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PERIPrem bundle: Birth in the right place

A very key and potentially most challenging element to the PERIPrem care bundle is birth in the right place for 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. Please keep an eye out for the latest SWNN transfer guideline and in the meantime brainstorm, use the resources below and share your learning.

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.

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. These areas will be covered in the unit-level training.

Pay attention to how you will embed and sustain the improvements you have made and you can use the embedding and sustaining change tool (coming soon) to shape your thinking in doing so.

Resources

We have a package of resources to support implementation of this PERIPrem bundle element. Please watch the video and download the resources to find out more.

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Birth in the Right place resources

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

PERIPrem resources form
PERIPrem resources form

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

https://www.patientsafetyoxford.org/clinical-safety-programmes/safety-in-maternity/extremely-preterm-babies/