Effects of Instituting the “BEST Program” (Breast Milk Early Saves Trouble) in a Level III NICU
- 1 August 2008
- journal article
- Published by SAGE Publications in Journal of Human Lactation
- Vol. 24 (3), 248-251
- https://doi.org/10.1177/0890334408316080
Abstract
A program is developed to increase the use of breast milk during the first week, for patients < 2 kg birth weight. This is termed the “BEST program,” using the acronym “Breast milk Early Saves Trouble.” An analysis of feeding practices and outcomes during the 12 months before versus the 12 months after implementing this program was conducted. Demographic features of the patients in the 2 periods were similar. In the “Before Intervention” period, 33% received human milk exclusively in the first 7 feeding days; 50% in the “Intervention” period (P = .009). In the Before Intervention period, 74% received some breast milk; 82% in the Intervention group (P = .046). Banked human milk increased from 2% to 33% of patients (P ≥ .001), and a trend was seen in more mothers who initially wanted to bottle-feed but subsequently changed to breastfeeding (P = .08). A trend was also seen in more infants discharged home breastfeeding (P = .09). J Hum Lact. 24(3):248-251.Keywords
This publication has 12 references indexed in Scilit:
- Necrotizing enterocolitis in term neonates: data from a multihospital health-care systemJournal of Perinatology, 2007
- Implementing Feeding Guidelines for NICU Patients <2000 g Results in Less Variability in Nutrition OutcomesJournal of Parenteral and Enteral Nutrition, 2006
- Delayed Breastfeeding Initiation Increases Risk of Neonatal MortalityPublished by American Academy of Pediatrics (AAP) ,2006
- Lactation Counseling for Mothers of Very Low Birth Weight Infants: Effect on Maternal Anxiety and Infant Intake of Human MilkPEDIATRICS, 2006
- Randomized Trial of Donor Human Milk Versus Preterm Formula as Substitutes for Mothers' Own Milk in the Feeding of Extremely Premature InfantsPublished by American Academy of Pediatrics (AAP) ,2005
- Breastfeeding and the Use of Human MilkPediatrics, 2005
- Necrotizing Enterocolitis: the Evidence for Use of Human Milk in Prevention and TreatmentJournal of Human Lactation, 2004
- The Rush Mothers' Milk Club: Breastfeeding Interventions for Mothers With Very‐Low‐Birth‐Weight InfantsJournal of Obstetric, Gynecologic & Neonatal Nursing, 2004
- Donor human milk versus formula for preventing necrotising enterocolitis in preterm infants: systematic reviewArchives of Disease in Childhood: Fetal & Neonatal, 2003
- Protective effect of breast feeding against infection.BMJ, 1990