A Breastfeeding Quality Improvement Project in Rural Primary Care
| Autor: | Deborah A. Dumphy, Julie Thompson, Myra L. Clark |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Postnatal Care Program evaluation medicine.medical_specialty Georgia Quality management Breastfeeding Medically Underserved Area Primary care Social class 03 medical and health sciences 0302 clinical medicine Nursing 030225 pediatrics medicine Electronic Health Records Humans 030212 general & internal medicine Primary Health Care business.industry Gold standard Obstetrics and Gynecology Quality Improvement Breast Feeding Social Class Family medicine Female Rural Health Services business Breast feeding Program Evaluation |
| Zdroj: | Journal of Human Lactation. 32:633-641 |
| ISSN: | 1552-5732 0890-3344 |
| DOI: | 10.1177/0890334416662240 |
| Popis: | Background: Breastfeeding is the gold standard nutrition for infants, and more than three-fourths of US mother–infant couplets initiate breastfeeding at birth. However, breastfeeding rates plummet after hospital discharge, when mother–infant couplets enter primary care. This quality improvement project examined the effect of a primary care intervention on breastfeeding rates from the newborn visit through the 4-month visit. Objective: The overall aim of this evidence-based quality improvement project was to increase breastfeeding rates by refining the care provided to a diverse patient population with historically low breastfeeding rates. Methods: Two independent groups of mother–infant couplets, a pre-implementation (N = 43) and a post-implementation (N = 45), were longitudinally evaluated on breastfeeding rates at the newborn, 1-month, 2-month, and 4-month well-child visits for exclusive, partial, and any breastfeeding rates. Relationships for the 2 groups were compared using 2-sample t tests, chi-square, and Fisher exact tests. Results: Post-implementation rates for any breastfeeding progressively increased at each timepoint. Exclusive breastfeeding increased 40.98% at the 1-month visit, 27.4% at the 2-month visit, and 139% at the 4-month visit. Conclusion: The implementation of an evidence-based breastfeeding-friendly office protocol in a rural low breastfeeding rate primary care setting was associated with increased breastfeeding rates. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|