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.
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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
1,800
During the Intervention phase and Sustainability phase ,The NICUs will receive training of multiple evidence based quality improvement methods.
mother own milk feeding rates
Time frame: three years
NICU costs
costs during hospitalization in NICU
Time frame: three years
the incidence of necrotizing enterocolitis (NEC)
the incidence of necrotizing enterocolitis
Time frame: three years
the incidence of sepsis
Time frame: three years
Reduce the incidence of enteral feed intolerance
Time frame: three years
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