Improvement of Expressed Breast Milk in Mothers of Preterm Infants by Recording Breast Milk Pumping Diaries in a Neonatal Center in China

ObjectivesBecause inadequate expression of human milk (EBM) in mothers of hospitalized infants were noticed in a neonatal center of our hospital, family education program was carried out to increase the EBM.MethodsA breast milk pumping diary was introduced to the mothers with preterm infant(s) admitted in the NICU. The ratios of EBM (days of EBM to NICU/hospitalized days), breast milk feeding (BMF) (days of infants fed with exclusive human milk/hospitalized days), mixed feeding (MF) (days of infants fed with partial breast milk and partial formula/hospitalized days), and formula feeding (FF) (days of infants fed with preterm formula/hospitalized days) were evaluated.ResultsDuring January to April, 2014, the ratios of EBM to the NICU, BMF, MF and FF were 28.11%, 6.6%, 32.8% and 60.6%, respectively. After the introduction of breast milk pumping diary to the mothers from May 2014, the ratio of EBM to the NICU increased significantly to 53.3% (pConclusionThe introduction of a breast milk pumping diary was associated with a significant increase in the intake of EBM of the hospitalized preterm newborns.

一、研究背景与目的：我院某新生儿中心观察到住院婴儿的母亲存在挤出母乳（Expressed Breast Milk, EBM）量不足的情况，遂启动家庭教育项目以提升EBM供给。
二、研究方法：为收治于新生儿重症监护病房（Neonatal Intensive Care Unit, NICU）的早产婴儿母亲配备母乳挤奶日志。本研究对四项核心指标进行评估：1. 挤出母乳喂养占比：即采用EBM喂养的天数与患儿NICU住院总天数的比值；2. 纯母乳喂养（Breast Milk Feeding, BMF）占比：即婴儿完全接受母乳喂养的天数与住院总天数的比值；3. 混合喂养（Mixed Feeding, MF）占比：即婴儿部分接受母乳、部分接受配方奶喂养的天数与住院总天数的比值；4. 配方奶喂养（Formula Feeding, FF）占比：即婴儿接受早产配方奶喂养的天数与住院总天数的比值。
三、研究结果：2014年1-4月期间，NICU患儿的挤出母乳喂养占比、纯母乳喂养占比、混合喂养占比及配方奶喂养占比分别为28.11%、6.6%、32.8%及60.6%。自2014年5月为患儿母亲引入母乳挤奶日志后，NICU患儿的挤出母乳喂养占比显著提升至53.3%（统计学检验差异具有显著性，原文本P值标注不全）。
四、研究结论：引入母乳挤奶日志可显著提升住院早产新生儿的EBM摄入量。