A Quality Improvement Project to Increase Mother's Milk Use in an Inner-City NICU.

摘要: Mother's milk is recommended for preterm infants due to numerous health benefits. At our inner-city hospital, >80% of mothers younger than 34 weeks' gestation initiated production, but fewer continued until discharge. Among gestation, we aimed (1) increase any mother's use in the 24 hours before discharge/transfer >75%; (2) exclusive >50%; and (3) reduce racial/ethnic disparities use. Methods We conducted a quality improvement project from January 2015 December 2017 focused on prenatal education, first expression ≤6 after birth, skin-to-skin care month. tracked process measures main outcomes with run control charts among 202 eligible receive born at hospital; results according maternal race/ethnicity subgroups. Results Forty-seven percent were non-Hispanic black, 28% Hispanic, 13% white. improved rate birth month did not improve rates any/exclusive discharge/transfer. Eight-five had that only 55% received Conclusions Our single-center effort whose predominately Hispanic blacks. successfully increased