Abstract
Background Breast engorgement was considered to influence confidence and continuation of breastfeeding in the first week following birth, for new mothers. Strategies for prevention of breast engorgement for postpartum women were unclear, and not in line with best practice breast engorgement guidelines. Aims The aim of this project was to integrate the available evidence of breast engorgement prevention into practice and to improve the compliance of best practice in line with audit criteria. Methods This project adopted a pre- and post-implementation audit approach. It utilised the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The project utilised six audit criteria that are considered the best practice standards. The audit took place in a 20-bed postpartum unit that involved 12 full-time qualified nurses. Results The findings of pre- and post implementation audit showed that the compliance rates for all criteria have resulted in 100% in follow up cycle. Except for the criterion of unlimited breastfeeding (which only resulted in a 3% improvement), the compliance rates have increased 30%-60% when compared to the baseline cycle. Conclusion This audit project has made a significant improvement in establishing evidence-based practices for breast engorgement prevention among postpartum women in the gynaecologic and obstetric hospital in Shanghai. Further audit will be necessary to improve clinical outcomes and nursing quality.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call