Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation rates
Introduction:The World Health Organisation (WHO) has universally recognized breastfeeding as the best way to give newborns the nutrients they need for healthy growth and development, especially during the first six months of life. Even with this acknowledgment, the world's rates of the early st...
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Mashhad University of Medical Sciences
2024-07-01
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| Series: | Patient Safety and Quality Improvement Journal |
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| Online Access: | https://psj.mums.ac.ir/article_24995_bdff147a4160f28b5427c345c8637a61.pdf |
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| author | Smriti Anand Pushpa Dahiya Shikha Madan sonia Dahiya |
| author_facet | Smriti Anand Pushpa Dahiya Shikha Madan sonia Dahiya |
| author_sort | Smriti Anand |
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| description | Introduction:The World Health Organisation (WHO) has universally recognized breastfeeding as the best way to give newborns the nutrients they need for healthy growth and development, especially during the first six months of life. Even with this acknowledgment, the world's rates of the early start of breastfeeding (EIBF) are still below optimal levels, which has a substantial impact on the mortality rates of newborns. The objective of our study was to address the challenge of low EIBF rates among neonates delivered vaginally through a rigorous quality improvement process. Materials and Methods: A quality improvement study was conducted over six months at Pt B.D. Sharma PGIMS, Rohtak. The study involved postnatal mothers vaginally delivering neonates above 34 weeks gestation. A multidisciplinary team employed the Plan-Do-Study-Act (PDSA) methodology to address barriers to EIBF systematically. Baseline EIBF rates were measured, obstacles were identified through process mapping and analysis, and change ideas were iteratively tested. Results: Initial assessments revealed a baseline EIBF rate of 0%. Through successive PDSA cycles, policy gaps, procedural inefficiencies, staffing constraints, and facility limitations were systematically identified and addressed. Interventions included immediate breastfeeding initiation in the delivery room and targeted staff education. Over the study period, EIBF rates significantly improved, reaching an average of 85%. Conclusion: This study shows that EIBF rates among newborns delivered vaginally can be greatly increased with the use of a systematic quality improvement approach. Barriers to EIBF were successfully reduced through iterative PDSA cycles and the involvement of important stakeholders, resulting in long-lasting practice changes. The results highlight the benefits of early breastfeeding initiation for the health of both mothers and babies, as well as the possible influence of focused interventions on medical procedures. |
| format | Article |
| id | doaj-art-c736a382dd2d426bb0579509ac200925 |
| institution | Kabale University |
| issn | 2345-4482 2345-4490 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Mashhad University of Medical Sciences |
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| series | Patient Safety and Quality Improvement Journal |
| spelling | doaj-art-c736a382dd2d426bb0579509ac2009252025-08-20T03:58:44ZengMashhad University of Medical SciencesPatient Safety and Quality Improvement Journal2345-44822345-44902024-07-0112313514310.22038/psj.2024.78064.142424995Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation ratesSmriti Anand0Pushpa Dahiya1Shikha Madan2sonia Dahiya3Department of Obstetrics and Gynaecology Pt B.D Sharma PGIMS RohtakDepartment of Obstetrics and Gynaecology Pt B.D Sharma PGIMS RohtakDepartment of Obstetrics and Gynaecology Pt B.D Sharma PGIMS RohtakDepartment of Obstetrics and Gynaecology Pt B.D Sharma PGIMS RohtakIntroduction:The World Health Organisation (WHO) has universally recognized breastfeeding as the best way to give newborns the nutrients they need for healthy growth and development, especially during the first six months of life. Even with this acknowledgment, the world's rates of the early start of breastfeeding (EIBF) are still below optimal levels, which has a substantial impact on the mortality rates of newborns. The objective of our study was to address the challenge of low EIBF rates among neonates delivered vaginally through a rigorous quality improvement process. Materials and Methods: A quality improvement study was conducted over six months at Pt B.D. Sharma PGIMS, Rohtak. The study involved postnatal mothers vaginally delivering neonates above 34 weeks gestation. A multidisciplinary team employed the Plan-Do-Study-Act (PDSA) methodology to address barriers to EIBF systematically. Baseline EIBF rates were measured, obstacles were identified through process mapping and analysis, and change ideas were iteratively tested. Results: Initial assessments revealed a baseline EIBF rate of 0%. Through successive PDSA cycles, policy gaps, procedural inefficiencies, staffing constraints, and facility limitations were systematically identified and addressed. Interventions included immediate breastfeeding initiation in the delivery room and targeted staff education. Over the study period, EIBF rates significantly improved, reaching an average of 85%. Conclusion: This study shows that EIBF rates among newborns delivered vaginally can be greatly increased with the use of a systematic quality improvement approach. Barriers to EIBF were successfully reduced through iterative PDSA cycles and the involvement of important stakeholders, resulting in long-lasting practice changes. The results highlight the benefits of early breastfeeding initiation for the health of both mothers and babies, as well as the possible influence of focused interventions on medical procedures.https://psj.mums.ac.ir/article_24995_bdff147a4160f28b5427c345c8637a61.pdfbreast milkcolostrumquality improvementearly breastfeeding initiationpdsa cycle |
| spellingShingle | Smriti Anand Pushpa Dahiya Shikha Madan sonia Dahiya Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation rates Patient Safety and Quality Improvement Journal breast milk colostrum quality improvement early breastfeeding initiation pdsa cycle |
| title | Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation rates |
| title_full | Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation rates |
| title_fullStr | Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation rates |
| title_full_unstemmed | Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation rates |
| title_short | Nurturing New Beginnings: A Quality Improvement Journey to Enhance Early Breastfeeding Initiation rates |
| title_sort | nurturing new beginnings a quality improvement journey to enhance early breastfeeding initiation rates |
| topic | breast milk colostrum quality improvement early breastfeeding initiation pdsa cycle |
| url | https://psj.mums.ac.ir/article_24995_bdff147a4160f28b5427c345c8637a61.pdf |
| work_keys_str_mv | AT smritianand nurturingnewbeginningsaqualityimprovementjourneytoenhanceearlybreastfeedinginitiationrates AT pushpadahiya nurturingnewbeginningsaqualityimprovementjourneytoenhanceearlybreastfeedinginitiationrates AT shikhamadan nurturingnewbeginningsaqualityimprovementjourneytoenhanceearlybreastfeedinginitiationrates AT soniadahiya nurturingnewbeginningsaqualityimprovementjourneytoenhanceearlybreastfeedinginitiationrates |