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Anti-Racism Model for Improvement (MFI-AR)

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Image of senior leaders and sites from the launch of the Learning and Action Network on the 24th January 2024 in London.

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Emergency Airway | South Thames Paediatric Network

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BAPM Framework for Management of extreme Preterm Birth

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BAPM Framework for Management of extreme Preterm Birth

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British Association of Perinatal Medicine

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Perinatal Management of Extreme Preterm Birth Before 27 Weeks of Gestation (2026)

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South East Maternity Escalation Guidance

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South East Maternity Escalation Guidance

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2025 SE Maternity Escalation Guidance  Operational Pressures Escalation Levels Framework  v2.0 - FINAL

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SE PTB stakeholder contacts to support IUT

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SE PTB stakeholder contacts to support IUT

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Rachael Garrett shared the PP prepared for the Dry Run Preterm simulation-based scenario training

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PREM7+ Preterm presentation for Dry Run Sussex

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Rabe Mercer OCM review Sem Perinatol 2023

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Owen H Early use of simulation in medicine

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Owen H Early use of simulation in medicine

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Owen H Early use of simulation in med ed 2012

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National Framework for Simulation Based Education

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National Framework for Simulation Based Education

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National framework for simulation based education

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Mercer Rabe DCC May the force be with the baby

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Mercer Rabe DCC May the force be with the baby

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Mercer Rabe DCC force paper J Perinatol 2021

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Kindly shared by IRP Student Alex Bird working on Preterm birth simulation-based scenario training

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Guide to completing the scenario template

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Guide to completing the scenario template

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Calafatti DCC blood sampling umbilical cord vs newborn Am J Clin Pathol 2023

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Anton 2ß18 birt_12398_Rev_EV final proof

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Professor Rabe presented and shared this PP to the Preterm Simulation-based 'Dry Run' training day at Brighton Simulation Suite

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Easy Read is an accessible format.
It is used by people with learning disabilities and other people who have difficulty with reading.

Easy Read is a way of translating difficult information and making it easy to understand. Easy Read information uses simple words in short sentences, with pictures to help explain the words.

We can turn any information into a high-quality Easy Read resource that can be printed or used online.

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Easy Read Online: making information easy to understand so that people can do more for themselves - Easy-Read-Online Limited

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Easy Read is an accessible format. It is used by people with learning disabilities and other people who have difficulty with reading. Easy Read is a way of translating difficult information and making it easy to understand. Easy Read information uses simple words in short sentences, with pictures to help explain the words.

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1. Cry

2. Awakening

3. Open eyes, reaching to nipple

4. tongue

5. Bringing up legs, leaping

6. Consolidating

7. Give them time, familiarisation

8. Suckling, using hands

9. sleep

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Healthy Children Project, Center for Breastfeeding

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The 9 Stages of Premature Infants - TRAILER

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Navi uses SharePlay to bring live subtitles and translation to FaceTime

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SharePlay is a great way to watch videos and listen to music together, but did you know you can also use it to translate FaceTime calls? You can with Navi.

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For several decades, WorldAccent has been a trusted provider of high-quality translation services for businesses and organizations. Situated in the heart of London, we are strategically positioned to rework your English-language documents for a global readership.

Our aim is to deliver translations that are not only accurate and faithful, but also perfectly tailored to your target audience. And when it comes to multilingual typesetting, we apply the same meticulous standards to maintaining and adapting your visual designs.

Our comprehensive service ensures your documents are translated into the language of your choice, customized to your specific template or design brief, and delivered in the final format that suits your needs.

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WorldAccent: Expert Document Translation Services in London since 1989

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Expert document translation service from experienced London agency. Specialists in combined typesetting. Quality assured. Contact for free quote.

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Reduced fetal movements in other languages

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Reduced fetal movements in other languages

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Communications toolkit: NHS maternity exemption certificate

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How to access information on help with NHS health costs in other languages

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This toolkit has been developed in recognition of the increasing implementation of trust-wide electronic patient record (EPR) or electronic health record systems (EHRs), and the growing expectation for the involvement of neonatal health professionals in the selection and implementation of electronic records locally and regionally.

