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Transcutaneous Microcirculatory Imaging in Preterm Neonates

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Published on: December 31, 2015

Using the Delphi Method to Develop Breastfeeding Quality Indicators for Very Preterm Infants.

Anfeng Lu¹, Li Zhu¹, Peilu Huang¹

¹Department of Neonatology, Qinzhou Maternity and Child Health Care Hospital, Qinzhou, Guangxi, People's Republic of China.

Journal of Human Lactation : Official Journal of International Lactation Consultant Association

|September 28, 2025

Summary

This summary is machine-generated.

This study developed 11 quality indicators for breastfeeding very preterm infants. These indicators provide a practical and reliable way to assess and enhance breastfeeding quality for this vulnerable group.

Keywords:

Delphi breastfeeding milk newborn infants preterm infant quality indicators quality measures 乳汁德尔菲法新生儿早产儿母乳喂养质量指标质量衡量指标

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Area of Science:

Neonatal care
Infant nutrition
Public health

Background:

Human milk is vital for protecting very preterm infants from complications.
Existing quality indicators for breastfeeding are insufficient for very preterm infants.
There is a need for tailored indicators to evaluate breastfeeding quality in this population.

Purpose of the Study:

To develop practical and reliable quality indicators for breastfeeding very preterm infants.
To establish a framework for evaluating and improving breastfeeding practices in this vulnerable group.

Main Methods:

A longitudinal, prospective survey using a two-round Delphi method.
Systematic literature search across major databases (PubMed, Cochrane, Embase, Wanfang).
Multidisciplinary expert panel evaluation of candidate indicators for relevance and feasibility.

Main Results:

Eleven candidate quality indicators were identified and validated.
Indicators cover breastfeeding outcomes, maternal lactation status, process, and balancing aspects.
Expert consensus confirmed the relevance and feasibility of the selected indicators.

Conclusions:

A set of 11 practical and reliable quality indicators for breastfeeding very preterm infants was successfully developed.
These indicators can facilitate objective and quantitative assessment of breastfeeding quality.
The developed indicators support improved care for very preterm infants through enhanced breastfeeding practices.