Breastfeeding assistance for preterm and low birth weight infants: best practices implementation project.
Camila Medeiros Cruvinel Cunha, Eliane de Fátima Almeida Lima, Dulce Maria Pereira Garcia Galvão and 3 others
PMID 38949512WHAT IT FOUND
A neonatal breastfeeding protocol and training raised staff and mothers' reports of compliance with support practices, including kangaroo care and milk expression guidance.
Later audits showed some criteria fell.
Key findings
01After training, compliance with criterion 1 rose from 53.3% to 87.1%, and criterion 2 rose from 55.8% to 81.1%.
02In the first follow-up audit, all seven criteria reached compliance greater than 80%, while criterion 7 fell from 83.88% to 81.88%.
03At the second follow-up audit, compliance for criteria 1, 3 and 7 fell from 87.1% to 86.3%, from 83.9% to 77.8%, and from 81.88% to 79.1%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The audit criteria measured compliance with breastfeeding support practices, not infant feeding outcomes. Follow-up audits were only one and five months after training, because the research was tied to a nursing master's degree timeline. The protocol was not evaluated by users, and patient preferences were not considered. Only 24% of employees in maternal and child sectors and 56% of neonatal unit employees took the training. The second follow-up audit showed lower compliance than the first for criteria 1, 3 and 7. The same participants were not guaranteed across all stages, and there was no calculation for minimum participants.
The easy way to misread this
Do not read the higher audit compliance as proof that preterm infants breastfed more. The study reports compliance with staff and mother-reported support practices, and some criteria fell at the second follow-up audit.