Impact of Quality Improvement Program on Expressed Breastmilk Usage in Very Low Birth Weight Infants

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dc.contributor.authorThakur, Anupen_US
dc.contributor.authorKler, Neelamen_US
dc.contributor.authorGarg, Pankajen_US
dc.contributor.authorSingh, Anitaen_US
dc.contributor.authorGandhi, Priyaen_US
dc.date.accessioned2020-04-23T07:43:20Z
dc.date.available2020-04-23T07:43:20Z
dc.date.issued2018-09
dc.description.abstractObjective: To improve the usage of expressed breast milk invery low birth weight infants admitted in the neonatal intensivecare unit of a tertiary centre in India.Methods: Between April 2015 and August 2016, various Plan-do-act-study cycles were conducted to test change ideas likeantenatal counselling including help of brochure and video, post-natal telephonic reminders within 4-6 hours of birth,standardization of Kangaroo mother care, and non-nutritivesucking protocol. Data was analyzed using statistical processcontrol charts.Results: 156 very low birth weight infants were deliveredduring the study period, of which 31 were excluded due tovarious reasons. Within 6 months of implementation, theproportion of very low birth weight infants who receivedexpressed breast milk within 48 hours improved to 100% from38.7% and this was sustained at 100% for next 8 months. Themean time of availability and volume of expressed breast milkwithin 48 hours, improved gradually from 73.3 h to 20.9 h and 4.7mL to 15.8 mL, respectively. The mean proportion of expressedbreast milk once infant reached a feed volume of 100 mL/kg/dayalso improved from 61.3% to 82.3%.Conclusion: Quality improvement interventions showedpromising results of increased expressed breast milk usage invery low birth weight infants.en_US
dc.identifier.affiliationsDepartment of Neonatology, Institute of Child health, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhien_US
dc.identifier.affiliationsDepartment of Neonatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, Indiaen_US
dc.identifier.citationThakur Anup, Kler Neelam, Garg Pankaj, Singh Anita, Gandhi Priya. Impact of Quality Improvement Program on Expressed Breastmilk Usage in Very Low Birth Weight Infants. Indian Pediatrics. 2018 Sep; 55(9): 739-743en_US
dc.identifier.issn0974-7559
dc.identifier.issn0019-6061
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/199157
dc.languageenen_US
dc.publisherIndian Academy of Pediatricsen_US
dc.relation.issuenumber9en_US
dc.relation.volume55en_US
dc.source.urihttps://www.indianpediatrics.net/sep2018/739.pdfen_US
dc.subjectAntenatal counsellingen_US
dc.subjectBreastfeedingen_US
dc.subjectCare bundleen_US
dc.subjectPDSA cycleen_US
dc.titleImpact of Quality Improvement Program on Expressed Breastmilk Usage in Very Low Birth Weight Infantsen_US
dc.typeJournal Articleen_US
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