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
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.

Also published in Infant:

VOLUME 16/ISSUE3, MAY 2020
Response of UK milk banks to ensure the safety and supply of donor human milk in the COVID-19 pandemic and beyond
The COVID-19 pandemic is presenting several challenges to human milk banks and has highlighted a number of vulnerabilities in service provision that have been long known by those who work in the sector. In recent weeks, milk banks across the UK have worked together to understand any risks posed to infants, milk bank staff and volunteers by COVID-19, and to put in place mitigation strategies to ensure the safeguarded provision and safety of donor human milk. The authors call on policymakers to better support these essential services for vulnerable neonates during the COVID-19 pandemic and minimise the impact of future challenges through greater investment in milk bank infrastructure, research and innovation.

Read more...