Evidence map›Paper›PMID 42151373›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

A quality improvement approach to growth in moderate and late preterm infants in small NICUs.

Mindy Morris, Jessica Liu, Maria C Hetherton, Courtney C Breault, Anjali C Dibner, Jochen Profit, Guadalupe Padilla

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mindy Morris *California Perinatal Quality Care Collaborative (CPQCC), Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-0174-2041
Jessica Liu *California Perinatal Quality Care Collaborative (CPQCC), Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Maria C HethertonUCSF Benioff Children's Hospital, San Francisco, CA, USA.ORCID http://orcid.org/0009-0007-5141-5475
Courtney C BreaultCalifornia Perinatal Quality Care Collaborative (CPQCC), Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Anjali C DibnerCalifornia Perinatal Quality Care Collaborative (CPQCC), Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Jochen ProfitCalifornia Perinatal Quality Care Collaborative (CPQCC), Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-3782-9248
Guadalupe PadillaHarbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Torrance, CA, USA. lupepad1@verizon.net.ORCID http://orcid.org/0009-0001-2570-5379

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveReduce the proportion of eligible infants who leave the NICU with a decline in weight-for-age z-score >1.0 SD by 20%. STUDY

designDesigned to engage NICUs with an average daily census ≤10.9, the California Perinatal Quality Care Collaborative conducted a quality improvement collaborative titled Growth Advancement in the NICU (GAIN) Ten Point Nine (10.9) among seven NICUs between 05/2021 and 07/2023. Inborn infants with a birthweight between 1500 and 2500 g and a minimum NICU stay of seven days were included. NICU teams took part in virtual monthly meetings and three half-day Learning Sessions.

resultsGAIN 10.9 achieved a 41.6% relative reduction in infants with z-score declines > 1.0 SD. All seven NICUs adopted weight-based feeding guidelines and implemented weekly nutrition rounds.

conclusionsA quality improvement initiative among low volume NICUs successfully reduced growth restriction in moderate or late preterm infants.

Identifiers

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Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.