Improving direct breastfeeding at discharge in a Level II Neonatal ICU
Katrina Wakeman1, Jessica Grant2, Maudie Demshki3
1School of Medicine, Oregon Health and Science University, Portland, OR, USA.
Objective:
Direct breastfeeding (DBF) during Neonatal Intensive Care Unit (NICU) admission has many benefits. This quality improvement (QI) project aimed to increase DBF at discharge in a community hospital level II NICU.
Methods:
This is a single center time series QI study that used serial plan do study act cycles occurring over 12 months and data collection over 3.5 years. Outcome measure was successful breastmilk transfer in the 48 h prior to discharge. Balancing measures were provision of own human milk and gestational age at discharge.
Results:
DBF prior to discharge increased from 34% (14/41) to 79% (53/67) after initiating the QI project, p < 0.01. There was no change in the provision of own human milk at discharge. Gestational age at discharge increased from 37.2 to 37.7 weeks, p = 0.05.
Conclusion:
QI interventions increased DBF in the NICU, supporting feasibility of breastfeeding among premature infants.
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