A key and potentially the most challenging element to the PERIPrem care bundle is birth in the right place – this applies to extreme preterm infants under 27 weeks, under 800g or under 28 weeks if a multiple birth.

This element will need the full attention of your PERIPrem and Perinatal team to address community awareness and timely transfer of women who are at high risk of delivery using timely clinical assessment, the QUiPP app prediction tool and regional cooperation.

We encourage you to look across the three “capsules” of Process, Training and Education and Communications and Engagement when planning and implementing any changes, we know from experience that action needs to be taken across all three capsules to see a progress.

Pay attention to how you will embed and sustain the improvements you have made.


We have a package of resources to support implementation of this PERIPrem bundle element.

For units in the South West ODN region – we have developed a PERIPrem Place of Birth poster to raise awareness of the importance of place of birth. It features links to more information and contact details.

Please watch the video and download the resources to find out more.

Birth in the Right place resources

Please tell us a bit about yourself to download our PERIPrem resources

PERIPrem resources form
PERIPrem resources form

Here is a video from our ‘Share and Learn’ series:

Links for more information

If you would like to understand more about the evidence behind this PERIPrem bundle element, the following papers, reviews and websites have more information.

NHS England: Neonatal Critical Care Transformation Review (2019).

NNAP (RCPCH) 2020 Audit standards, set by NNAP Project Board.

Helenius K, Longford N, Lehtonen L, Modi N, Gale C. Association of early postnatal transfer and birth outside a tertiary hospital with mortality and severe brain injury in extremely preterm infants: observational cohort study with propensity score matching. bmj. 2019 Oct 16;367:l5678.

BAPM: Perinatal Management of Extreme Preterm Birth Before 27 Weeks of Gestation (2019). Available at www.bapm.org