Breast Milk, Quality Improvement
Conditions
Keywords
quality improvement, breast milk
Brief summary
Twenty-seven hospitals in China will participate in the study, which aims to increase breastfeeding rate in the neonatal intensive care unit (NICU) and reduce the clinical complications in very low birth weight infants and extremely low birth weight infants.
Detailed description
Breast milk reduces the risk of serious prematurity related morbidities. Quality improvement is an effective means of increasing breast milk feeding.Twenty-seven hospitals in China will participate in the study, which aims to increase breastfeeding rate in the NICU and reduce the clinical complications in very low birth weight infants and extremely low birth weight infants. This study compared the clinical data of very low birth weight infants and extremely low birth weight infants in three phases：Before-intervention phase，Intervention phase and Sustainability phase. During the Intervention phase and Sustainability phase multiple intervention bundles of quality improvement were implemented.The investigators will compare breast milk feeding rate and neonatal outcomes in different phases.
Interventions
BEHAVIORALQuality improvement of breast milk feeding
During the Intervention phase and Sustainability phase ,The NICUs will receive training of multiple evidence based quality improvement methods.
Sponsors
Nanjing Maternity and Child Health Care Hospital
Jiangsu Women and Children Health Hospital
The First People's Hospital of Lianyungang
Xuzhou Maternity and Child Health Care Hospital
The Second Hospital of Nanjing Medical University
Children's Hospital of Nanjing Medical University
Suqian Maternity and Child Health Care Hospital
Lianyungang Maternity and Child Health Care Hospital
Wuxi Women's & Children's Hospital
Suzhou Municipal Hospital
Yancheng Maternity and Child Health Care Hospital
The First People's Hospital of Yancheng
The Affiliated Jiangyin Hospital of Southeast University Medical College
The First People's Hospital of Zhangjiagang
The Affiliated Huaian NO.1 People's Hospital of Nanjing Medical University
Huaian Maternity and Child Health Care Hospital
Changzhou Maternal and Child Care Hospital
Zhenjiang Maternity and Child Health Care Hospital
The Affiliated Hospital of Xuzhou Medical University
Taizhou People's Hospital
Affiliated Hospital of Jiangsu University
First People's Hospital of Hangzhou
Wuxi Maternity and Child Health Care Hospital
Changzhou Children's Hospital
Northern Jiangsu People's Hospital
Children's Hospital of Soochow University
Nantong Maternity and Child Health Care Hospital
Nanjing Medical University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
No minimum to 120 Days
Healthy volunteers
No
Inclusion criteria
* premature Infants (Birth weight\<1500g)
Exclusion criteria
* mother with sever illness or communicable disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mother own milk feeding rates | three years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the incidence of necrotizing enterocolitis (NEC) | three years | the incidence of necrotizing enterocolitis |
| the incidence of sepsis | three years | — |
| Reduce the incidence of enteral feed intolerance | three years | — |
| NICU costs | three years | costs during hospitalization in NICU |
Outcome results
None listed