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British Association of Perinatal Medicine

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Implementing a Neonatal Electronic Health Record

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Translation services used by Macmillan Cancer support, Alzheimers Society and GBSS

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Translation services used by Macmillan Cancer support, Alzheimers Society and GBSS

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Use the tab or arrow keys to move between the menu items. Use the escape key to exit submenus.

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THG Fluently is a global translation service provider. Allowing your brand to thrive internationally through a global localisation network.

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Contact Us - Translation and Interpretation Services - London Translations

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Get in touch with the London Translations team to begin your next translation project today. We offer services in over 150 languages, for any industry.

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Louise Toth provides easyread for people with learning disabilities or limited literacy.

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We create easy read documents and provide training on how to make information easy read.

Our training can now be delivered online.

(Get in touch for more details.)

If your organisation provides services to people, then you should consider producing your information in easy read.

We can create easy read leaflets, documents, questionnaires, reports or any other document that needs to be easy read.

If you have a document you need converting to easy read please get in touch via our contact form below. We will be happy to provide you with a quick quote for your project.

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We create easy read documents and provide training on how to make information easy read. Our training can now be delivered online. (Get in touch for more details.) If your organisation provides services to people, then you should consider producing your information in easy read.

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UK Health Security Agency information on viral illness or exposure to rash illness in pregnancy.

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UK Health Security Agency information on viral illness or exposure to rash illness in pregnancy.

# data[].attributes.headline
Exploring optimal type, non-invasive respiratory support.

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Exploring optimal type, non-invasive respiratory support.

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Exploring Optimal type of non-invasive respiratory support for preterm infants(NIP-V Vs CPAP)

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Introduction to the BAPM Airway Framework

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Neonatal Brain Magnetic Resonance Imaging

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Neonatal Brain Magnetic Resonance Imaging

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British Association of Perinatal Medicine

# data[].attributes.attachment_link.readable_text
Magnetic resonance imaging (MRI) has become increasingly available to clinicians for the evaluation of the newborn. However, with the exception of MRI in term infants with hypoxic-ischaemic encephalopathy (HIE), there are no formal guidelines that address the clinical indications for and the practical aspects of MRI of the brain in this patient group within the NHS.

The purpose of this Framework for Practice is to:

Provide recommendations on clinical indications and timing for neonatal brain MRI.

Promote best practice for acquiring and reporting of neonatal brain MR images.

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Neonatal Brain Magnetic Resonance Imaging

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Clinical Indications, Acquisition and Reporting

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1) Create a neonatal workforce for the future

Ensure the safety and quality of neonatal services, investment should be made in:

Increasing staff numbers for nursing, medical, Allied Health Professional and neonatal community outreach workforce

Meeting Qualified in Speciality (QIS) levels set out in national, evidence-based standards

Read more about creating a neonatal workforce for the future.

2) Address inequalities to give every baby the best chance in life

Give every baby in neonatal care equitable care:

Appoint a National Neonatal Safety Champion with a clear remit to reduce inequalities in mortality and outcomes

Invest in research to identify and interrogate inequity within and between units

Commit to clear targets to reduce inequalities in the rates of neonatal death, brain injury and pre-term birth across socio-economic and ethnic groups, and between neonatal units

Read more about addressing inequalities.

3) Support parents to stay at their baby's side

Support parents to be at their baby's cot-side and involved in care by introducing:

Capital investment for accommodation for parents of sick babies, in the long-term

A smaller-scale grants fund to support neonatal units to improve facilities through furniture and equipment

Read more about supporting parents to stay at their baby's side.

4) Help families overcome financial barriers to being involved in care

To reduce inequity experienced by families by introducing:

A neonatal expenses fund to support parents with travel, childcare and subsistence costs
Read more about helping families overcome financial barriers.

