nutch_noindex
CANCEL
/nutch_noindex

Rachel Land, MD

  • Rachel Ann Land

Specialties

Neonatal-Perinatal Medicine

Work and Education

Professional Education

Sidney Kimmel Medical College Thomas Jefferson University, Philadelphia, PA, 5/30/2011

Residency

Baylor College of Medicine, Houston, TX, 6/30/2014

Fellowship

Johns Hopkins Hospital Surgery Residency, Baltimore, MD, 11/15/2017

Board Certifications

Neonatal-Perinatal Medicine, American Board of Pediatrics

Pediatrics, American Board of Pediatrics

Services

Neonatology

All Publications

Increasing early exposure to mother's own milk in premature newborns. Journal of perinatology : official journal of the California Perinatal Association Balasundaram, M., Land, R., Miller, S., Profit, J., Porter, M., Arnold, C., Sivakumar, D. 2022

Abstract

OBJECTIVE: Increase the proportion of 33 weeks newborns exposed to mother's own milk (MOM) oral care by 12h of age by 20% over 2 years to support a healthier microbiome.STUDY DESIGN: We implemented interventions to support early expression of colostrum and reliable delivery of resultant MOM to premature newborns. Statistical process control charts were used to track progress and provide feedback to staff. Proportions of newborns exposed to MOM by 12h were compared relative to baseline.RESULTS: There were 46, 66, and 46 newborns in the baseline, implementation, and sustainability periods, respectively. The primary outcome improved from 48% to 61% in the implementation period (relative change 1.27, 95% CI 0.89, 1.81, p=0.2), to 69% in sustainability period (relative to baseline 1.45, 95% CI 1.02, 2.08, p=0.03).CONCLUSION: An interdisciplinary team-based, multicycle, quality improvement intervention resulted in increased rates of early exposure to MOM.

View details for DOI 10.1038/s41372-022-01376-8

View details for PubMedID 35396577