Thirteen hospitals in China will participate in the study, which objectives of this study is to improve the rate of mother's own milk feeding of premature infants in neonatal intensive care unit(NICU), evaluate the effectiveness of improving the quality of breastfeeding in clinical use ,form standardized process and improve clinical medical quality of premature infants.
In this study, the cluster randomized controlled matching design was used. Considering that evidence-based practice for improving quality(EPIQ) method is not only to improve the quality of individual, but also to improve the quality of breast-feeding of the whole neonatal intensive care unit(NICU), so a hospital was chosen as a cluster. The supervision unit is used for the quality control , coordination and technical support in the whole study process.The two NICU with similar number of premature infants, the same scale of NICU and little difference in the recognition of breast-feeding quality improvement measures that meet the inclusion criteria are taken as the a floor, and then randomly divided into two groups, taking the NICU as intervention group or the control group can avoid the individual influence of the intervention. In this study, recruited 12 NICUs. The purpose of study is to to increase the consumption of mother's own milk of premature infants through the existing measures of improving the breastfeeding quality, and then to improve the quality of life of the premature infant, and to further evaluate whether this model of improving the breastfeeding quality can be promoted in other NICU.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
1,500
The intervention NICUs (n = 6) will receive training in the Evidence-based Practice for Improving Quality (EPIQ) method and then develop, implement, and document evidence-based practice changes toimprove the rate of breastfeeding . Compliance with practice changes and neonatal outcomes will be monitored. NICUs will receive quarterly feedback on their progress, as well as access to implementation support.
Nanjing Maternity and Child Health Care Hospital
Nanjing, Jiangsu, China
RECRUITINGexclusive breastfeeding rate 24 hours before discharge
exclusive breastfeeding rate 24 hours before discharge
Time frame: two years
Time of Mother's Own Milk at starting feed（hours）
Time of Mother's Own Milk at starting feed（hours）
Time frame: two years
Proportion of first time Mother's Own Milk (%)
Proportion of first time Mother's Own Milk (%)
Time frame: two years
Duration of parenteral nutrition (days)
Duration of parenteral nutrition (days)
Time frame: two years
Time to total gastrointestinal feeding (days)
Time to total gastrointestinal feeding (days)
Time frame: two years
Pump milk times (times /d) and amount (ml / d) ：1-3d, 4-7d ,8-14d
Pump milk times (times /d) and amount (ml / d) ：1-3d, 4-7d ,8-14d
Time frame: two years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.