Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project
To improve the postdischarge growth of exclusively breastfed preterm infants, born weighing ≤1.8 kg, by using breast milk fortifier (BMF) supplements postdischarge until 48 weeks' gestational age. A quality improvement (QI) project involving plan-do-study-act (PDSA) cycles. A tertiary surgical neonatal unit. Preterm infants weighing ≤1.8 kg at birth. We completed four PDSA cycles to develop and improve an electronic patient information sheet to promote the use BMF beyond discharge. Safety, feasibility and attitudes of parents to home BMF were assessed using questionnaires. A retrospective audit (July 2015-September 2017) was completed investigating the effects of home BMF on growth up to 1 year of age. Change in SD scores for weight for age, length for age and head circumference of age at various time points compared with those at birth were calculated. Compared with baseline measurements (infants born October 2012-November 2013), the QI project resulted in improved growth (measured as the change in SD score from birth, cSDS) at discharge for weight (cSDS-0.7), head circumference (cSDS 0.4) and length (cSDS-0.8), and at 1 year for weight (cSDS 0.9) and length (cSDS 0.8). Home BMF appeared to be safe, and parents found its use acceptable. QI methods facilitated the successful integration of BMF into routine clinical care after discharge, improving the growth trajectory of exclusively breastfed preterm infants discharged home, as well as supporting breast feeding in this vulnerable population group.
breast milk fortifier, growth, nutrition, preterm infants, quality improvement
1007-1012
Marino, Luise V.
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Fudge, Carol
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Pearson, Freya
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Johnson, Mark John
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Marino, Luise V.
c479400f-9424-4879-9ca6-d81e6351de26
Fudge, Carol
c760b51a-bd5b-4b57-88ee-1418aaaa9c4e
Pearson, Freya
1d52a3d9-8d84-481a-8274-81cbdccbc40a
Johnson, Mark John
64135487-45a1-46a6-a34b-595143e3c9a6
Marino, Luise V., Fudge, Carol, Pearson, Freya and Johnson, Mark John
(2018)
Home use of breast milk fortifier to promote postdischarge growth and breast feeding in preterm infants: a quality improvement project.
Archives of Disease in Childhood, 104 (10), .
(doi:10.1136/archdischild-2018-315951).
Abstract
To improve the postdischarge growth of exclusively breastfed preterm infants, born weighing ≤1.8 kg, by using breast milk fortifier (BMF) supplements postdischarge until 48 weeks' gestational age. A quality improvement (QI) project involving plan-do-study-act (PDSA) cycles. A tertiary surgical neonatal unit. Preterm infants weighing ≤1.8 kg at birth. We completed four PDSA cycles to develop and improve an electronic patient information sheet to promote the use BMF beyond discharge. Safety, feasibility and attitudes of parents to home BMF were assessed using questionnaires. A retrospective audit (July 2015-September 2017) was completed investigating the effects of home BMF on growth up to 1 year of age. Change in SD scores for weight for age, length for age and head circumference of age at various time points compared with those at birth were calculated. Compared with baseline measurements (infants born October 2012-November 2013), the QI project resulted in improved growth (measured as the change in SD score from birth, cSDS) at discharge for weight (cSDS-0.7), head circumference (cSDS 0.4) and length (cSDS-0.8), and at 1 year for weight (cSDS 0.9) and length (cSDS 0.8). Home BMF appeared to be safe, and parents found its use acceptable. QI methods facilitated the successful integration of BMF into routine clinical care after discharge, improving the growth trajectory of exclusively breastfed preterm infants discharged home, as well as supporting breast feeding in this vulnerable population group.
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Accepted/In Press date: 14 November 2018
e-pub ahead of print date: 14 December 2018
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Funding Information:
Funding This work is also part of independent research completed by CF as part of a Health Education Wessex Clinical Academic Training Internships and LVM arising from a Health Education England/NIHR Clinical Lectureship (ICA-CL-2016-02-001) supported by the National Institute for Health Research. MJJ is supported by the National Institute for Health Research through the NIHR Southampton Biomedical Research Centre.
Keywords:
breast milk fortifier, growth, nutrition, preterm infants, quality improvement
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Local EPrints ID: 478423
URI: http://eprints.soton.ac.uk/id/eprint/478423
ISSN: 0003-9888
PURE UUID: 38ee029a-f69c-4002-8b8d-db671c5e2fb1
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Date deposited: 30 Jun 2023 16:50
Last modified: 17 Mar 2024 13:21
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Author:
Luise V. Marino
Author:
Carol Fudge
Author:
Freya Pearson
Author:
Mark John Johnson
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