Pumping logs...
|
| |
 Hopefully you all have had a chance to review your data reports this past month. We have seen significant progress in the use of exclusive human milk at discharge in NICUS. In mother-baby units there have been increases in skin to skin time in delivery units, documentation of breastfeeding support every shift, and moms demonstrating hand expression.
Based on hospital leader input and our August NCCC call, it appears that there is a significant opportunity to improve our partnership with mothers in documenting the breastfeeding process, pumping episodes and for NCCC mothers and the amount of breast milk pumped. The EHM NCCC August report clearly demonstrates challenges in consistently collecting data regarding volume of pumping for mothers. There is evolving evidence that suggests that 500 cc/day of milk production for pumping mothers of NCCC babies predicts successful pumping at 6 weeks.
Additionally a recent publication reports that primiparous mothers of well newborns who used a breastfeeding log were more successful at sustaining breastfeeding at 6 months than mothers who did not use a log. This study, however, did not report on rates of exclusive breastfeeding at discharge.
The use of pumping logs is being implemented in several PQCNC NCCCs attempting to strengthen the partnership between mothers, nurses, lactation consultants and medical staff. The effective use of pumping logs to support these partnerships in NCCCs may be a valuable strategy in our drive to achieve a pumping volume of 500 cc/day for pumping NCCC mothers. Additionally, it is logical to assume that the benefit of logs in sustaining breastfeeding at 6 months would increase numbers of mothers using exclusive human milk at discharge from the hospital.
Please keep up the great work and keep us advised of successes and challenges you may encounter at your hospital related to implementing the use of pumping logs in NCCC and mother-baby units.
-Marty
|
| Contact |
|
Keith M. Cochran
PQCNC Debrouillard
keith_cochran@unc.edu
919.966.8182
|
