title: Supporting 'Baby Friendly': a quality improvement initiative for the management of transitional neonatal hypoglycaemia.
abstract: We describe a quality improvement initiative conducted in a medium-sized district general hospital with a neonatal intensive care unit, which involved working with the multidisciplinary team to create a 'Baby Friendly' neonatal hypoglycaemia pathway with implementation of dextrose gel as a first-line treatment. As a result of the project, formula supplementation rates and admissions for transitional hypoglycaemia were reduced and breastfeeding rates at 3 months improved. This initiative demonstrates that evidence-based guidelines with multidisciplinary team input can improve standards of care.
authors.affiliation: St Peter's Hospital, Chertsey, Surrey, UK.
authors.forename: Claire Elizabeth
authors.initials: CE
authors.lastname: Stewart
authors.affiliation: St Peter's Hospital, Chertsey, Surrey, UK.
authors.forename: Emma Louise Maitland
authors.initials: EL
authors.lastname: Sage
authors.affiliation: St Peter's Hospital, Chertsey, Surrey, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Reynolds
mesh_terms: D001291:Attitude of Health Personnel; D001786:Blood Glucose / Q000032:analysis; D001942:Breast Feeding / Q000379:methods / Q000523:psychology; D019468:Disease Management; D005947:Glucose / Q000627:therapeutic use*; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000628:therapy; D007224:Infant Care / Q000379:methods / Q000523:psychology / Q000592:standards; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000628:therapy; D010290:Parents / Q000523:psychology; D058996:Quality Improvement; D013549:Sweetening Agents / Q000627:therapeutic use
chemical_list: D001786:Blood Glucose; D013549:Sweetening Agents; D005947:Glucose
keywords: Audit; Evidence Based Medicine; Infant Feeding; Neonatology