ArticlePediatrics2012
A quality improvement project to increase breast milk use in very low birth weight infants.
Article in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
59 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quality Improvement to Increase Breastfeeding in Preterm Infants: Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2021Pooled it
- The effect of donor human milk on the length of hospital stay in very low birthweight infants: a systematic review and meta-analysis.International breastfeeding journal · 2020Pooled it
- Impact of Neonatal Intensive Care Unit (NICU) Environment on Maternal Breast Milk Utilization: : A Retrospective Study.Delaware journal of public health · 2026Article
- Racial and Ethnic Disparities in Mother's Milk Provision Among Mothers of Preterm Infants.JAMA network open · 2025Article
- Methodologic considerations in estimating racial disparity of mortality among very preterm infants.Pediatric research · 2025Review
- Mother's Own Milk Provision During the First 12 Weeks of Life by Gestational Age.JAMA network open · 2025Article
- National Trends in Breastfeeding by Gestational Age Category.The Journal of pediatrics · 2025Article
- Quality Improvement Project to Improve Adherence to Best Practices to Decrease Incidence of Necrotizing Enterocolitis in Preterm Infants.Children (Basel, Switzerland) · 2025Article
- Disparities in Survival Without Major Morbidity Among Very Low Birth Weight Infants in California.Pediatrics · 2024Article
- 28 NICUs participating in a quality improvement collaborative targeting early-onset sepsis antibiotic use.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Exploratory Time-Series Analysis of Consecutive Case Series Data: A Quality Improvement and Adherence Study of a Behavior Analytic Service Provider.Journal of autism and developmental disorders · 2024Article
- Multi-prong quality improvement approach for increasing mother's own milk use for very low birth weight infants.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Key biologically active components of breast milk and their beneficial effects.Seminars in pediatric surgery · 2023Review
- Racial and ethnic disparities in postnatal growth among very low birth weight infants in California.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network.BMC pediatrics · 2023Article
- Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives.Healthcare (Basel, Switzerland) · 2022Article
- Advancements in neonatology through quality improvement.Journal of perinatology : official journal of the California Perinatal Association · 2022Review
- Barriers to optimal breast milk provision in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Impact of Point of Care Quality Improvement Training and Coaching on Quality Perceptions of Health Care Workers: Implication for Quality Policy.Journal of multidisciplinary healthcare · 2022Article
- Racial and socioeconomic disparities in breast milk feedings in US neonatal intensive care units.Pediatric research · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
objectiveTo evaluate a multihospital collaborative designed to increase breast milk feeding in premature infants.
methodsEleven NICUs in the California Perinatal Quality of Care Collaborative participated in an Institute for Healthcare Improvement-style collaborative to increase NICU breast milk feeding rates. Multiple interventions were recommended with participating sites implementing a self-selected combination of these interventions. Breast milk feeding rates were compared between baseline (October 2008-September 2009), implementation (October 2009-September 2010), and sustainability periods (October 2010-March 2011). Secondary outcome measures included necrotizing enterocolitis (NEC) rates and lengths of stay. California Perinatal Quality of Care Collaborative hospitals not participating in the project served as a control population.
resultsThe breast milk feeding rate in the intervention sites improved from baseline (54.6%) to intervention period (61.7%; P = .005) with sustained improvement over 6 months postintervention (64.0%; P = .003). NEC rates decreased from baseline (7.0%) to intervention period (4.3%; P = .022) to sustainability period (2.4%; P < .0001). Length of stay increased during the intervention but returned to baseline levels in the sustainability period. Control hospitals had higher rates of breast milk feeding at baseline (64.2% control vs 54.6% participants, P < .0001), but over the course of the implementation (65.7% vs 61.7%, P = .049) and sustainability periods (67.7% vs 64.0%, P = .199), participants improved to similar rates as the control group.
conclusionsImplementation of a breast milk/nutrition change package by an 11-site collaborative resulted in an increase in breast milk feeding and decrease in NEC that was sustained over an 18-month period.
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What OpenQuestion holds
Registered trials
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