Tuesday, November 19, 2019

UMMC Studies Breast-Feeding Barriers

UMMC issued the following press release authored by Annie Oeth. 


Improving the supply of mother’s milk for the unique needs of very low birth weight infants receiving neonatal intensive care and minimizing disparities that prevent mothers from providing milk is the subject of a quality improvement project at the University of Mississippi Medical Center.

Express Yourself Mississippi, a three-year quality improvement project funded by a $1,116,209 grant from the W.K. Kellogg Foundation, will identify disparities and conditions that can be obstacles to breastfeeding for the mothers of VLBW babies in all of the state’s 13 Level III and Level IV neonatal intensive care units.
The Express Yourself collaborative is geared toward provision of maternal milk and reducing related disparities for the very low birth weight (VLBW) infants at Level III and IV NICUs in Mississippi and in the greater New Orleans area, Massachusetts, Michigan, and New Mexico. The project is yet to begin in Michigan and New Mexico.
“Breast milk is the optimal form of nutrition for babies, especially in their first days of life,” said Dr. Mobolaji Famuyide, medical director of Children’s of Mississippi’s NICU, housed at Wiser Hospital for Women and Infants and principal investigator of the study. “For babies, breast milk is not only nutrition; it is medicine. Mothers transfer immune protective substances to their babies through breast milk to help their immune systems to develop.”
UMMC has the state’s only Level IV NICU, which provides the highest level of care. The state’s Level III NICUs, which provide care to babies born at less than 32 weeks gestation and babies born with critical illnesses at all gestational ages, include those in Gulfport, Tupelo, Meridian, Hattiesburg, Greenville and Jackson.
The project’s goal is to increase the number of mothers of VLBW neonatal intensive care patients who provide breast milk for their babies and identify disparities related to breast milk provision and ways they can be overcome. This will be done using quality improvement methodology and testing/implementing evidence-based interventions. Building a secure data infrastructure for future statewide quality improvement projects is a secondary goal of the project.
Nationwide, about 50 to 55 percent of mothers provide any breast milk for their very low birth weight infants at the point of discharge from the NICU. In Mississippi among NICUs participating in the Vermont Oxford Network, about 25 percent of VLBW babies were discharged home on any human milk in 2018, a number that Famuyide would like to see rise.
Disparities involving race, ethnicity, economic status and geography may play a role in whether a mother is able to provide breast milk. A mother having the ability to breastfeed after a baby comes home from the hospital can also be impacted by factors such as her own health, time, access to a breast pump, economic stress and working conditions, Famuyide said.
“Breastfeeding has been shown to be the best way to nurture babies, and babies in the NICU especially need the benefits of breast milk,” she said. In addition to giving these babies immune protective factors that help them fight infection, breast milk reduces the risk of necrotizing enterocolitis, a devastating disease that affects mostly the intestine of premature infants and can be fatal.
Many critically ill newborns are unable to breastfeed, so their mothers provide that nourishment through pumping. The milk can then be given to the newborn by bottle or through a feeding tube.
“It’s the best medicine a baby can get,” said Jamie Ford, a UMMC registered nurse certified in neonatal intensive care and International Board Certified Lactation Consultant who is the project nurse/coordinator for the Express Yourself Mississippi project. “When a mother has a baby in the NICU, providing breast milk is one of the only things she can do, and one of the most important things she can do, for her baby.”
Children’s of Mississippi has a room adjacent to the NICU where mothers can express milk for their babies, and mothers may also bring their babies frozen breast milk for later use.
“Ideally,” said Famuyide, “when pumping is successful, a mother would be able to not only provide enough milk for her own child but enough to also donate to the Mothers’ Milk Bank of Mississippi to help Mississippi babies.”
The nonprofit milk bank supplies NICU babies with breast milk when mother’s milk is not available. The organization screens donor mothers, then collects, pasteurizes and dispenses donor human milk to hospitals, following the guidelines of the Human Milk Banking Association of North America.
Neonatal intensive care is vital in Mississippi, where 14.2 percent of births are preterm, or at less than 37 weeks gestation, the highest rate in the country according to the 2019 March of Dimes Report Card.
Reaching mothers of babies receiving NICU care around the state will involve collaboration with the state’s hospitals as well as the Mississippi Department of Health and the Mississippi Perinatal Quality Collaborative, a statewide partnership that promotes best practices in maternal and neonatal health.
With the opening in fall 2020 of Children’s of Mississippi’s seven-story hospital expansion, 88 private neonatal intensive care rooms will allow mothers to stay with their critically ill newborns. The current NICU space was designed as an open bay for 30 babies, but today, about three times that number receive care there.
“This will be a dramatic change for our NICU families and staff,” said Famuyide, “and it will increase the likelihood that mothers will get the support they need to provide the nutrition their babies need.”
Mississippi has steep challenges in the health of mothers and their babies, she said, “but we think through Express Yourself and collaboration among our state’s NICUs and care providers, best practices can be identified and we can give our state’s babies the best possible start.”


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Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).


Meet KIM Waaaaaade at the Entergy Tent. For five pesos, Kim will sell you a chance to win a deed to a crack house on Ridgeway Street stuffed in the Howard Industries pinata. Don't worry if the pinata is beaten to shreds, as Mr. Wade has Jose, Emmanuel, and Carlos, all illegal immigrants, available as replacements for the it. Upon leaving the Entergy tent, fig leaves will be available in case Entergy literally takes everything you have as part of its Trollfest ticket price adjustment charge.

Donna Ladd of The Jackson Free Press will give several classes on learning how to write. Smearing, writing without factchecking, and reporting only one side of a story will be covered. A donation to pay their taxes will be accepted and she will be signing copies of their former federal tax liens. Ms. Ladd will give a dramatic reading of her two award-winning essays (They received The Jackson Free Press "Best Of" awards.) "Why everything is always about me" and "Why I cover murders better than anyone else in Jackson".

In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.


In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.


Note: Security provided by INS.

Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

Note: Security provided by INS
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