Maternal breast milk is known to have several benefits for very low birth weight (VLBW) infants, including reducing the rates of necrotizing enterocolitis, late-onset sepsis, and improved neurodevelopmental outcomes as compared to formula fed infants. The breast milk QI project will start in March, 2017. The goal of the project was to increase maternal breast milk utilization in VLBW babies at discharge by 20% (relative percent increase, e.g. 50% to 60%) at the time of discharge by the end of 2018 in both individual hospitals and the state overall. In 2016, Iowa hospitals admitting VLBW babies that are participating in the Vermont Oxford Network (VON) had a 43.6% overall usage of human milk at discharge, compared to 47.3% nationwide and 52.8% worldwide. At the completion of this QI, the use of human milk in VLBW infants at the time of discharge in Iowa had increased to 50.8%.
All information reported by participating membes in the QI will remain confidential and only aggregate numbers of the entire participating community will be reported on our website, both before and after. Potential key drivers for change include:
All information reported by participating membes in the QI will remain confidential and only aggregate numbers of the entire participating community will be reported on our website, both before and after. Potential key drivers for change include:
Please see our QI Model page regarding the outline for the planned steps for this inititative!
There are several other toolkits and resources available to promoting positive change in your facility. These include, but certainly are not limited to:
Documents
www.acog.org/About-ACOG/ACOG-Departments/Toolkits-for-Health-Care-Providers/Breastfeeding-Toolkit
nann.org/uploads/About/PositionPDFS/1.4.3_Use%20%20of%20Human%20Milk%20and%20Breastfeeding%20in%20the%20NICU.pdf
There are several other toolkits and resources available to promoting positive change in your facility. These include, but certainly are not limited to:
Documents
www.acog.org/About-ACOG/ACOG-Departments/Toolkits-for-Health-Care-Providers/Breastfeeding-Toolkit
nann.org/uploads/About/PositionPDFS/1.4.3_Use%20%20of%20Human%20Milk%20and%20Breastfeeding%20in%20the%20NICU.pdf
| scripting_for_staff_on_use_of_mothers_milk.pdf |
| handout_the_value_of_human_milk_in_the_nicu_.pdf |
| handout_the_value_of_human_milk_all_mothers_all_gestations.pdf |
| human_milk_during_and_after_nicu_stay_meier.pdf |
| breastfeeding_wheel.pdf |
Courtesy of Berlith Persson, Helsingborg Hospital, Sweden
https://www.neoqicma.org/human-milk-educational-materials (Courtesy of Dr. Meg Parker, Boston Medical Center, The Neonatal Quality Improvement Collaborative of Massachusetts)
Videos
https://www.neoqicma.org/human-milk-educational-videos (Courtesy of Dr. Meg Parker, Boston Medical Center, The Neonatal Quality Improvement Collaborative of Massachusetts
Slide Presentations
Slide Presentations
| breast_milk_qi_webinar_1.pptx |
Breast Milk and Medications
https://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm
Success Stories
Massachusetts Perinatal Quality Collaborative
https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pdf/Massachusetts-success-story_508tagged.pdf
Breast Milk and Substance Abuse
https://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm
Success Stories
Massachusetts Perinatal Quality Collaborative
https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pdf/Massachusetts-success-story_508tagged.pdf
Breast Milk and Substance Abuse
| inqc_position_statement_marijuana_use_and_lactation.pdf |