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
osteopenia of prematurity; metabolic bone disease; fractures; premature infant; neonate;
Key points
  1. Neonatal units should have a screening policy for infants at risk of MBD.
  2. Development of local guidelines with multidisciplinary pathways can be helpful in management of advanced disease.
  3. Development of consensus guidelines for screening and management in the UK are required.

Also published in Infant:

VOLUME 6/ISSUE 6, NOVEMBER 2010
A case series of vitamin D deficiency in mothers affecting their infants
Vitamin D plays an essential role in calcium homeostasis, prevention of rickets and the development and maintenance of the skeleton. We present three cases representing the spectrum of maternal vitamin D deficiency affecting the infants of deficient mothers. We would like to highlight the importance of antenatal screening of vitamin D in high-risk populations and the treatment of infants and mothers at risk following detection of deficiency.

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