Table 1

2022 NNAP audit measures6

Optimal perinatal careAntenatal 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:
  • Born at less than 27 weeks’ gestational age?

  • Or less than 800 g at birth?

  • Or born as a multiple at less than 28 weeks’ gestational age delivered in a maternity service on the same site as a designated NICU?

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 partnershipParental 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 processesBreastmilk 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 outcomesBloodstream 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?
  • Germinal matrix/intraventricular haemorrhage.

  • Posthaemorrhagic ventricular dilatation.

  • Cystic periventricular leukomalacia.

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.