Enhancing Breastfeeding Quality among Preterm Infants: A Dual-Approach Intervention Combining a Dedicated Breastfeeding Position and Family Engagement

Objective : This study aimed to investigate the combined effects of establishing a dedicated breastfeeding position in the neonatal intensive care unit (NICU) and family support on improving the breastfeeding rate of very low birth weight infants (VLBWIs). Methods : A non-concurrent controlled study was conducted. VLBWIs hospitalized at the Affiliated Hospital of Zunyi Medical University from November 2023 to November 2024 were selected as the intervention group. A dedicated team of breastfeeding nurses was established to implement the following interventions: early assessment and guidance for mothers within 12 hours after neonatal NICU admission; regular communication with mothers and families to monitor maternal conditions; enhanced breast milk management via digital platforms; a nighttime breast milk reception green channel; material support; and the promotion of colostrum utilization. VLBWIs admitted between November 2022 and October 2023 were included as the conventional group for comparison. Results : The breastfeeding rate in the intervention group (62.5%) was significantly higher than that in the conventional group (42.6%). The colostrum feeding rate in the intervention group (36.5%) was higher than that in the conventional group (19%), and the breastfeeding rate at discharge was significantly greater in the intervention group (37%) than in the conventional group (26.4%) ( P <0.05). The initiation time of breastfeeding in the intervention group was significantly earlier than that in the control group ( P <0.05). Both earlier initiation of breastfeeding and increased breastfeeding rates at discharge were significantly different between the groups. Conclusion : The dual-track empowerment model, which integrates dedicated breastfeeding positions and family support, effectively improved breastfeeding rates and practices for VLBWIs. This model provides a valuable reference for clinical healthcare providers to promote breastfeeding.