ArticleEuropean journal of pediatrics2022
Impact of mother-baby friendly initiative plus approach on improving human milk feeding for neonates in hospital: a quality improvement before-and-after uncontrolled study.
Article in European journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 33 citations in OpenAlex.
- Comparison of Two Pumping Strategies to Improve Exclusive Breastfeeding at Discharge in Mothers of VLBW Infants with Low Milk Output - A Pilot Randomized Controlled Trial.Indian journal of pediatrics · 2024Trial
- Improving resilience in human milk banking: workshop proceedings, 11th November, London UK.BMC proceedings · 2026Article
- Gender-just reductions in greenhouse gas emissions in maternity care services through the 'baby- friendly hospital initiative': a scoping review.International breastfeeding journal · 2026Article
- Improving neonatal outcomes through better access to human milk.Bulletin of the World Health Organization · 2026Article
- Factors influencing the provision of human milk feeding support for preterm infants in Neonatal Intensive Care Units in China: a qualitative study of neonatal nurses' perspectives.International breastfeeding journal · 2025Article
- Quality improvement initiatives in maternal, infant, young child, and adolescent nutrition (MIYCAN) in India: A scoping review.Journal of family medicine and primary care · 2025Review
- Cost of operating a human milk bank in the UK: a microcosting analysis.Archives of disease in childhood. Fetal and neonatal edition · 2025Article
- Women's Lives and Birth Experiences Are Important! Evaluation of Women's Perceptions of Respectful Maternal Care: The Mother-Friendly Hospital Difference.Journal of evaluation in clinical practice · 2025Article
- Understanding modifiable barriers to human milk donation in the United Kingdom.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Perspectives of healthcare workers on the acceptability of donor human milk banking in Southwest Nigeria.International breastfeeding journal · 2024Article
- Nonprofit human milk banking: On a challenging path to global equity.Maternal & child nutrition · 2024Article
- A comparative review of human milk banking and national tissue banking programs.Maternal & child nutrition · 2024Review
- Comparison between the for-profit human milk industry and nonprofit human milk banking: Time for regulation?Maternal & child nutrition · 2024Article
- Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya.Maternal & child nutrition · 2024Article
- Quality improvement initiative for a sustained increase in human milk donation during the hospital stay.BMJ open quality · 2023Article
- Understanding the current and future usage of donor human milk in hospitals: An online survey of UK neonatal units.Maternal & child nutrition · 2023Article
- Acceptability of donated breast milk among pregnant women in selected hospitals in central Uganda: a cross-sectional study.International breastfeeding journal · 2023Article
- Exploring Human Milk, Nutrition, Growth, and Breastfeeding Rates at Discharge(HUMMINGBIRD Study): a protocol for a pilot randomised controlled trial.BMJ paediatrics open · 2023Article
- A descriptive analysis of human milk dispensed by the Leipzig Donor Human Milk Bank for neonates between 2012 and 2019.Frontiers in nutrition · 2023Article
- Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study.BMC pregnancy and childbirth · 2022Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Breastfeeding, use of pasteurised donor human milk when mother's own milk is unavailable and kangaroo mother care have independently proven benefits in improving survival of vulnerable sick babies. A triangulated approach called the Mother Baby Friendly Initiative Plus (MBFI+) model, bringing together the combined benefits of these proven interventions, was used to improve exclusive human milk feeding at health facilities through quality improvement and system strengthening approach. This quality improvement before-and-after uncontrolled study enrolled 5343 term and 278 very low birth weight (VLBW) mother-infant dyads. Pre- and post-intervention data were compared to evaluate effect on feeding-related healthcare processes and outcomes. Primary outcome which was incidence of exclusive human milk feeding during hospital stay, improved from 44 to 64.8% (RR 1.47, 95% CI: 1.40-1.55) among term and from 60.5 to 80.7% (RR: 1.33; 95% CI: 1.12-1.59) among VLBW neonates. Neonates receiving extended KMC improved from 43 to 71.1% (RR: 1.65; 95% CI: 1.30-2.10).Conclusion: MBFI+ approach improved exclusive human milk feeding among term and preterm VLBW neonates. What is Known: • Breastfeeding has immense health benefits to sick preterm neonates admitted in NICU. What is New: • Quality improvement approach can lead to system strengthening and can help overcome hindrances to achieve increased breastfeeding rates.
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