Sharma Seema, Sharma Chanderdeep, Kumar Dinesh
Department of Pediatrics, Dr Rajendra Prasad Govt. Medical College, Himachal Pradesh, India. Correspondence to: Dr Seema Sharma, House no 23, Block-B,Type-V, DR RPGMCH, Kangra at Tanda, Himachal Pradesh, India.
Department of Obstetrics and Gynaecology, Dr Rajendra Prasad Govt. Medical College, Himachal Pradesh, India.
Indian Pediatr. 2018 Sep 15;55(9):757-760.
To demonstrate the applications of the principles of Quality Improvement (QI) in a tertiary-care centre with the aim to improve the breastfeeding practices during hospital stay.
An operational team was formulated to identify the reasons for low proportion of exclusive breast feeding (EBF) in healthy neonates. Reason specific solutions were proposed, discussed, prioritized and tested using Plan-Do-Study-Act Cycle (PDSA Cycle). Strategies included clear departmental policy plan and creation of Breastfeeding support package (BFSP). PDSA cycles were tested and implemented over 6 weeks period and its sustainability was measured monthly for five months duration.
After implementation of PDSA cycles, the proportion of neonates receiving early breastfeeding within one hour of birth increased from 55% to 95%, and the proportion of neonates on EBF during hospital stay increased from 72% to 98%.
Quality Improvement principles are feasible and effective to improve breastfeeding practices in the hospital setting.
在一家三级医疗中心展示质量改进（QI）原则的应用，旨在改善住院期间的母乳喂养实践。
组建了一个运营团队，以确定健康新生儿纯母乳喂养（EBF）比例低的原因。针对具体原因提出解决方案，通过计划-执行-研究-行动循环（PDSA循环）进行讨论、排序和测试。策略包括明确的部门政策计划和创建母乳喂养支持包（BFSP）。PDSA循环在6周内进行测试和实施，并在五个月的时间里每月衡量其可持续性。
实施PDSA循环后，出生后一小时内开始早期母乳喂养的新生儿比例从55%提高到95%，住院期间纯母乳喂养的新生儿比例从72%提高到98%。
质量改进原则在改善医院环境中的母乳喂养实践方面是可行且有效的。
