Infant Journal
for neonatal and paediatric healthcare professionals

Maintaining quality of care through a pandemic and setting goals for future improvement

The National Neonatal Audit Programme (NNAP) was established in 2006 and continues to play an important role in driving and supporting improvements in neonatal care. The past two years have been a period of change for the NNAP, bringing a new data flow methodology, exciting opportunities to further develop the NNAP, and a new contract for the Royal College of Paediatrics and Child Health (RCPCH) to deliver the audit until 2025.

Sam Oddie
NNAP Clinical Lead, Consultant
Neonatologist, Bradford Teaching Hospitals

Rachel Winch
NNAP Manager, Royal College of Paediatrics
and Child Health

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human breast milk-based fortifier; optimal weight gain; necrotising enterocolitis; premature infant; case study; cow’s milk intolerance
Key points
  1. Use of a novel human milk-based fortifier contributed towards optimal weight gain in a preterm infant with multiple complications.
  2. Human milk-based fortifier was used as a ‘rescue fortifier’ in a preterm infant with intolerance to bovine milk-based fortifier.

Also published in Infant:

Stoma associated morbidity in the preterm infant
Babies born prematurely are at risk of developing gastrointestinal complications that may require small bowel resection with or without stoma formation. The evidence base regarding the optimal initial surgical intervention and the subsequent timing of stoma closure is limited. To help inform the design of future randomised controlled trials investigating the optimal timing of stoma closure, we describe current practice and outcomes including stoma-related complications in a cohort of preterm infants who underwent stoma formation at the Royal Hospital for Children, Glasgow.