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

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stoma; nutrition; growth; necrotising enterocolitis; spontaneous intestinal perforation
Key points
  1. Optimal timing of stoma closure in preterm infants is unknown.
  2. Complications following stoma formation are common and associated with significant morbidity.
  3. Complications can be related to poor growth, vascular access or the stoma itself.

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