Objective To explore the effect of breast-feeding quality improvement measures on the breastfeeding rate of very low birth weight(VLBW) and extremely low birth weight infants(ELBW) infants,so as to provide basis for clinical application. Methods The clinical data of 258 VLBW and ELBW infants admitted to the hospital from May 2016 to December 2017 were retrospectively analyzed According to whether breastfeeding quality improvement measures were implemented,infants were divided into control group(n=100) and improvement group(n=158). The control group received routine breastfeeding,and the improvement group adopted breastfeeding quality improvement measures.The breast-feeding status,maternal breast-feeding rate during hospitalization,feeding quantity,growth index during hospitalization and incidence of total complications were compared between the two groups. Results The first breast-feeding time,the onset time of adding breast milk fortifier,the time for reaching total intestinal feeding and intravenous nutrition in the improvement group were significantly shorter than those in the control group(P<0.05),the maternal breast-feeding rate and the feeding quantity were significantly higher than those growth of the control group,and the weight,length and head circumference of the patients during hospitalization were significantly higher than those of the control group (P<0.05).The incidence of feeding intolerance and total complications in the improvement group were significantly lower than those in the control group(P< 0.05). Conclusion Breast-feeding quality improvement can significantly improve the breast-feeding situation of VLBW and ELBW infants,increase breast-feeding rate and volume,promote the growth of children,and reduce complications.
Key words
breast-feeding /
quality improvement /
very low birth weight infants /
extremely low birth weight infants /
complication
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 赵华,刘瑞芳,史红娟,等.家庭支持系统对母乳喂养影响的研究进展[J].现代预防医学,2018,45(7):1235-1238.
[2] Nayereh As′adi,Kariman N,Mojab F,et al.The effect of Saqez (Pistacia atlantica) ointment on nipple fissure improvement in breastfeeding women during one-month follow-up[J].Avicenna J Phytomed,2017,7(6):477-485.
[3] 黄俊美,吴远珏,汪静,等.0~3月龄不同喂养方式对婴儿期体格发育的影响[J].华中科技大学学报:医学版,2017,46(4):430-436.
[4] 闭宏娟,许靖,韦秋芬.捐献母乳喂养对极低出生体重儿院内感染发生的影响[J].中国当代儿科杂志,2018,20(2):102-105.
[5] 邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].4版.北京:人民卫生出版社,2011:340-663.
[6] Ghaheri BA,Cole M,Fausel SC,et al.Breastfeeding improvement following tongue-tie and lip-tie release:A prospective cohort study[J].Laryngoscope,2016,127(5):1217-1223.
[7] 陈小慧,余章斌,韩树萍.捐献母乳与配方奶喂养对极低、超低出生体质量儿的影响[J].中华实用儿科临床杂志,2016,31(19):1464-1467.
[8] Chowdhury R,Sinha B,Sankar MJ,et al.Breastfeeding and maternal health outcomes:a systematic review and meta-analysis[J].Acta Paediatr,2015,104(467):96-113.
[9] 高琦,张亚娟,田秀英,等.母乳强化剂添加时间对极低出生体质量儿早期生长发育及并发症发生率的影响[J].中华实用儿科临床杂志,2017,32(7):528-531.
[10] 张俊,刘凤,韩树萍.NICU母乳喂养质量改进进展[J].临床儿科杂志,2016,34(1):74-77.
[11] Dumphy D,Thompson J,Clark M.A breastfeeding quality improvement project in rural primary care[J].J Hum Lact,2016,32(4):633-641.
[12] Sethi A,Joshi M,Thukral A,et al.A quality improvement initiative:improving exclusive breastfeeding rates of preterm neonates[J].Indian J Pediatr,2017,84(4):1-4.
[13] Schwartz R,Ellings A,Baisden A,et al.Washington 'steps' up:a 10-step quality improvement initiative to optimize breastfeeding support in community health centers[J].J Hum Lact,2015,31(4):651-659.
[14] Ware JL,Schetzina KE,Morad A,et al.A statewide quality improvement collaborative to increase breastfeeding rates in tennessee[J].Breastfeed Med,2018,13(4):292-300.
[15] 易菁,马远珠,李志云,等.基于微信平台的孕妇学校教育在提高产后母乳喂养率中的应用价值[J].广东医学,2017,38(12):1944-1947.
[16] 李永伟,严超英,杨磊,等.母乳及配方奶喂养对NICU早产儿的影响[J].中国当代儿科杂志,2017,19(5):572-575.