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,
julie-clare.becher@nhslothian.scot.nhs.uk

On behalf of the BAPM Antenatal Optimisation Toolkit Group

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Keywords
less invasive surfactant administration (LISA); surfactant; respiratory distress syndrome; videolaryngoscope; bronchopulmonary dysplasia (BPD); premature
Key points
  1. Structured guidelines and training of medical staff are required to establish LISA as a routine procedure in the NNU.
  2. Videolaryngoscopy is a useful adjunct to the procedure.
  3. Further studies are required on the use of medications during the procedure.
  4. A robust system of data collection and analysis helps to guide improvements.