IES2025 Research, Audit and Quality Improvement Projects Physical Posters (55 abstracts)
Significant improvement in breast feeding rates amongst women with diabetes undergoing elective caesarean section (ELCS) following implementation of 2 successful quality improvement projects (QIP) “Implementing blood glucose monitoring on infants born to women with Diabetes on the post-natal ward”
Lisa Kelly , Niamh McGarvey , Elena Nechita , Ahmed Yousif , Geraldine O’Brien , Tayyaba Zulifqar , Siobhán Bacon "ERAC": Cairistine Greene , Lynne Cunningham , Breeda Coggins , Sally Hanford , Therese Davey , Claire Carrabin , Anagiraldez Lopez , Joey Coyne & Rebecca Moore
High-risk combined ante-natal clinic, Sligo University Hospital
In 2022,a diabetes-midwife led QIP aimed at reducing unnecessary separation of babies from mothers with diabetes was conducted. This resulted in a new protocol facilitating neonate glucose monitoring on maternity(implemented 2023). In 2023,a further QIP(ERAC- Enhanced Recovery after Caesarean) was launched to enhance care for women undergoing ELCS. The existing recovery process was inconsistent ,limited maternal autonomy leading to unnecessary separation of mother and baby. A multidisciplinary working group guided by enhanced recovery principles supporting faster return to normal function was implemented. It was divided into 4 phases, including immediate skin-to-skin contact in theatre to strengthen maternal-infant bonding. Aim:Review the impact of these 2 QIPs on NICU admissions and breast-feeding rates amongst women with diabetes undergoing ELCS. Prowellness and EuroKing were utilized for data collection. In 2022, 29 women with diabetes underwent an ELCS, all neonates were transferred to NICU (71% of those were admitted for <24 hour).The rate of breast-feeding on discharge in this cohort was 41%(20% exclusive breast-feeding ). In 2024, 43 women with diabetes underwent an ELCS, 16% of neonates were transferred to NICU, with majority (83%) admitted >24 hours. The rate of breast-feeding on discharge was 67% (44% exclusive breast feeding). Glucose monitoring of neonates on maternity and the ERAC pathway are now embedded as standard cate for ELCS births. These QI initiatives resulted in a significant reduction in both NICU admissions (-84% change) and breast-feeding rates (+26% change) amongst women with diabetes. Preventing separation of women from their babies, allowing skin-skin contact plays a significant role.
Volume 115
Article tools
My recent searches
My recently viewed abstracts
Authors
Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
© Bioscientifica 2026 |
Privacy policy |
Cookie settings
BiosciAbstracts
Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Find out more