Start Submission Become a Reviewer

Reading: Establishment of a lactation management centre at Teaching Hospital, Kandy and its impact on...

Download

A- A+
Alt. Display

Original Articles

Establishment of a lactation management centre at Teaching Hospital, Kandy and its impact on admissions to the special care baby unit

Authors:

S C Wickramasinghe ,

General Hospital (Teaching) Kandy, LK
About S C
Consultant Paediatrician, General Hospital (Teaching) Kandy
X close

T M S M Dharmaratne,

General Hospital (Teaching) Kandy, LK
About T M S M
Medical Officer in Health Informatics, Health Information and Research Unit, General Hospital (Teaching) Kandy
X close

W A C S Wickramasinghe

General Hospital (Teaching) Kandy, LK
About W A C S

House Officer in Paediatrics, General Hospital (Teaching) Kandy

 

X close

Abstract

Background: A lactation management centre (LMC) was established in July 2006 at General Hospital, Kandy to handle problems with breast feeding in neonates and young infants. Prior to that, babies with feeding problems needed to be admitted to the special care baby unit (SCBU) even if the problem was a minor one needing few hours of attention.

Objectives: To compare the admissions to SCBU related to breast feeding before and after establishment of LMC and to determine if the LMC has contributed significantly to reduce the burden of admissions to SCBU.

Method: A retrospective analytical study was carried out analysing 2724 admissions spanning over a period of 4 years, 2 years before  and 2 years after establishment of  the LMC. Data was collected from the admission register of SCBU. Babies admitted from the postnatal wards with “Reason for admission” being clearly related to feeding problems were enrolled. The final diagnosis, as mentioned in the admission register, was essentially considered. Babies who had other concurrent pathologies, direct admissions from outpatient department and transfers from outstations were excluded.  Each case record was personally scrutinized by the chief investigator.

Results: There were 1170 and 1554 admissions to SCBU from July 2004 to June 2006 and July 2006 to June 2008 respectively. Out of them 684 admissions were directly related to a breast feeding problem in the former 2 years and it has been reduced to 674 in the latter 2 years. Out of them the babies who stayed more than 72 hours in the unit were excluded and the analysis was done on 550 and 639 admissions respectively.

Conclusion: Admissions to SCBU related to breast feeding problems have significantly reduced (P=0.002) after the establishment of the LMC.

(Key words: Breast feeding; lactation management centre; neonates; mother baby unit; special care baby unit)

Sri Lanka Journal of Child Health, 2014; 43: 159-162

DOI: http://dx.doi.org/10.4038/sljch.v43i3.7376

How to Cite: Wickramasinghe, S.C., Dharmaratne, T.M.S.M. and Wickramasinghe, W.A.C.S., 2014. Establishment of a lactation management centre at Teaching Hospital, Kandy and its impact on admissions to the special care baby unit. Sri Lanka Journal of Child Health, 43(3), pp.159–162. DOI: http://doi.org/10.4038/sljch.v43i3.7376
Published on 05 Sep 2014.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus