e3e88fe7ecfff70a02d2c19253eafd6399ed594609ac154e3689308ac54feded3 |
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| cites | cdi_FETCH-LOGICAL-c473t-e3e88fe7ecfff70a02d2c19253eafd6399ed594609ac154e3689308ac54feded3 |
| container_end_page | 2689 |
| container_issue | 11 |
| container_start_page | 2684 |
| container_title | Journal of perinatology |
| container_volume | 41 |
| creator | Shukla, Samarth Hanna, Issa Cortez, Josef Mansour, Marwa Eiges, Alexia Sharma, Priya Aderhold, Ashley Meyers, Jennifer VanRavestein, Jenny Hudak, Mark L. |
| description | 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. |
| doi_str_mv | 10.1038/s41372-021-01209-0 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2574406726</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A686656177</galeid><sourcerecordid>A686656177</sourcerecordid><originalsourceid>FETCH-LOGICAL-c473t-e3e88fe7ecfff70a02d2c19253eafd6399ed594609ac154e3689308ac54feded3</originalsourceid><addsrcrecordid>eNp9kt1qFTEUhQdR7Gn1BbyQgFB6MzV_k8x4dyj-FFp7oV6HNLNzTtqZpE0ylXMn-BS-nk9ijlOtFZEEAjvfWntvWFX1jOBDgln7MnHCJK0xJTUmFHc1flAtCJeibhrOHlYLLDmrW8bFTrWb0gXG20_5uNphvGGk3EX19dibCDo5v0JT0itAwaIx5DXE71--JRQ-ezS64RI5jzwErzMkpDOKLl1u0bmmB6TPU3YevAGUNr6PYYRX6PTstH6__ICuJz24vEFuvIrhBkbwuRi67HR2N_CkemT1kODp7btXfXrz-uPRu_rk7O3x0fKkNlyyXAODtrUgwVhrJdaY9tSQjjYMtO0F6zrom44L3GlDGg5MtB3DrTYNt9BDz_aqg9m3DHE9QcpqdMnAMOiyxZQUbSTnWEgqCvriL_QiTNGX6RQtDZrSlHZ31EoPoJy3IUdttqZqKVohGkGkLNThP6hyehidCR6sK_V7gv0_BGvQQ16nMEzZBZ_ug3QGTQwpRbDqKrpRx40iWG0jouaIqBIR9TMiChfR89vVpvMR-t-SX5koAJuBVL78CuLd7v-x_QH-WMb8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2609525329</pqid></control><display><type>article</type><title>Increasing usage of mother’s own milk in neonates at risk of neonatal abstinence syndrome: MOM-NAS quality improvement initiative</title><source>Nexis UK</source><source>Springer Nature</source><creator>Shukla, Samarth ; Hanna, Issa ; Cortez, Josef ; Mansour, Marwa ; Eiges, Alexia ; Sharma, Priya ; Aderhold, Ashley ; Meyers, Jennifer ; VanRavestein, Jenny ; Hudak, Mark L.</creator><creatorcontrib>Shukla, Samarth ; Hanna, Issa ; Cortez, Josef ; Mansour, Marwa ; Eiges, Alexia ; Sharma, Priya ; Aderhold, Ashley ; Meyers, Jennifer ; VanRavestein, Jenny ; Hudak, Mark L.</creatorcontrib><description>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.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-021-01209-0</identifier><identifier>PMID: 34531531</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/699/375/2764 ; 692/700 ; 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</subject><ispartof>Journal of perinatology, 2021-11, Vol.41 (11), p.2684-2689</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-e3e88fe7ecfff70a02d2c19253eafd6399ed594609ac154e3689308ac54feded3</citedby><cites>FETCH-LOGICAL-c473t-e3e88fe7ecfff70a02d2c19253eafd6399ed594609ac154e3689308ac54feded3</cites><orcidid>0000-0003-2181-5930 ; 0000-0001-9405-3522 ; 0000-0002-5034-400X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34531531$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shukla, Samarth</creatorcontrib><creatorcontrib>Hanna, Issa</creatorcontrib><creatorcontrib>Cortez, Josef</creatorcontrib><creatorcontrib>Mansour, Marwa</creatorcontrib><creatorcontrib>Eiges, Alexia</creatorcontrib><creatorcontrib>Sharma, Priya</creatorcontrib><creatorcontrib>Aderhold, Ashley</creatorcontrib><creatorcontrib>Meyers, Jennifer</creatorcontrib><creatorcontrib>VanRavestein, Jenny</creatorcontrib><creatorcontrib>Hudak, Mark L.</creatorcontrib><title>Increasing usage of mother’s own milk in neonates at risk of neonatal abstinence syndrome: MOM-NAS quality improvement initiative</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>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.</description><subject>692/699/375/2764</subject><subject>692/700</subject><subject>Breast Feeding</subject><subject>Breast milk</subject><subject>Counseling</subject><subject>Drug dependence</subject><subject>Drug withdrawal</subject><subject>Electronic health records</subject><subject>Electronic medical records</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health counseling</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intensive Care Units, Neonatal</subject><subject>Maternal health services</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Milk, Human</subject><subject>Mothers</subject><subject>Narcotics</subject><subject>Neonatal abstinence syndrome</subject><subject>Neonatal Abstinence Syndrome - epidemiology</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Opioids</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Plant Extracts</subject><subject>Postpartum</subject><subject>Pregnancy</subject><subject>Prenatal experience</subject><subject>Quality control</subject><subject>Quality Improvement</subject><subject>Quality