5) Provide equal employment support

Review the employment support provided to parents who won't qualify for Neonatal Care Leave and Pay when introduced, and commit to introducing financial support to help all parents take time away from work, including those:

Claiming maternity allowance

Claiming Jobseeker's Allowance or Universal Credit

Who are self-employed or classified as workers

Read more about providing equal employment support.

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Neonatal services for the future: a manifesto | Bliss

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We have developed recommendations for the next Government to ensure Bliss' vision becomes a reality, which you can read below in our manifesto.

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Breastfeeding and Perinatal Mental Health e learning

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Breastfeeding and Perinatal Mental Health e learning

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Skip to main content

Cookies on the Learning Hub

We've put some small files called cookies on your device to make our site work.

We'd also like to use analytics cookies. These send anonymous information about how our site is used to a service called Google Analytics & Hotjar Analytics. We use this information to improve our site.

Let us know if this is OK. We'll use a cookie to save your choice. You can read more about our cookies before you choose.

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Skip to main content We've put some small files called cookies on your device to make our site work. We'd also like to use analytics cookies. These send anonymous information about how our site is used to a service called Google Analytics & Hotjar Analytics. We use this information to improve our site.

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How to co-design a clinical practice tool framework

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How to co-design a clinical practice tool framework

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Reducing the Incidence of Bronchopulmonary Dysplasia

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Reducing the Incidence of Bronchopulmonary Dysplasia

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BAPM toolkit

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BAPM report on survival rise of babies born at 22 weeks, receiving ventilation an interventions following framework report 2019.

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BAPM report on survival rise of babies born at 22 weeks, receiving ventilation an interventions following framework report 2019.

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British Association of Perinatal Medicine

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Rise in babies born at 22 weeks given respiratory life support following BAPM Framework

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Three-fold rise in babies born at 22 weeks given respiratory life support in England and Wales following BAPM Framework update.

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BAPM Neonatal Airway Safety Standard- Draft document for consultation

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BAPM Neonatal Airway Safety Standard- Draft document for consultation

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British Association of Perinatal Medicine

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DRAFT: BAPM Neonatal Airway Safety Standard

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This is "PERIPrem RDE DCC Voiceover" by HealthInnoWest on Vimeo, the home for high quality videos and the people who love them.

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A 360 training video of a simulated video of a 28+6 week infant demonstrating the PERIPrem care bundle

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Poster to display

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Shared kindly by Sarah Edwards to support parents when their preterm infant needs to be cared for on another hospital.

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https://open.spotify.com/episode/7KpA6kf2EzJiAPoJfpiUTe?si=58uqJmVEQMyfwuA7B_IuqA

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Listen to this episode from Preterm Birth Optimisation on Spotify. In this episode I will be chatting to Eileen Dudley, regional lead for the Maternal and Neonatal Safety Improvement Programme. We will be discussing the importance of ensuring that when birth occurs early, it does so in the most appropriate place.

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NHS England » Co-production resources

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The coalition for personalised care and its partners have developed a model for co-production to set out how to bring about a culture of co-production and how to do it.

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Service user voice on preterm experience

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Service user voice on preterm experience

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https://open.spotify.com/episode/1cys0sTx6LPJt1kTp8HdJR?si=9yX0JfeATW-6VfqiclGNMg

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Listen to this episode from Preterm Birth Optimisation on Spotify. In this final in the preterm birth series episode we will be discussing the impact that preterm birth has on parents. We will hear from Emma Johnson who will tell us about her personal experience and how she is working as part of a larger network to improve the experience for families that experience preterm birth in the future.

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Lots of excellent information and resources.

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Build an impressive website with the best-rated top-seller WordPress theme

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Improving How Clinicians Communicate With Patients: An Integrative Review and Framework (sagepub.com)

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Improving How Clinicians Communicate With Patients: An Integrative Review and Framework (sagepub.com)

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Kindly shared by TVW AHSN, Eileen Dudley

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Group B Strep Awareness Month 2023 - Group B Strep Support (gbss.org.uk)

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Knowing about group B Strep when you're pregnant or in the early weeks after birth can make a massive difference - most group B Strep infections in newborn babies can be prevented, and early treatment can and does save lives. So often, many families only hear about group B Strep AFTER their baby is seriously ill with it. This simply cannot keep happening.

