Years Active: 2009-2013
Complications associated with initiation of enteral feedings in very low birth weight (VLBW) babies & all NICU babies are a widely recognized source of excess morbidity, mortality, costs, and length of stay in the neonatal intensive care unit. Multiple reports have documented the efficacy of human breast milk in reducing NICU feeding morbidity. This project is being led under the direction of Dr. Reddy Dhanireddy and Dr. Steven McElroy with pilot member hospitals developing the project including The Med, Parkridge East, and Monroe Carell Jr. Children’s Hospital at Vanderbilt & East Tennessee Children’s Hospital.
The 2012 aim approved by the teams at the Annual Meeting, is to improve the health of infants admitted to the NICU in Tennessee by increasing initiation and sustainment of enteral nutrition with human milk. Clearly there exist some contraindications and barriers to achieving total use of human milk for all NICU infants. Thus, we seek to increase the rate of human milk feeding by 10% (relative to baseline) by December 2012.
This project went into sustainment in January 2013. Preliminary provisional QI data for human milk utilization among very low birth weight (birth weight less than 1500 grams) at the first feeding, first full feeding (off parenteral fluids), and at NICU discharge is displayed above.
Active Participating Hospital Teams
- Baptist Memorial Health Care
- Children’s Hospital at Erlanger
- East Tennessee Children’s Hospital
- Gateway Medical Center
- Holston Valley Medical Center
- Jackson-Madison County General Hospital
- Johnson City Medical Center
- Maury Regional Medical Center
- Monroe Carell Jr. Children’s Hospital at Vanderbilt
- Nashville General Hospital at Meharry
- Parkridge East Hospital
- Physicians Regional Medical Center
- Regional One Health
- Saint Francis Hospital – Memphis
- Saint Thomas – Midtown Hospital
- TriStar Centennial Medical Center
- The University of Tennessee Medical Center