Performance Measurement Network

Question: Why aren't there more newborn conditions listed for not exclusively feeding breast milk?

The data element "Reasons for not exclusively feeding breast milk" is specific primarily to maternal reasons. If the infant cannot exclusively receive breast milk due to medical reasons, why aren't these included?

Answer:

Infants that are diagnosed with galactosemia, receiving TPN or discharged from the NICU are excluded from this measure. We understand that not all medical indications for formula supplementation in the first days of life are excluded from this measure. A number of infant medical problems are iatrogenic, and most are often avoided by early and frequent breast milk feedings. It appears for many of these indications that there is large variation in the definitions, thresholds and application of supplementation utilization. The rate of these complications should not vary greatly from hospital to hospital, though their severity can be driven by obstetric care. For example, the better the maternal blood sugar control, the lower the rate of newborn hypoglycemia. The overall goal of this measure is to improve baseline exclusive breast milk feeding rates which are currently estimated to be as low as 30% in some parts of the country.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: PC-05, Reason for Not Exclusively Feeding Breast Milk
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