Our Group B Strep Awareness Month focuses on empowering new and expectant parents with the knowledge they need to make informed decisions about their baby, ensuring those who have been affected by a GBS infection know about us, and engaging with healthcare professionals to improve education and awareness.

By supporting our awareness month, together we can magnify our voice, so that we can drive change, demand policy improvements, and ultimately save lives. One baby sick with avoidable group B Strep infection is too many. No family should suffer the loss of their baby due to lack of awareness.

How can I get involved?

Our aim during July is to get as many people as possible involved in raising awareness, showing their support and donating so that we can make change happen in group B Strep education and prevention.

You can make sure more families hear about group B Strep, so they can take action to protect their newborn baby.

Take a look below at the different ways you can join us this July.

Improve awareness

We want to reach out to as many new and expectant parents as possible and get them talking to their health professionals about group B Strep. Will you help us? Please like and share our videos and posts that you see on our social media channels throughout July, using the hashtag #GBSaware.

You can also order an Awareness Pack to raise awareness with posters and leaflets through this form.

Share your story

I tested positive for GBS at 32 weeks pregnant. I had no knowledge at all about GBS until I found this page. I spoke with someone who gave me all of the information I could possibly have needed. I didn't know I was in labour initially, but after my contractions got very close together I made my way to the hospital where I was told I'd already got to 5cm dilated. I was terrified I wouldn't have time for antibiotics but managed to get one dose in. My little boy arrived quickly after I arrived and passed all newborn health checks with no further input needed. I cannot thank your team enough for the reassurance and knowledge that was passed on to me during my pregnancy. You made my birthing experience much more relaxed as I was informed and able to make decisions based on the potential risks that GBS has.
Laura Jane

Laura Jane is just one of the many families we support every day and you can read more stories here.

If you or someone you love has been affected by group B Strep and want to share your story, we'd love to hear from you. Telling your stories of how group B Strep has affected you is hugely powerful and highlights why awareness is so important. We hope you will share your stories and experiences with us this July. The more people that know about group B Strep, the better!

Donate

We don't receive any government funding so, without the support of people like you, we couldn't do what we do.

This July will you help us raise as much as possible, so that we can continue to improve awareness, drive change, support affected families, and advocate for improved testing and prevention.

No matter how big or small, you will make a real difference to babies' lives.

Fundraise for us

July is the perfect time to get social, enjoy the outdoors and support GBSS.

It will be our annual Big GBSS Bake Sale, where we invite you to host a bake sale and ask friends, family and/or coworkers to enjoy a slice of cake in exchange for a donation.

We are also running our new 100k My Way challenge, which is the perfect way to show your support by swimming, running, cycling or walking - or even a bit of everything - your way through July, covering approximately 3km a day. What's great is it's perfect for the whole family to join too!

Got a question?

If you have any questions, please contact the team on 0330 120 0795 or email admin@gbss.org.uk

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Group B Strep Awareness Month 2023 - Group B Strep Support

# data[].attributes.attachment_link.description
Knowing about group B Strep when you're pregnant or in the early weeks after birth can make a massive difference - most group B Strep infections in newborn babies can be prevented, and early treatment can and does save lives. So often, many families only hear about group B Strep AFTER their baby is seriously [...]

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St George's is currently the only UK neonatal unit that offers Neurally Adjusted Ventilatory Assist (NAVA) ventilation and noninvasive ventilation (NIV-NAVA) to all infants.

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Kings College Hospital NHS Foundation Trust OCM

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World and National Breastfeeding month occurs in August each year.

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World and National Breastfeeding month occurs in August each year.

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Great resources available online to support Comms.

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This week marks the eighth Black Breastfeeding Week in the US and the third here in the UK. I've been following social media posts and coverage about the week with interest.

