Feature ArticlesAn Innovative Model for Achieving Breast-feeding Success in Infants With Complex Surgical AnomaliesEdwards, Taryn M. BSN, RN-BC; Spatz, Diane L. PhD, RN-BC, FAANAuthor Information The Children's Hospital of Philadelphia (Ms Edwards and Dr Spatz) and University of Pennsylvania School of Nursing (Dr Spatz), Philadelphia, Pennsylvania. We thank Sigma Theta Tau International and Johnson & Johnson Maternal-Child Health Leadership Academy, Xi chapter of Sigma Theta Tau International, Project Transition Team Members. Corresponding Author: Diane L. Spatz, PhD, RN-BC, FAAN, University of Pennsylvania School of Nursing & The Children's Hospital of Philadelphia, 418 Curie Boulevard, Office 413, Philadelphia, PA 19104 (firstname.lastname@example.org). Received March 4, 2010 Accepted May 19, 2010 The Journal of Perinatal & Neonatal Nursing: July/September 2010 - Volume 24 - Issue 3 - p 246-253 doi: 10.1097/JPN.0b013e3181e8d517 Buy Take the CE Test Metrics Abstract This manuscript describes an innovative nurse–driven continuous quality improvement project. Infants born with congenital surgical anomalies face significant challenges within the newborn period and human milk/breast-feeding may not be viewed as a priority. In many hospitals, nurses refer families to lactation consultants for all breast-feeding assistance and support. The Transition to Breast Pathway was developed on the basis of the evidence-based standards and protocols at The Children's Hospital of Philadelphia. The pathway consists of (1) initiation of pumping and maintenance of milk supply, (2) mouth care with human milk, (3) skin-to-skin care, (4) nonnutritive sucking at the breast, (5) transitioning to at breast feeds. A sample of 80 infants were enrolled in this project. Major results of the project are as follows: (1) mother's average milk supply was approximately 603 mL/d, (2) 71% (57/80) of the infants received mouth care with human milk, (3) 48% (38/80) mother/infant dyads performed skin-to-skin care, (4) 60% (35/58) of mother/infant dyads performed nonnutritive sucking at the breast, (5) 100% (58/58) of mother-infant dyads transitioned to breast prior to discharge. This continuous quality improvement project demonstrates that nurses can and should lead the process of transitioning infants to at breast feeds. © 2010 Lippincott Williams & Wilkins, Inc.