Infant Journal
for neonatal and paediatric healthcare professionals

Antenatal optimisation for preterm infants less than 34 weeks: a quality improvement toolkit

The British Association of Perinatal Medicine (BAPM) and the National Neonatal Audit Programme (NNAP) are collaborating on four quality improvement toolkits to support perinatal staff to implement the evidence around perinatal optimisation. This article presents the Antenatal Optimisation Toolkit. The evidence for key interventions is described alongside a quality improvement journey, which supports staff to choose improvement solutions most suitable for the local context.

Lauren Shaw
Neonatal Grid Trainee, East Deanery, Scotland

Julie-Clare Becher
Lead for Quality, BAPM and Consultant Neonatologist, Royal Infirmary of Edinburgh,

On behalf of the BAPM Antenatal Optimisation Toolkit Group

Full text available by subscription ...
The full text of this article is available to subscribers in text, and in Tablet/iPad format and as a PDF file.

Please subscribe and log in to see the full article.

assessment; cognitive development; language development; parent report; neurodevelopmental outcomes
Key points
  1. The PARCA-R can be used to assess neurodevelopmental outcomes at 23.5 to 27.5 months of age.
  2. The questionnaire takes parents less than 15 minutes to complete.
  3. It produces separate norm-referenced scores for non-verbal cognition and language development.
  4. It can be used to identify developmental delay for all children in the general population.
  5. The PARCA-R is free to use and all available resources can be accessed online at