APPLICATION OF CLOSED-LOOP MANAGEMENT MODE IN IMPROVING BREASTFEEDING RATE OF PREMATURE INFANTS

Li Yao^{1, #}, Rui Zhou^{2, #}, Xiaowen Liu³, Yun Xiang⁴, Yajuan Chen⁵, Xiaoqiong He^{6, *}, Yixuan Wu^{7, *}

¹Department of neonatal isolation ward, Wuhan Children’s Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430015, China - ²Department of orthopaedics, Wuhan Children’s Hospital, Tongji Medical College, Huazhong 

University of Science and Technology, Wuhan 430015, China - ³Logistics Department, Wuhan Children’s Hospital, Tongji Medical College,Huazhong University of Science & Technology, Wuhan 430015, China - ⁴Medical laboratory, Wuhan Children’s Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430015, China - ⁵Department of Breast Surgery, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430015, China - ⁶General surgery department, Wuhan Children’s Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430015, China - ⁷Department of Ophthalmology, Wuhan Children’s Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430015, China 

Introduction: To explore the application effect of closed-loop management mode in improving breastfeeding rate in the unaccompanied ward of a neonatal intensive care unit (NICU). 

Materials and methods: By analyzing the current status of breastfeeding in premature infants in the NICU of this hospital from January 2019 to June 2019, the factors that may affect the breastfeeding rate were established, including the establishment of breastfeeding education platform, strengthening communication with the newborns’ families, actively promoting postpartum lactation, and strengthening the quality control of breast milk. In view of these factors, a nursing management team was established in July 2019 to conduct the closed-loop management and evaluate the effects of this nursing management mode. 

Results: When this closed-loop management model was applied, the daily average breastfeeding rate (DABR) of premature infants in NICU increased from 40.50% to 65.78%, and the difference was statistically significant (P<0.05). 

Conclusions: The closed-loop management mode can effectively improve the rate of breastfeeding rate of premature infants.