@article {BattersbyF395, author = {C Battersby and S Santhakumaran and M Upton and L Radbone and J Birch and N Modi}, editor = {Sharief, N and Kadalraja, R and Mahesh Babu, R N and Dalton, S and Dixon, H and James, M and Jayalal, V and Kefas, J and Skinner, S and Dyke, M and Babiker, S and Soe, T and Rubin, S and Ogilvy-Stuart, A and Khan, A and Ramesh, C and Evans, I and Rackham, O and Brearey, S and Thirumurugan, A and Losa, I and McBride, T and Zipitis, C and Amegavie, L and Moise, J and Zipitis, C and Settle, P and Edi-Osagie, N and Heal, C and Birch, J and Al-Zidgali, F and Hasib, A and Kisat, H and Soe, A and Kumar, M and Fedee, J and Lama, M and Gupta, R and Rawlingson, and de Boer, RC and Rao, P and Thompson, S and Manzoor, A and Blake, K and Upponi, A and Bhaduri, AK and Halahakoon, C and Deshpande, and Mohite, A and Tewary, KK and Palmer, K and Gallagher, A and Nycyk, J and Simmons, P and Morgan, I and Underhill, HC and Wickham, T and van Someren, V and Watkin, S and Blumberg, R and Aladangady, N and Alsford, L and Sullivan, C and Hamdan, S and Adiotomre, P and Ahmed, JS and Foo, A and Talekar, R and Gibson, A and Thomas, M and Mathur, R and Cruwys, M and Mannix, P and Ariff, H and Whitehead, and Ben-Hamida, M and Garbasa, M and Lal, M and Bosman, D and Fenton, A and Bolton, AR and Abu-Harb, M and Reichert, B and Olivier, J and Larson, J and Cherinet, Y and Munyard, P and Osbourne, N and Raman, M and Watts, T and Hannam, and Walter, S and Kuna, J and Chang, YL and Shephard, R and Lindo, D and Huddy, C and Wigfield, R and Wylie, P and Misra, I and Shettihalli, N and Khashu, M and Hall, M and Groves, C and de Halpert, P and Schapira, D and Kinsey, S and Butterworth, S and Brennan, N and Whitehead, G and Sanghavi, R and Whincup, G and Khader, K and Mallik, A and Amess, P and Godden, C and Reynolds, P and Brennan, N and Noble, V and Rao, AS and Wardle, S and Ratnayaka, M and Holman, J and Zengeya, S and Jones, S and Wach, R and Tooley, J and Mann, RJ and Eaton, M and Babirecki, M and Seal, S and Schwarz, K and Gibson, D and Jampala, C and Pairaudeau, P and Miall, L and Qunib, M and Millman, G and Abbott, Jane and Ashby, Deborah and Brocklehurst, Peter and Costeloe, Kate and Draper, Elizabeth and Goldacre, Michael and Kemp, Jacquie and Majeed, Azeem and Petrou, Stavros and Wilkinson, Andrew and Young, Alys and Vasu, Vimal and Dopran, Jacquie and Dorling, Jon and Allwood, Alex}, title = {The impact of a regional care bundle on maternal breast milk use in preterm infants: outcomes of the East of England quality improvement programme}, volume = {99}, number = {5}, pages = {F395--F401}, year = {2014}, doi = {10.1136/archdischild-2013-305475}, publisher = {BMJ Publishing Group}, abstract = {Objective To evaluate a quality improvement (QI) programme to increase the use of maternal breast milk (MBM) in preterm infants. Design Interrupted time series analysis. Setting 17 neonatal units in the East of England (EoE) Perinatal Network; 144 in the rest of the UK Neonatal Collaborative (UKNC). Patients Infants born <=32+6 weeks gestation admitted to neonatal care between 2009 and 2012. Intervention A {\textquoteleft}care bundle{\textquoteright} to promote MBM in the EoE. Outcomes Percentage of infants receiving exclusive or any MBM at discharge and care days where any MBM was received. Methods Data were extracted from the National Neonatal Research Database; outcomes were compared preintervention and postintervention, and in relation to the rest of the UKNC. Results Exclusive and any MBM use at discharge increased from 26\% to 33\% and 50\% to 57\% respectively in the EoE, though there was no evidence of a step or trend change following the introduction of the care bundle. Exclusive MBM use at discharge improved significantly faster in EoE than the rest of the UKNC; 0.22\% (95\% CI 0.11 to 0.34) increase per month versus 0.05\% (95\% CI 0.01 to 0.09, p=0.007 for difference). The percentage of infants receiving MBM at discharge and care days where any MBM was received was not significantly different between EoE and the rest of the UKNC. Conclusions This QI programme was associated with some improvement in MBM use in preterm infants that would not have been evident without the use of routinely recorded national comparator data.}, issn = {1359-2998}, URL = {https://fn.bmj.com/content/99/5/F395}, eprint = {https://fn.bmj.com/content/99/5/F395.full.pdf}, journal = {Archives of Disease in Childhood - Fetal and Neonatal Edition} }