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
postpartum depression; psychological screening; hospital anxiety and depression scale; thematic analysis
Key points
  1. Mothers on the NNU are at greater risk of psychological distress, which can have a detrimental impact on the baby and the family unit.
  2. Detecting psychological distress is vital.
  3. Staff interviews were conducted and thematically analysed. Results showed that the HADS was beneficial to mothers and clinical practice, and helpful for identifying and enhancing access to psychological support.

Also published in Infant:

VOLUME 10/ISSUE 4, JULY 2014
Father-staff relationships in a neonatal unit: being judged and judging
Providing effective care and support for parents in neonatal units requires an understanding of the factors that contribute to the diversity of individual experience and how people respond to these stressful life events. Little is known about how health professionals and fathers interact in these situations and how this affects a father’s overall experience. This article discusses findings from a study exploring the experiences of fathers following preterm birth and highlights some of the challenges for fathers whose behaviour is being judged while they simultaneously adjudicate on others.

Read more...