A Quality Improvement Initiative to Increase Breast Milk Use in a Chinese NICU: a Pilot Study
- Conditions
- Infant, Extremely Premature
- Interventions
- Other: breast milk consume promotion
- Registration Number
- NCT02897388
- Lead Sponsor
- Children's Hospital of Fudan University
- Brief Summary
To assess the prevalence of breast milk feeding in a NICU in China, to implement a quality improvement program to increase breast milk feeding, and to evaluate its impact.
- Detailed Description
The benefits of breast milk are well recognized for providing health benefits in early infancy and extending into adulthood, and breast milk feeding is promoted by numerous professional organizations. However, for various reasons, in neonatal intensive care unit in China, most infants are separated from their parents and are fed infant formula exclusively. To address this problem, the investigators propose to carry out a pilot study to assess the prevalence of breast milk feeding in a NICU of a tertiary teaching hospital in China, and then to introduce an intervention program to increase the prevalence of breast milk feeding and to evaluate the impact of this program.
The intervention would include building a nutrition team in the NICU, training of a lactation coordinator and nursing staff by a team from Mount Sinai Hospital, providing parents with education on breast milk feeding, providing access to breast pumps through a lend/lease program and providing a breast pumping room for parents. The investigators will collect data on breast milk feeding, including prevalence and reasons for not breast milk feeding during both the pre-intervention and intervention period. The investigators will also assess the enrolled infants' weight gain from admission to discharge, incidence of nosocomial infection and mortality, and average length of stay in the NICU, to assess the efficacy of the breast milk feeding intervention.
This trial has the potential to dramatically change feeding of infants in Chinese NICUs from exclusive infant formula to breast milk, with potential impacts on nosocomial infection, growth, development and hospital length of stay.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 325
- all very low birth weight(birthweight ≤ 1500g)infants admitted to the NICU of Children's Hospital of Fudan University
- informed consent is given
- Presence of breast milk feeding contraindications
- Severe illness with contraindications for feeding
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description intervention breast milk consume promotion all very low birth weight infants admitted to the NICU at Fudan University Children's Hospital from April 2015 through June 2016 who meet the enroll criteria. A series of breast milk consume promotion interventions would implemented during this intervention period, which including build local lactation team, set breast milk feeding room, train NICU staff etc.
- Primary Outcome Measures
Name Time Method prevalence of breast milk feeding up to 18 months to compare the breast milk feeding incidence between pre-intervention and intervention period
- Secondary Outcome Measures
Name Time Method Nosocomial infection incidence up to 18 months to compare the nosocomial infection incidence between pre-intervention and intervention period
Necrotizing enterocolitis(NEC) incidence up to 18 months to compare the NEC incidence between pre-intervention and intervention period
overall mortality rate up to 18 months to compare the overall mortality rate between pre-intervention and intervention period
time to full feeding up to 18 months to compare the time to full feeding between pre-intervention and intervention period