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Objective <p>Direct breastfeeding (DBF) during Neonatal Intensive Care Unit (NICU) admission has many benefits. This quality improvement (QI) project aimed to increase DBF at discharge in a community hospital level II NICU.</p> Methods <p>This is a single center time series QI study that used serial plan do study act cycles occurring over 12 months and data collection over 3.5 years. Outcome measure was successful breastmilk transfer in the 48 h prior to discharge. Balancing measures were provision of own human milk and gestational age at discharge.</p> Results <p>DBF prior to discharge increased from 34% (14/41) to 79% (53/67) after initiating the QI project, <i>p</i> &lt; 0.01. There was no change in the provision of own human milk at discharge. Gestational age at discharge increased from 37.2 to 37.7 weeks, <i>p</i> = 0.05.</p> Conclusion <p>QI interventions increased DBF in the NICU, supporting feasibility of breastfeeding among premature infants.</p>

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Improving direct breastfeeding at discharge in a Level II Neonatal ICU

  • 期刊论文

  • 发表日期：

    2026年3月6日

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  • Katrina Wakeman,
  • Jessica Grant,
  • Maudie Demshki,
  • Maggie Jerome,
  • Angela Douglas

摘要

Objective

Direct breastfeeding (DBF) during Neonatal Intensive Care Unit (NICU) admission has many benefits. This quality improvement (QI) project aimed to increase DBF at discharge in a community hospital level II NICU.

Methods

This is a single center time series QI study that used serial plan do study act cycles occurring over 12 months and data collection over 3.5 years. Outcome measure was successful breastmilk transfer in the 48 h prior to discharge. Balancing measures were provision of own human milk and gestational age at discharge.

Results

DBF prior to discharge increased from 34% (14/41) to 79% (53/67) after initiating the QI project, p < 0.01. There was no change in the provision of own human milk at discharge. Gestational age at discharge increased from 37.2 to 37.7 weeks, p = 0.05.

Conclusion

QI interventions increased DBF in the NICU, supporting feasibility of breastfeeding among premature infants.