Loading…

Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018-2021) across a change in national guidance

The British Association of Perinatal Medicine (BAPM) released their revised framework for extremely preterm infant management in 2019. This revised framework promotes consideration of perinatal optimisation and survival-focused care from 22 weeks gestation onwards. This was a departure from the prev...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in pediatrics 2024-04, Vol.12, p.1365720-1365720
Main Authors: Peterson, J, Smith, D M, Johnstone, E D, Mahaveer, A
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c418t-d6d38bbff327ffcfc458f6d3bae9394d7ffdb1955a27f9352f9d3b57005acb523
container_end_page 1365720
container_issue
container_start_page 1365720
container_title Frontiers in pediatrics
container_volume 12
creator Peterson, J
Smith, D M
Johnstone, E D
Mahaveer, A
description The British Association of Perinatal Medicine (BAPM) released their revised framework for extremely preterm infant management in 2019. This revised framework promotes consideration of perinatal optimisation and survival-focused care from 22 weeks gestation onwards. This was a departure from the previous BAPM framework which recommended comfort care as the only recommended management for infants
doi_str_mv 10.3389/fped.2024.1365720
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_99159477740c4a46b3a7bd4182cac89b</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_99159477740c4a46b3a7bd4182cac89b</doaj_id><sourcerecordid>3050173805</sourcerecordid><originalsourceid>FETCH-LOGICAL-c418t-d6d38bbff327ffcfc458f6d3bae9394d7ffdb1955a27f9352f9d3b57005acb523</originalsourceid><addsrcrecordid>eNpVUstuFDEQHCEQiUI-gAvyMRxm8XM85oJQxCNSJDjA2Wp77F2HWXuwZ4L2zofjfRAlvtjq6q5qlatpXhO8YqxX7_zkhhXFlK8I64Sk-FlzTqnqWso6_PzR-6y5LOUO16MkFkS8bM5Y3ykuaXfe_P3ucogww4jSNIdtKDCHFJFPGU0Vug9gRodMyPMGQRxQWmabtq68R4B4u3OQUXTzn5R_VRjGXQkFXVFM-rbuRt4isDmVUpvtBuLaoRBRPEhUxfUSBojWvWpeeBiLuzzdF83Pz59-XH9tb799ubn-eNtaTvq5HbqB9cZ4z6j03nrLRe9rzYBTTPGhFgdDlBBQccUE9aqCQmIswBpB2UVzc-QdEtzpKYct5J1OEPShkPJaQ56DHZ1WiohqkZQcWw68MwykGeoa1ILtlalcH45c02K2brAuzhnGJ6RPkRg2ep3uNSG4I1zIynB1Ysjp9-LKrKv71o0jRJeWohkWmEjWY1FbybH1YGZ2_kGHYL1Pg96nQe_ToE9pqDNvHi_4MPH_79k_7OSx_Q</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3050173805</pqid></control><display><type>article</type><title>Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018-2021) across a change in national guidance</title><source>PubMed Central</source><creator>Peterson, J ; Smith, D M ; Johnstone, E D ; Mahaveer, A</creator><creatorcontrib>Peterson, J ; Smith, D M ; Johnstone, E D ; Mahaveer, A</creatorcontrib><description>The British Association of Perinatal Medicine (BAPM) released their revised framework for extremely preterm infant management in 2019. This revised framework promotes consideration of perinatal optimisation and survival-focused care from 22 weeks gestation onwards. This was a departure from the previous BAPM framework which recommended comfort care as the only recommended management for infants &lt;23 + 0 weeks. Our study evaluates the clinical impact that this updated framework has had across the Northwest of England. We utilised anonymised network data from periviable infants delivered across the region to examine changes in perinatal optimisation practices and survival outcomes following the release of the latest BAPM framework. Our data show that after the introduction of the updated framework there has been an increase in perinatal optimisation practices for periviable infants and an 80% increase in the number of infants born at 22 weeks receiving survival-focused care and admission to a neonatal unit. There remain significant discrepancies in optimisation practices by gestational age, which may be contributing to the static survival rates that were observed in the lowest gestational ages.</description><identifier>ISSN: 2296-2360</identifier><identifier>EISSN: 2296-2360</identifier><identifier>DOI: 10.3389/fped.2024.1365720</identifier><identifier>PMID: 38694726</identifier><language>eng</language><publisher>Switzerland: Frontiers Media S.A</publisher><subject>extreme preterm ; neonates ; optimisation ; Pediatrics ; perinatal ; periviable</subject><ispartof>Frontiers in pediatrics, 2024-04, Vol.12, p.1365720-1365720</ispartof><rights>2024 Peterson, Smith, Johnstone and Mahaveer.</rights><rights>2024 Peterson, Smith, Johnstone and Mahaveer. 2024 Peterson, Smith, Johnstone and Mahaveer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c418t-d6d38bbff327ffcfc458f6d3bae9394d7ffdb1955a27f9352f9d3b57005acb523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11061457/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11061457/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38694726$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peterson, J</creatorcontrib><creatorcontrib>Smith, D M</creatorcontrib><creatorcontrib>Johnstone, E D</creatorcontrib><creatorcontrib>Mahaveer, A</creatorcontrib><title>Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018-2021) across a change in national guidance</title><title>Frontiers in pediatrics</title><addtitle>Front Pediatr</addtitle><description>The British Association of Perinatal Medicine (BAPM) released their revised framework for extremely preterm infant management in 2019. This revised framework promotes consideration of perinatal optimisation and survival-focused care from 22 weeks gestation onwards. This was a departure from the previous BAPM framework which recommended comfort care as the only recommended management for infants &lt;23 + 0 weeks. Our study evaluates the clinical impact that this updated framework has had across the Northwest of England. We utilised anonymised network data from periviable infants delivered across the region to examine changes in perinatal optimisation practices and survival outcomes following the release of the latest BAPM framework. Our data show that after the introduction of the updated framework there has been an increase in perinatal optimisation practices for periviable infants and an 80% increase in the number of infants born at 22 weeks receiving survival-focused care and admission to a neonatal unit. There remain significant discrepancies in optimisation practices by gestational age, which may be contributing to the static survival rates that were observed in the lowest gestational ages.