Purpose for the Program
Hospitals are encouraged to step up evidence-based practices with various initiatives, such as The Joint Commission Perinatal Core Measures and Baby Friendly Hospital Initiative, which both recognize the protection and value of mom's own milk. The use of human donor milk in the neonatal intensive care unit (NICU) has been expensive but worth the payoff with less very low birth weight morbidity and mortality in our large NICU. The purpose of the Mom's Own Milk (MOM) Bundle is a multidisciplinary, collaborative approach to gently encourage and support a mother's decision to provide her precious milk for her baby in the NICU.
The MOM Bundle uses quality initiatives throughout the Women and Children's Service line to initiate and maintain the mother's milk supply. Improvements are focused on the barriers mothers face when providing milk and discovering an innovative game plan to reduce those barriers.
Implementation, Outcomes, and Evaluation
Implementation of this quality initiative focuses on staff and family education. After looking at the average length of stay, baseline breastfeeding rates, number of donor milk bottles used each day, and fiscal expenditures spent on donor milk, our goal is projected to decrease donor milk use, decrease medical and surgical necrotizing enterocolitis rates, and decrease length of stay.
Implications for Nursing Practice
The MOM Bundle is a collaborative approach to increase the availability and volume of mothers’ milk in our Level III, 83-bed, NICU. Working together with our medical, nursing, and NICU support staff, we project an increase in mom's own milk, which benefits the mother, the infant, and the hospital goals.