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Related Experiment Video

Updated: Aug 27, 2025

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
04:16

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Published on: February 7, 2025

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BLOSSoM: Improving Human Milk Provision in Preterm Infants Through Texting Support.

Madoka Hayashi1,2,3, Kelly Huber1, Colette Rankin1

  • 1Department of Pediatrics, Denver Health Medical Center, Denver, CO, USA.

Pediatric Quality & Safety
|September 28, 2022
PubMed
Summary

Mother's own milk (MOM) provision for preterm infants improved from 61% to 81% with standardized lactation education and a text message program. This intervention successfully supported mothers in the neonatal intensive care unit (NICU).

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Area of Science:

  • Neonatal care
  • Lactation support
  • Public health interventions

Background:

  • Mother's own milk (MOM) is crucial for preterm infants, reducing complications.
  • Despite high initiation rates, many preterm infants do not receive MOM at discharge.
  • Previous interventions like outreach and SMS improved MOM provision in term dyads.

Purpose of the Study:

  • To increase MOM provision rate from 61% to over 80% for preterm infants.
  • To implement standardized lactation education and the BLOSSoM SMS program.
  • To evaluate the effectiveness of the BLOSSoM program in supporting NICU mothers.

Main Methods:

  • A multidisciplinary team implemented Plan-Do-Study-Act (PDSA) cycles.
  • Interventions included standardized lactation education and the Breastfeeding & Lactation Outreach via SMS Supporting Mothers (BLOSSoM) program.
  • The primary outcome was MOM provision at NICU discharge/transfer for infants <34 weeks gestation.

Main Results:

  • The monthly MOM provision rate increased from 61% to 81%.
  • 87% of BLOSSoM participants completed evaluations, with 83% finding the program most supportive.
  • SMS features like educational videos (78%) and 2-way texting (24%) were highly valued.

Conclusions:

  • A multidisciplinary approach significantly improved MOM provision for preterm infants.
  • The BLOSSoM SMS program, offering educational texts/media and 2-way communication, was key to success.
  • SMS communication was well-accepted and valued by lactating mothers in the NICU.