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Impact of Quality Improvement Program on Expressed Breastmilk Usage in Very Low Birth Weight Infants.
Thakur, Anup; Kler, Neelam; Garg, Pankaj; Singh, Anita; Gandhi, Priya.
Afiliación
  • Thakur A; Department of Neonatology, Institute of Child health, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India. Correspondence to: Dr Anup Thakur, Consultant Neonatologist, Institute of Child health, Sir Ganga Ram Hospital, New Delhi, India. dr.thakuranup@gmail.com.
  • Kler N; Department of Neonatology, Institute of Child health, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
  • Garg P; Department of Neonatology, Institute of Child health, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
  • Singh A; Department of Neonatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
  • Gandhi P; Department of Neonatology, Institute of Child health, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
Indian Pediatr ; 55(9): 739-743, 2018 Sep 15.
Article en En | MEDLINE | ID: mdl-30345975
OBJECTIVE: To improve the usage of expressed breast milk in very low birth weight infants admitted in the neonatal intensive care unit of a tertiary centre in India. METHODS: Between April 2015 and August 2016, various Plan-do-act-study cycles were conducted to test change ideas like antenatal counselling including help of brochure and video, post-natal telephonic reminders within 4-6 hours of birth, standardization of Kangaroo mother care, and non-nutritive sucking protocol. Data was analyzed using statistical process control charts. RESULTS: 156 very low birth weight infants were delivered during the study period, of which 31 were excluded due to various reasons. Within 6 months of implementation, the proportion of very low birth weight infants who received expressed breast milk within 48 hours improved to 100% from 38.7% and this was sustained at 100% for next 8 months. The mean time of availability and volume of expressed breast milk within 48 hours, improved gradually from 73.3 h to 20.9 h and 4.7 mL to 15.8 mL, respectively. The mean proportion of expressed breast milk once infant reached a feed volume of 100 mL/kg/day also improved from 61.3% to 82.3%. CONCLUSIONS: Quality improvement interventions showed promising results of increased expressed breast milk usage in very low birth weight infants.
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Lactancia Materna / Mejoramiento de la Calidad / Extracción de Leche Materna / Cuidado del Lactante / Leche Humana Límite: Female / Humans / Infant / Newborn País/Región como asunto: Asia Idioma: En Revista: Indian Pediatr Año: 2018 Tipo del documento: Article País de afiliación: India
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Lactancia Materna / Mejoramiento de la Calidad / Extracción de Leche Materna / Cuidado del Lactante / Leche Humana Límite: Female / Humans / Infant / Newborn País/Región como asunto: Asia Idioma: En Revista: Indian Pediatr Año: 2018 Tipo del documento: Article País de afiliación: India