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Research Project (승인과제목록)

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Title Improving Mother’s Own Milk Use In Very Preterm Infants : A Korean Neonatal Network Quality Improvement Project
Author Hannah Cho, Joohee Lim*, Teahyen Cha, So Jin Yoon, Ju Sun He3, Juyoung Lee And Soon Min Lee
작성자 임주희
Background Breast milk provides nutritional, gastroenterological, immunological, neurodevelopmental and psychological benefits to the premature baby However, admission to NICU due to prematurity raises barriers for initiation of mother's own milk (MOM) and its continuation despite numerous benefits of MOM.
Aim / Hypothesis This study aimed to assess the impact of a quality improvement (QI) project on increasing the use of mother's own milk among mothers of very low birth weight or very preterm infants.
Inclusion Criteria Preterm infant born before 32weeks of gestation or Birth weight less than 1500g
Exclusion Criteria Transferred patient Baby who expired at day 1 Baby who’s mother did not want breastfeeding Contraindication for breastfeeding
Study Design Statistical methods A multidisciplinary Quality Improvement (QI) project, initiated as part of the Korean Neonatal Network (KNN) since 2022, included various interventions such as antenatal and postnatal (within 24 hours of birth) maternal education with brochures and videos, daily assessment of mother’s own milk use, and standardized documentation. Comparisons of high-volume mother’s milk usage (>50% of feeds) during the first 28 postnatal days, colostrum use within 3 days after birth, incidence of necrotizing enterocolitis, duration of parenteral nutrition, and time taken to achieve 100 ml/kg of enteral nutrition were conducted between the pre-QI group and the QI group in 2 tertiary hospitals.
Primary Outcomes High-volume mother’s milk (> 50% of feeds) use during postnatal 28 days
Secondary Outcomes and Definitions 1)Colostrum use within 3 days after birth 2)NEC (Modified Bell’s staging) NEC was diagnosed according to the modified Bell’s staging criteria (≥ Stage II) 3) Days to achieve 100 mL/kg/day of enteral feeding
Protocols Antenatal and postnatal (within 24 hours of birth) maternal education with brochures and videos were provided.
Funding This research was supported by the “Korea National Institute of Health”(KNIH) research project(2022-ER0603-02#)

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