I had a difficult time breastfeeding my daughter. Nine years on, my memories can still stir up strong feelings. Some of the challenges I faced were certainly down to my heritage. As a first-generation British Asian, I can personally vouch for the fact that breastfeeding and the influence of race can create a complicated, emotional narrative.

Breastfeeding and racial inequality

Breastfeeding rates across the UK are generally poor - eight out 10 women stop breastfeeding before they want to and only 1% are still exclusively breastfeeding at six months, as recommended by the World Health Organisation. With these stark statistics, you might be wondering why we need a black breastfeeding week. Low breastfeeding rates affect all ethnicities.

When it comes to race, however awkward or difficult, I believe it's important to ask questions, explore and debate. But what's more important is to listen to what we hear, engage and look at our own bias or behaviour.

US Black Breastfeeding Week was created to raise awareness about the racial disparity in breastfeeding rates among African American women. Why does it exist and how do we tackle it? London doula Ruth Dennison (pictured below) - the driving force behind the UK's Black Breastfeeding Week - believes many of the breastfeeding issues facing black women in the US resonate with black communities here.

Unique cultural barriers

We know that some breastfeeding challenges are universal - regardless of race. But Kimberly Seals Allers (pictured), one of the US Black Breastfeeding Week's creators and organisers, explains black women have unique cultural barriers and a complex history connected to breastfeeding.

She talks about wet nursing in the times of slavery when black women were forced to breastfeed and nurture slave-owners' children - often to the detriment of their own children.

"We have a different dialogue around breastfeeding and it needs special attention," she argues.

Dennison agrees with the impact of colonial times and believes that repercussions are felt in the UK too.

"There is a history of breastfeeding trauma, which has passed down through generations. This may still be hindering breastfeeding in the black community today."

Family support rather than skilled breastfeeding support

And there is a difference too it seems in the way that some black women access breastfeeding support. Dennison says there is evidence that suggests it's more common for black mothers to introduce their babies to alternatives in the early weeks and months due to culture influences, social pressures and lack of skilled breastfeeding support.

"Some black women tend not to seek breastfeeding education. They listen to their family elders, especially grandparents, as they're seen as the 'veterans' in parenting," she says.

This is not to underestimate the value of family networks and knowledge. Older family members gave me so much useful support and guidance. I was lucky to benefit from their front-line parenting experience. But breastfeeding myths and unhelpful suggestions also came my way.

Everyone has an opinion - not always based on fact - about why a baby might not be feeding enough/too much/too slowly/too quickly. That's when skilled breastfeeding support makes a huge difference.

My mum suggested various things that her family and friends had passed onto her about what I should do (take a bath) or eat (loads) to help with breastfeeding. But it was an NCT breastfeeding counsellor who helped me realise it was my daughter's latch that was affecting her feeding.

Lack of diversity in breastfeeding support

Black Breastfeeding Week also highlights racial disparities in breastfeeding support and advocacy. Sears notes that many breastfeeding professionals are white and while competent might not be culturally confident or sensitive to the particular needs of black women.

For her and her co-creators, Black Breastfeeding Week is "...a time to highlight, celebrate and showcase the breastfeeding champions in our community... And to make sure that breastfeeding leadership also reflects the same parity we seek among women who breastfeed."

Interestingly, the NCT breastfeeding counsellor that supported me nine years ago was Chinese. Did her ethnicity make a difference to how I felt about her? To some extent, yes. I felt more comfortable telling her about the advice I was getting from my family. I thought she would understand some of the cultural challenges I faced. But I also remember her kindness and calm expertise - traits that are not colour coded.

As parents, we face common highs and lows but some of our experiences will be influenced by our ethnicity. Those differences should be acknowledged, understood and respected - especially by those who offer us support on our parenting journey. I think that should be regardless of whether we see our faces and experiences reflected in theirs.

How is NCT tackling diversity?

We have a proud heritage of campaigning for social justice and driving positive change for pregnant women and new parents, but there is clearly much more to do to address persistent inequalities in outcomes.

