Optimal perinatal care | Antenatal steroids Does a mother who delivers a baby between 23 and 33 weeks’ gestational age receive a full course of antenatal corticosteroids within 1 week prior to delivery? |
Antenatal magnesium sulfate Does a mother who delivers a baby below 30 weeks’ gestational age receive magnesium sulfate in the 24 hours prior to delivery? | |
Birth in a centre with a neonatal intensive care unit (NICU) Is a baby:
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Deferred cord clamping for very preterm babies Does a baby born at less than 34 weeks’ gestational age have their cord clamped at or after 1 min? | |
Promoting normal temperature on admission for very preterm infants Does a baby born at less than 32 weeks’ gestational age have a first temperature on admission which is both between 36.5°C and 37.5°C and measured within 1 hour of birth? | |
Type and duration of respiratory support What proportion of babies born at less than 32 weeks’ gestation only receive non-invasive respiratory support during the first week of life? | |
Parent partnership | Parental consultation within 24 hours of every admission Is there a documented consultation with parents by a senior member of the neonatal team within 24 hours of admission? |
Parental presence at consultant ward rounds For a baby admitted for more than 24 hours, was at least one parent included a consultant ward round? What proportion of consultant-led ward rounds had at least one parent included? | |
Care processes | Breastmilk feeding at 48 hours Does a baby born at less than 34 weeks’ gestational age receive any of their own mother’s milk in the first 2 days of life? |
Breastmilk feeding at day 14 Does a baby born at less than 34 weeks’ gestational age receive any of their own mother’s milk at day 14 of life? | |
Breastmilk feeding at discharge to home Does a baby born at less than 34 weeks’ gestational age receive any of their own mother’s milk at discharge to home from a neonatal unit? | |
On-time screening for retinopathy of prematurity Does a baby born at less than 31 weeks’ gestational age or weighing less than 1501 g at birth undergo the first ROP screening according to the guideline? | |
Follow-up at 2 years of age Does a baby born at less than 30 weeks’ gestational age receive medical follow-up at 2 years’ gestationally corrected age (18–30 months’ gestationally corrected acceptable age range)? Does a baby have complete results of a structured assessment recorded? | |
Nurse staffing on neonatal units What proportion of nursing shifts are numerically staffed according to guidelines and service specification? | |
Clinical outcomes | Bloodstream infection Does an admitted baby have one or more episodes of bloodstream infection, characterised by one or more positive blood cultures taken, after 72 hours of age? |
Bronchopulmonary dysplasia Does an admitted baby born at less than 32 weeks’ gestational age develop bronchopulmonary dysplasia (BPD) or die? | |
Necrotising enterocolitis Does an admitted baby born at less than 32 weeks’ gestational age meet the NNAP surveillance definition for necrotising enterocolitis (NEC) on one or more occasions? | |
Neonatal preterm brain injury Does a baby born at less than 32 weeks’ gestational age experience any of the following forms of brain injury?
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Mortality to discharge in very preterm babies Does a baby born between 24 and 31 weeks’ gestational age inclusive die before discharge to home, or 44 weeks’ postmenstrual age (whichever occurs sooner)? |
NNAP, National Neonatal Audit Programme; ROP, retinopathy of prematurity.