| From the Data Dictionary... |
| |
 Today I want to highlight a note found in the data dictionary about two questions on Form B:
NOTE: If mother has clearly decided not to provide milk, or if the medical team has decided that the mother's milk should NEVER be used, then the nurse does not have to continue to discuss these issues with the mother. Mark question #4 (Have you discussed importance of providing milk, offered support and guidance or reviewed the pumping log with the mom of this infant?) and #5 (Has mom used hand expression or electric breast pump on this shift?) "No." The data dictionary can be found on the PQCNC website in the Extranet or click here.
|
| The Cost and Value of Mother's Milk by Polly Sisk, PhD |
| |
 "A recent study1 in VLBW infants found that for every 25% increase in human milk proportion of feeding during the first 14 days of life the odds of NEC decreased by 38%. Another study of extremely low birth weight infants (birth weight <1000 grams) reported that the hazard of NEC or death was decreased by 13 % for every 100ml/kg received in the first 14 days of life.2 NEC is costly in terms of human suffering but also to society in terms of increasing health care costs. An analysis was done to estimate the cost of NEC and the effect on length of stay.3 Using data from the early 90's, a medical case of NEC increased length of stay by 22 days and the cost of hospitalization by $73,700. A case of surgical NEC increased length of stay by 60 days and hospitalization by $186,200. The cost of NEC in 2011 is almost certainly considerably higher." Click here to read more.
|
| Contact |
|
 Karen Metzguer
PQCNC Improvement Advisor
metzguer@med.unc.edu
Work: 919-966-8391
Mobile: 919-619-6332
|
