{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T14:56:52Z","timestamp":1780930612860,"version":"3.54.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"\n Background:<\/jats:title>\n The rates of \u201cany\u201d human milk use in neonatal intensive care units have improved during the last decade. However, efforts to help mothers in expressing and maintaining mother's own milk (MOM) through discharge remain a concern. This study aims to improve MOM in preterm neonates.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The study was a quality improvement (QI) initiative conducted from May 2018 to April 2019. All preterm neonates <34 weeks were included. In the \u201cinitiation phase\u201d (May 2018 to August 2018), a breastfeeding support group was formed and mothers were given structured antenatal and postnatal counseling regarding MOM using videos and leaflets. This improved MOM rates when compared with retrospective controls. In the continuation phase (August-2018 to April-2019), various plan-do-study-act cycles were conducted to test strategies such as frequent telephonic reminders, standardization of Kangaroo mother care, nonnutritive sucking protocols, and involving family members during daily counseling sessions. The initiation and continuation phases were compared with the retrospective baseline data.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Of a total of 125 preterm neonates, 27 were excluded for various reasons. Within 3 months of initiating the study, the proportion of neonates who received MOM within first 24 hours improved from 24% in retrospective controls to 82.9% in the initiation phase (\n p<\/jats:italic>\n \u2009<\u20090.0001) and remained stable at 90.3% in the continuation phase. The amount of MOM received on day 1 increased significantly (\n p<\/jats:italic>\n \u2009<\u20090.0001) from a median of 0\u2009mL to 1\u2009mL in the initiation phase and was maintained at 3\u2009mL in the continuation phase. Amount of MOM increased significantly on day 3 (\n p<\/jats:italic>\n \u2009=\u20090.0003) and day 7 (\n p<\/jats:italic>\n \u2009=\u20090.03). Babies discharged on MOM also improved significantly (\n p<\/jats:italic>\n \u2009=\u20090.005) from 48.3% in the retrospective cohort to 77.4% in the continuation phase. The number of babies receiving total parenteral nutrition decreased significantly (\n p<\/jats:italic>\n \u2009=\u20090.02) from 54.6% to 26.7%.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n QI has shown promising results in improving MOM in preterm neonates.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/bfm.2020.0033","type":"journal-article","created":{"date-parts":[[2020,8,16]],"date-time":"2020-08-16T16:00:30Z","timestamp":1597593630000},"page":"616-621","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["A Quality Initiative to Improve Mother's Own Milk Feeding in Preterm Neonates"],"prefix":"10.1177","volume":"15","author":[{"given":"Nitasha","family":"Bagga","sequence":"first","affiliation":[{"name":"Neonatology, Rainbow Children's Hospital, Hyderabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simi","family":"Kurian","sequence":"additional","affiliation":[{"name":"Neonatology, Rainbow Children's Hospital, Hyderabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashik","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Ophthalmic Biophysics, L V Prasad Eye Institute, Hyderabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Reddy","sequence":"additional","affiliation":[{"name":"Neonatology, Rainbow Children's Hospital, Hyderabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh Kumar","family":"Chirla","sequence":"additional","affiliation":[{"name":"Neonatology, Rainbow Children's Hospital, Hyderabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,7]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890334412440846"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2015.0141"},{"key":"e_1_3_5_4_2","unstructured":"Wight NE . Nutrition & Growth in the NICU: The 2018CPQCC Toolkit. http:\/\/californiabreastfeeding.org\/wp-content\/uploads\/2019\/02\/Nancy-Wight.pdf (accessed September5 2019)."},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2016.11.008"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40168-016-0214-x"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.133215"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2012.0002"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.04.064"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpam.2018.12.003"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890334414544124"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1891\/1058-1243.24.3.160"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305475"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-017-2306-4"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-018-1371-8"},{"key":"e_1_3_5_16_2","first-page":"CD001688","article-title":"Interventions for promoting the initiation of breastfeeding","author":"Dyson L","year":"2005","unstructured":"Dyson L, , McCormick F, , Renfrew MJ. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev, 2005:CD001688.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4757-4242-8_28"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.03.007"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2016.11.005"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.92"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005237-200410000-00009"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.28.5.311"}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/bfm.2020.0033","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/bfm.2020.0033","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/bfm.2020.0033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:03:56Z","timestamp":1777381436000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/bfm.2020.0033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":21,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10,1]]}},"alternative-id":["10.1089\/bfm.2020.0033"],"URL":"https:\/\/doi.org\/10.1089\/bfm.2020.0033","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,1]]}}}