Kavita Kasat1,2, Seungjun Ahn3,4, Shayla Smith3, Sofia Zoullas5, Marty Ellington3,6. 1. Lenox Hill Hospital, Northwell Health System, New York, NY, USA. kkasat@northwell.edu. 2. Department of Pediatrics, Zucker School of Medicine, New York, NY, USA. kkasat@northwell.edu. 3. Lenox Hill Hospital, Northwell Health System, New York, NY, USA. 4. Biostatistics Unit, Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA. 5. Harvard University, Cambridge, MA, USA. 6. Department of Pediatrics, Zucker School of Medicine, New York, NY, USA.
Abstract
OBJECTIVE: To evaluate the impact of changes to neonatal early-onset sepsis (EOS) guidelines on in-hospital breastfeeding. STUDY DESIGN: Asymptomatic neonates admitted to the Neonatal Intensive Care Unit (NICU) for sepsis evaluations over a 2-year period were identified. A retrospective chart review was conducted as part of a larger quality initiative on antibiotic stewardship. RESULT: In Epoch 1, Epoch 2, and Epoch 3, there were 268 babies, 138 babies and 138 babies admitted to the NICU based on sepsis protocol, respectively. When comparing Epoch 1 to Epoch 3, there was a 14% increase in total breast milk consumption rates (p < 0.0001) and a 15% increase in exclusive breastfeeding at discharge (p < 0.002). CONCLUSION: By implementing new EOS protocols, we have decreased NICU length of stay. We suggest that the decrease in mother-infant separation time leads to an improvement in breastfeeding.
OBJECTIVE: To evaluate the impact of changes to neonatal early-onset sepsis (EOS) guidelines on in-hospital breastfeeding. STUDY DESIGN: Asymptomatic neonates admitted to the Neonatal Intensive Care Unit (NICU) for sepsis evaluations over a 2-year period were identified. A retrospective chart review was conducted as part of a larger quality initiative on antibiotic stewardship. RESULT: In Epoch 1, Epoch 2, and Epoch 3, there were 268 babies, 138 babies and 138 babies admitted to the NICU based on sepsis protocol, respectively. When comparing Epoch 1 to Epoch 3, there was a 14% increase in total breast milk consumption rates (p < 0.0001) and a 15% increase in exclusive breastfeeding at discharge (p < 0.002). CONCLUSION: By implementing new EOS protocols, we have decreased NICU length of stay. We suggest that the decrease in mother-infant separation time leads to an improvement in breastfeeding.
Authors: Olukunmi O Balogun; Elizabeth J O'Sullivan; Alison McFadden; Erika Ota; Anna Gavine; Christine D Garner; Mary J Renfrew; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2016-11-09
Authors: Alison McFadden; Anna Gavine; Mary J Renfrew; Angela Wade; Phyll Buchanan; Jane L Taylor; Emma Veitch; Anne Marie Rennie; Susan A Crowther; Sara Neiman; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2017-02-28