Antenatal Optimisation Toolkit
BAPM’s Antenatal Optimisation Toolkit is not intended to be read as mandatory guidance. Instead it is a practical resource from which units who wish to improve compliance rates of antenatal optimisation measures can select the most suitable interventions for their particular context.
Amongst other measures, BAPM recommends that “Singleton infants less than 27 weeks of gestation, multiples less than 28 weeks of gestation and any gestation with an estimated fetal weight of less than 800g should be born in a maternity service on the same site as a neonatal intensive care unit (NICU)”.
BAPM
The British Association of Perinatal Medicine produce several BAPM Frameworks for Practice
Exception Reporting Tool for births <27 weeks in a unit or centre without a Neonatal Intensive Care Unit (NICU)
The Scottish Perinatal Network (SPN) has therefore developed an Exception Reporting tool which can be used in the event this does not happen:
2022-06-01 SPN Exception Reporting Proforma – Birth < 27 Weeks in a Unit or Centre without a NICU
Please complete as much of the Proforma as possible and return it to your local board contact and the SPN on nss.perinatalnetwork@nhs.scot.
Data protection measures are in place. For more information on how the NHS handles personal health information please see here.
Significant Adverse Event Reviews
- You can read the SPN’s SAER Scoping Report on our Publications page
- Healthcare Improvement Scotland (HIS) Learning systems – Adverse Events Community of Practice (CoP)
- A new SharePoint Adverse Events (AE) CoP, hosted on MS Teams, piloted in May 2022. It includes a collaborative AE toolkit, hosts meeting and event documentation, and an NHS board discussion space where risk and governance leads can ask questions and share ideas and knowledge about their local processes and experiences.
- On 30 November 2023 the national AE learning platform will be launched as the central hub for the site. Each NHS board will have ownership of its own area of the site. Learning summaries will be uploaded to encourage national learning alongside other information which may be of interest
- NHS Education for Scotland (NES) – Education and Training
In response to perinatal guidance section: 4.b.5 Supporting staff training and wellbeing, NES provides resources for NHS staff involved in adverse event reviews and those in leadership/management positions. They include learning from safety incidents in complex care environments and building a safety culture and other associated areas. Find details on the Patient Safety Zone on TURAS Learn. NES also provides:
- The Human Factors Hub which will contain a range of new learning resources and courses (face-to-face, online and hybrid). Some of this is in the development and testing phase.
Transport:
The Scottish Neonatal Transport Service is part of ScotSTAR (Scottish Specialist Transport and Retrieval), a division of the Scottish Ambulance Service. It is a specialist service dedicated to the safe transport of unwell newborn infants throughout Scotland and on occasion when Scottish babies require transferred further afield. For more information please go to: https://www.neonataltransport.scot.nhs.uk/
Specific guidance to support effective transport in remote and rural areas is available here.
For Parents
- Early Pregnancy Units, Maternity Units, and Neonatal Units in Scotland. Please feel free to share this with parents if helpful, and let us know if any of the contact details or information changes.
- Public Health Scotland (PHS) owns the national suite of NHS health information resources for pregnancy and early parenting in Scotland. Local Health Information Resource Services (HIRS) stock copies of these resources locally. Contact phs.otherformats@phs.scot to order resources in language or formats not stocked by your HIRS, such as large print, braille, audio, or Easy Read.
- The primary resource given to pregnant women at midwifery booking appointment is Ready Steady Baby, in print, online, Easy-read and Translated formats.View a short video (external website) where a midwife describes the benefits of the Easy-read format. A video transcript is also available.
- In addition to print, the PHS resources are maintained current and accurate at publichealthscotland / publications and healthscotland.com / publications, where they are available for direct download in other languages and formats . Audio and BSL versions available on NHS inform.
- You can find links to other information for pregnant and new parents on the For Families page.