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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neonatal paediatric transport; ambulance; noise exposure; hearing loss; occupational health
Key points
  1. Noise exposure and impact on hearing was assessed in babies transferred by the West of Scotland Neonatal Transport team over a period of 18 months.
  2. No hearing loss was demonstrated following inter-hospital transfer; however, noise reduction is still required and chronic noise exposure is still of concern.

Also published in Infant:

Reducing noise on the neonatal unit
There is increasing acceptance that noise on the neonatal unit can have detrimental effects for staff and for patients. In this article, we try to explain the physical properties of sound and extrapolate these into the clinical setting, including recommendations to minimise noise on the NICU.