An interventional study of breast milk consume promotion in Infant, Extremely Premature, sponsored by Children's Hospital of Fudan University. Completed. Open to participants aged Up to 37 Weeks. Per ClinicalTrials.gov, last updated 2016-09-13.
Sponsored by Children's Hospital of Fudan University · Not applicable, Interventional, and Supportive care
To assess the prevalence of breast milk feeding in a NICU in China, to implement a quality improvement program to increase breast milk feeding, and to evaluate its impact.
The benefits of breast milk are well recognized for providing health benefits in early infancy and extending into adulthood, and breast milk feeding is promoted by numerous professional organizations. However, for various reasons, in neonatal intensive care unit in China, most infants are separated from their parents and are fed infant formula exclusively. To address this problem, the investigators propose to carry out a pilot study to assess the prevalence of breast milk feeding in a NICU of a tertiary teaching hospital in China, and then to introduce an intervention program to increase the prevalence of breast milk feeding and to evaluate the impact of this program.
The intervention would include building a nutrition team in the NICU, training of a lactation coordinator and nursing staff by a team from Mount Sinai Hospital, providing parents with education on breast milk feeding, providing access to breast pumps through a lend/lease program and providing a breast pumping room for parents. The investigators will collect data on breast milk feeding, including prevalence and reasons for not breast milk feeding during both the pre-intervention and intervention period. The investigators will also assess the enrolled infants' weight gain from admission to discharge, incidence of nosocomial infection and mortality, and average length of stay in the NICU, to assess the efficacy of the breast milk feeding intervention.
This trial has the potential to dramatically change feeding of infants in Chinese NICUs from exclusive infant formula to breast milk, with potential impacts on nosocomial infection, growth, development and hospital length of stay.
Children's Hospital of Fudan University is the lead sponsor of 262 studies on the registry; 92 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
all very low birth weight infants admitted to the NICU at Fudan University Children's Hospital from January 2015 through March 2015 (which is the period before any intervention started)who meet the enroll criteria
all very low birth weight infants admitted to the NICU at Fudan University Children's Hospital from April 2015 through June 2016 who meet the enroll criteria. A series of breast milk consume promotion interventions would implemented during this intervention period, which including build local lactation team, set breast milk feeding room, train NICU staff etc.
Other: breast milk consume promotion
(1)Team building: organize a multidisciplinary breast milk consume improvement team；(2) Staff education: one nurse to train in Canada for 1 month as lactation coordinator, lactation consultant from Canada to teach NICU staff for 1 month; (3) Send breastmilk teaching materials for parents to teach mothers about breast milk feeding;(4) allocate an area in the NICU as a breast pumping room with breastfeeding pumps and chairs to support mothers pumping milk and feeding their babies; (5)purchase 10 breast pumps from Medela and establish a loaner program for mothers; (6)provide lactation counseling \& promote consistent communication about the benefits of mothers' milk to encourage mothers to provide milk for their infants;(7)Coaching by lactation coordinator and nursing staff
prevalence of breast milk feeding
to compare the breast milk feeding incidence between pre-intervention and intervention period
Time frame: up to 18 months
Necrotizing enterocolitis(NEC) incidence
to compare the NEC incidence between pre-intervention and intervention period
Time frame: up to 18 months
Nosocomial infection incidence
to compare the nosocomial infection incidence between pre-intervention and intervention period
Time frame: up to 18 months
overall mortality rate
to compare the overall mortality rate between pre-intervention and intervention period
Time frame: up to 18 months
time to full feeding
to compare the time to full feeding between pre-intervention and intervention period
Time frame: up to 18 months
No study locations are listed for this record.
Plan to share: No — cause all the patients' data is privacy
This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.
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Children's Hospital of Fudan University