Improvement Article</subject><subject>Quality management</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kt1qFTEUhQdR7Gn1BbyQgFB6MzV_k8x4dyj-FFp7oV6HNLNzTtqZpE0ylXMn-BS-nk9ijlOtFZEEAjvfWntvWFX1jOBDgln7MnHCJK0xJTUmFHc1flAtCJeibhrOHlYLLDmrW8bFTrWb0gXG20_5uNphvGGk3EX19dibCDo5v0JT0itAwaIx5DXE71--JRQ-ezS64RI5jzwErzMkpDOKLl1u0bmmB6TPU3YevAGUNr6PYYRX6PTstH6__ICuJz24vEFuvIrhBkbwuRi67HR2N_CkemT1kODp7btXfXrz-uPRu_rk7O3x0fKkNlyyXAODtrUgwVhrJdaY9tSQjjYMtO0F6zrom44L3GlDGg5MtB3DrTYNt9BDz_aqg9m3DHE9QcpqdMnAMOiyxZQUbSTnWEgqCvriL_QiTNGX6RQtDZrSlHZ31EoPoJy3IUdttqZqKVohGkGkLNThP6hyehidCR6sK_V7gv0_BGvQQ16nMEzZBZ_ug3QGTQwpRbDqKrpRx40iWG0jouaIqBIR9TMiChfR89vVpvMR-t-SX5koAJuBVL78CuLd7v-x_QH-WMb8</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Shukla, Samarth</creator><creator>Hanna, Issa</creator><creator>Cortez, Josef</creator><creator>Mansour, Marwa</creator><creator>Eiges, Alexia</creator><creator>Sharma, Priya</creator><creator>Aderhold, Ashley</creator><creator>Meyers, Jennifer</creator><creator>VanRavestein, Jenny</creator><creator>Hudak, Mark L.</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2181-5930</orcidid><orcidid>https://orcid.org/0000-0001-9405-3522</orcidid><orcidid>https://orcid.org/0000-0002-5034-400X</orcidid></search><sort><creationdate>20211101</creationdate><title>Increasing usage of mother’s own milk in neonates at risk of neonatal abstinence syndrome: MOM-NAS quality improvement initiative</title><author>Shukla, Samarth ; Hanna, Issa ; Cortez, Josef ; Mansour, Marwa ; Eiges, Alexia ; Sharma, Priya ; Aderhold, Ashley ; Meyers, Jennifer ; VanRavestein, Jenny ; Hudak, Mark L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-e3e88fe7ecfff70a02d2c19253eafd6399ed594609ac154e3689308ac54feded3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/699/375/2764</topic><topic>692/700</topic><topic>Breast Feeding</topic><topic>Breast milk</topic><topic>Counseling</topic><topic>Drug dependence</topic><topic>Drug withdrawal</topic><topic>Electronic health records</topic><topic>Electronic medical records</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health counseling</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Intensive Care Units, Neonatal</topic><topic>Maternal health services</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Milk, Human</topic><topic>Mothers</topic><topic>Narcotics</topic><topic>Neonatal abstinence syndrome</topic><topic>Neonatal Abstinence Syndrome - epidemiology</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Opioids</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Plant Extracts</topic><topic>Postpartum</topic><topic>Pregnancy</topic><topic>Prenatal experience</topic><topic>Quality control</topic><topic>Quality Improvement</topic><topic>Quality Improvement Article</topic><topic>Quality management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shukla, Samarth</creatorcontrib><creatorcontrib>Hanna, Issa</creatorcontrib><creatorcontrib>Cortez, Josef</creatorcontrib><creatorcontrib>Mansour, Marwa</creatorcontrib><creatorcontrib>Eiges, Alexia</creatorcontrib><creatorcontrib>Sharma, Priya</creatorcontrib><creatorcontrib>Aderhold, Ashley</creatorcontrib><creatorcontrib>Meyers, Jennifer</creatorcontrib><creatorcontrib>VanRavestein, Jenny</creatorcontrib><creatorcontrib>Hudak, Mark L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shukla, Samarth</au><au>Hanna, Issa</au><au>Cortez, Josef</au><au>Mansour, Marwa</au><au>Eiges, Alexia</au><au>Sharma, Priya</au><au>Aderhold, Ashley</au><au>Meyers, Jennifer</au><au>VanRavestein, Jenny</au><au>Hudak, Mark L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increasing usage of mother’s own milk in neonates at risk of neonatal abstinence syndrome: MOM-NAS quality improvement initiative</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>41</volume><issue>11</issue><spage>2684</spage><epage>2689</epage><pages>2684-2689</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>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.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>34531531</pmid><doi>10.1038/s41372-021-01209-0</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-2181-5930</orcidid><orcidid>https://orcid.org/0000-0001-9405-3522</orcidid><orcidid>https://orcid.org/0000-0002-5034-400X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2021-11, Vol.41 (11), p.2684-2689 |
| issn | 0743-8346 1476-5543 |
| language | eng |
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| source | Nexis UK; Springer Nature |
| subjects | 692/699/375/2764 692/700 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 |
| title | Increasing usage of mother’s own milk in neonates at risk of neonatal abstinence syndrome: MOM-NAS quality improvement initiative |
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