</description><subject>extreme preterm</subject><subject>neonates</subject><subject>optimisation</subject><subject>Pediatrics</subject><subject>perinatal</subject><subject>periviable</subject><issn>2296-2360</issn><issn>2296-2360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUstuFDEQHCEQiUI-gAvyMRxm8XM85oJQxCNSJDjA2Wp77F2HWXuwZ4L2zofjfRAlvtjq6q5qlatpXhO8YqxX7_zkhhXFlK8I64Sk-FlzTqnqWso6_PzR-6y5LOUO16MkFkS8bM5Y3ykuaXfe_P3ucogww4jSNIdtKDCHFJFPGU0Vug9gRodMyPMGQRxQWmabtq68R4B4u3OQUXTzn5R_VRjGXQkFXVFM-rbuRt4isDmVUpvtBuLaoRBRPEhUxfUSBojWvWpeeBiLuzzdF83Pz59-XH9tb799ubn-eNtaTvq5HbqB9cZ4z6j03nrLRe9rzYBTTPGhFgdDlBBQccUE9aqCQmIswBpB2UVzc-QdEtzpKYct5J1OEPShkPJaQ56DHZ1WiohqkZQcWw68MwykGeoa1ILtlalcH45c02K2brAuzhnGJ6RPkRg2ep3uNSG4I1zIynB1Ysjp9-LKrKv71o0jRJeWohkWmEjWY1FbybH1YGZ2_kGHYL1Pg96nQe_ToE9pqDNvHi_4MPH_79k_7OSx_Q</recordid><startdate>20240417</startdate><enddate>20240417</enddate><creator>Peterson, J</creator><creator>Smith, D M</creator><creator>Johnstone, E D</creator><creator>Mahaveer, A</creator><general>Frontiers Media S.A</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240417</creationdate><title>Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018-2021) across a change in national guidance</title><author>Peterson, J ; Smith, D M ; Johnstone, E D ; Mahaveer, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-d6d38bbff327ffcfc458f6d3bae9394d7ffdb1955a27f9352f9d3b57005acb523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>extreme preterm</topic><topic>neonates</topic><topic>optimisation</topic><topic>Pediatrics</topic><topic>perinatal</topic><topic>periviable</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peterson, J</creatorcontrib><creatorcontrib>Smith, D M</creatorcontrib><creatorcontrib>Johnstone, E D</creatorcontrib><creatorcontrib>Mahaveer, A</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Frontiers in pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peterson, J</au><au>Smith, D M</au><au>Johnstone, E D</au><au>Mahaveer, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018-2021) across a change in national guidance</atitle><jtitle>Frontiers in pediatrics</jtitle><addtitle>Front Pediatr</addtitle><date>2024-04-17</date><risdate>2024</risdate><volume>12</volume><spage>1365720</spage><epage>1365720</epage><pages>1365720-1365720</pages><issn>2296-2360</issn><eissn>2296-2360</eissn><abstract>The British Association of Perinatal Medicine (BAPM) released their revised framework for extremely preterm infant management in 2019. This revised framework promotes consideration of perinatal optimisation and survival-focused care from 22 weeks gestation onwards. This was a departure from the previous BAPM framework which recommended comfort care as the only recommended management for infants &lt;23 + 0 weeks. Our study evaluates the clinical impact that this updated framework has had across the Northwest of England. We utilised anonymised network data from periviable infants delivered across the region to examine changes in perinatal optimisation practices and survival outcomes following the release of the latest BAPM framework. Our data show that after the introduction of the updated framework there has been an increase in perinatal optimisation practices for periviable infants and an 80% increase in the number of infants born at 22 weeks receiving survival-focused care and admission to a neonatal unit. There remain significant discrepancies in optimisation practices by gestational age, which may be contributing to the static survival rates that were observed in the lowest gestational ages.</abstract><cop>Switzerland</cop><pub>Frontiers Media S.A</pub><pmid>38694726</pmid><doi>10.3389/fped.2024.1365720</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2296-2360
ispartof Frontiers in pediatrics, 2024-04, Vol.12, p.1365720-1365720
issn 2296-2360
2296-2360
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_99159477740c4a46b3a7bd4182cac89b
source PubMed Central
subjects extreme preterm
neonates
optimisation
Pediatrics
perinatal
periviable
title Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018-2021) across a change in national guidance
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T10%3A31%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Perinatal%20optimisation%20for%20periviable%20birth%20and%20outcomes:%20a%204-year%20network%20analysis%20(2018-2021)%20across%20a%20change%20in%20national%20guidance&rft.jtitle=Frontiers%20in%20pediatrics&rft.au=Peterson,%20J&rft.date=2024-04-17&rft.volume=12&rft.spage=1365720&rft.epage=1365720&rft.pages=1365720-1365720&rft.issn=2296-2360&rft.eissn=2296-2360&rft_id=info:doi/10.3389/fped.2024.1365720&rft_dat=%3Cproquest_doaj_%3E3050173805%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c418t-d6d38bbff327ffcfc458f6d3bae9394d7ffdb1955a27f9352f9d3b57005acb523%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3050173805&rft_id=info:pmid/38694726&rfr_iscdi=true