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J Hum Lact. 2015 Feb;31(1):43-6. doi: 10.1177/0890334414554619. Epub 2014 Oct 17.

A multipronged approach is associated with improved breast milk feeding rates in very low birth weight infants of an inner-city hospital.

Author information

1
Division of Neonatology, Department of Pediatrics, University of Tennessee Health Sciences Center, Memphis, TN, USA ndereddy@uthsc.edu.
2
Division of Neonatology, Department of Pediatrics, University of Tennessee Health Sciences Center, Memphis, TN, USA Department of Obstetrics and Gynecology, University of Tennessee Health Sciences Center, Memphis, TN, USA.
3
Regional Medical Center, Memphis, TN, USA.
4
Division of Neonatology, Department of Pediatrics, University of Tennessee Health Sciences Center, Memphis, TN, USA.

Abstract

Breast milk feeding has advantages over formula feeding in premature infants, but its use in them is low. We initiated measures in our inner-city hospital such as starting a dedicated lactation service, counseling the mothers prenatally and postnatally, educating hospital staff, and advocating with our state's Medicaid insurance to provide free home breast pumps. These measures were associated with improvement in our breast milk feeding rates in very low birth weight infants from 22% to 88% over 5 years. This article describes our multipronged approach and can help encourage and guide other units with similar demographics to improve their breast milk feeding rates.

KEYWORDS:

breastfeeding; inner-city hospital; prematurity; quality improvement

PMID:
25326415
DOI:
10.1177/0890334414554619
[Indexed for MEDLINE]
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