Cargando…

Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project

To improve the postdischarge growth of exclusively breastfed preterm infants, born weighing ≤1.8 kg, by using breast milk fortifier (BMF) supplements postdischarge until 48 weeks’ gestational age. A quality improvement (QI) project involving plan–do–study–act (PDSA) cycles. A tertiary surgical neona...

Descripción completa

Detalles Bibliográficos
Autores principales: Marino, Luise V, Fudge, Carol, Pearson, Freya, Johnson, Mark John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889743/
https://www.ncbi.nlm.nih.gov/pubmed/30552093
http://dx.doi.org/10.1136/archdischild-2018-315951
_version_ 1783475485337976832
author Marino, Luise V
Fudge, Carol
Pearson, Freya
Johnson, Mark John
author_facet Marino, Luise V
Fudge, Carol
Pearson, Freya
Johnson, Mark John
author_sort Marino, Luise V
collection PubMed
description To improve the postdischarge growth of exclusively breastfed preterm infants, born weighing ≤1.8 kg, by using breast milk fortifier (BMF) supplements postdischarge until 48 weeks’ gestational age. A quality improvement (QI) project involving plan–do–study–act (PDSA) cycles. A tertiary surgical neonatal unit. Preterm infants weighing ≤1.8 kg at birth. We completed four PDSA cycles to develop and improve an electronic patient information sheet to promote the use BMF beyond discharge. Safety, feasibility and attitudes of parents to home BMF were assessed using questionnaires. A retrospective audit (July 2015–September 2017) was completed investigating the effects of home BMF on growth up to 1 year of age. Change in SD scores for weight for age, length for age and head circumference of age at various time points compared with those at birth were calculated. Compared with baseline measurements (infants born October 2012–November 2013), the QI project resulted in improved growth (measured as the change in SD score from birth, cSDS) at discharge for weight (cSDS −0.7), head circumference (cSDS 0.4) and length (cSDS-0.8), and at 1 year for weight (cSDS 0.9) and length (cSDS 0.8). Home BMF appeared to be safe, and parents found its use acceptable. QI methods facilitated the successful integration of BMF into routine clinical care after discharge, improving the growth trajectory of exclusively breastfed preterm infants discharged home, as well as supporting breast feeding in this vulnerable population group.
format Online
Article
Text
id pubmed-6889743
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-68897432019-12-19 Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project Marino, Luise V Fudge, Carol Pearson, Freya Johnson, Mark John Arch Dis Child Quality Improvement To improve the postdischarge growth of exclusively breastfed preterm infants, born weighing ≤1.8 kg, by using breast milk fortifier (BMF) supplements postdischarge until 48 weeks’ gestational age. A quality improvement (QI) project involving plan–do–study–act (PDSA) cycles. A tertiary surgical neonatal unit. Preterm infants weighing ≤1.8 kg at birth. We completed four PDSA cycles to develop and improve an electronic patient information sheet to promote the use BMF beyond discharge. Safety, feasibility and attitudes of parents to home BMF were assessed using questionnaires. A retrospective audit (July 2015–September 2017) was completed investigating the effects of home BMF on growth up to 1 year of age. Change in SD scores for weight for age, length for age and head circumference of age at various time points compared with those at birth were calculated. Compared with baseline measurements (infants born October 2012–November 2013), the QI project resulted in improved growth (measured as the change in SD score from birth, cSDS) at discharge for weight (cSDS −0.7), head circumference (cSDS 0.4) and length (cSDS-0.8), and at 1 year for weight (cSDS 0.9) and length (cSDS 0.8). Home BMF appeared to be safe, and parents found its use acceptable. QI methods facilitated the successful integration of BMF into routine clinical care after discharge, improving the growth trajectory of exclusively breastfed preterm infants discharged home, as well as supporting breast feeding in this vulnerable population group. BMJ Publishing Group 2019-10 2018-12-14 /pmc/articles/PMC6889743/ /pubmed/30552093 http://dx.doi.org/10.1136/archdischild-2018-315951 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Quality Improvement
Marino, Luise V
Fudge, Carol
Pearson, Freya
Johnson, Mark John
Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
title Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
title_full Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
title_fullStr Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
title_full_unstemmed Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
title_short Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
title_sort home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
topic Quality Improvement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889743/
https://www.ncbi.nlm.nih.gov/pubmed/30552093
http://dx.doi.org/10.1136/archdischild-2018-315951
work_keys_str_mv AT marinoluisev homeuseofbreastmilkfortifiertopromotepostdischargegrowthandbreastfeedinginpreterminfantsaqualityimprovementproject
AT fudgecarol homeuseofbreastmilkfortifiertopromotepostdischargegrowthandbreastfeedinginpreterminfantsaqualityimprovementproject
AT pearsonfreya homeuseofbreastmilkfortifiertopromotepostdischargegrowthandbreastfeedinginpreterminfantsaqualityimprovementproject
AT johnsonmarkjohn homeuseofbreastmilkfortifiertopromotepostdischargegrowthandbreastfeedinginpreterminfantsaqualityimprovementproject