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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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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 |
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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 |
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