At NCT, we have an important role to play in highlighting these inequalities and working with others to bring about better experiences and more equitable outcomes. We recognise that we have more to do to become an open, inclusive and diverse charity so we can support all parents, whatever their situation, background, ethnicity, community or needs.

We have been developing plans to improve, update and embed an approach to equality, diversity and inclusion throughout our work and practices. This includes:

A Board development programme to help the Board move forward positively in leading a truly inclusive charity and community.

Establishing a new NCT Diversity Network, to form a safe, trusted space and provide strong, ideas and input to shape our future inclusion initiatives.

Assessing the current culture of our charity, to help understand the actions required to develop a more inclusive workplace and community.

Setting equality, diversity and inclusion goals across our work, including our volunteer, education, delivery and practice communities, and developing a framework to measure progress.

Is breastfeeding really black and white?

Dennison admits that she has faced negative comments and criticism about connecting race issues with breastfeeding. Her view is clear.

"Black Breastfeeding Week is not a race war. We all know the world needs major improvements in breastfeeding rates. But when you work within the breastfeeding community and notice how badly specific challenges affect black women, it's only right that someone waves the red flag."

"Many people don't understand why we need Black Breastfeeding Week. It's important for families, breastfeeding practitioners and organisations to learn the reasons why. That's when we can help make a change, reduce infant mortality and improve health outcomes."

For me, Black Breastfeeding Week is thought provoking and positive. It's opened my eyes to the specific challenges facing black women. And it made me write this article to open up debate and dialogue. How about you?

Further information

Read more about Ruth Dennison and what's happening for Black Breastfeeding Week this year.

Find out more about US Black Breastfeeding Week.

We support all parents, however they feed their baby. If you have questions, concerns or need support, you can speak to a breastfeeding counsellor by calling our infant support line on 0300 330 0700. Breastfeeding counsellors have had extensive training, will listen without judging or criticising and will offer relevant information and suggestions.

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Is breastfeeding ever black and white? | Baby & toddler, Feeding articles & support | NCT

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For the UK's third Black Breastfeeding Week in 2020, Sanjima DeZoysa, NCT's then Parent Content and Social Media Manager, took a personal look at race and breastfeeding.

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https://open.spotify.com/episode/0vLgcJUamdwc0S8gMTj53Z?si=ya5pcvUgQY-rHWSFVdiFNw

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Listen to this episode from Preterm Birth Optimisation on Spotify. This episode will discuss the role that antenatal corticosteroids plays in preparing babies that will be born early. Lawrence Impey will be sharing his vast knowledge on this topic and will provide an update on some important changes in practice.

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https://open.spotify.com/episode/2xyplgaJklCmA6lslCeV1z?si=PjdfYmyhQWG8dGHNt2N0eQ

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Episode 3 - Magnesium sulphate and antibiotics

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Listen to this episode from Preterm Birth Optimisation on Spotify. Most NHS Trusts will now be efficient at ensuring there is appropriate use of magnesium sulphate and intravenous antibiotics in those experiencing preterm birth. Maria Zammit-Mangion, will be discussing some of the challenges faced with meeting the targets and how we can improve performance for the future.

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https://open.spotify.com/episode/74LdcHFV9gcptshbi3vCqZ?si=NJXfR0oHT9-xBN9N7uo5pg

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Listen to this episode from Preterm Birth Optimisation on Spotify. Optimal cord management is a powerful intervention that has huge benefits for preterm infants. Dr Eleri Adams and Anda Bowring will not only be discussing these benefits but the practical facilitation of delayed cord clamping too.

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https://open.spotify.com/episode/2dWbjB0rqRn6eNu3Z5f2dO?si=XIP80Uz7SayYPEK4R8A76Q

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Listen to this episode from Preterm Birth Optimisation on Spotify. Anda Bowring discusses thermoregulation in neonates. She shares her knowledge of the physiology and why maintaining a stable environment for preterm babies is vital to their ability to survive and thrive.

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https://open.spotify.com/episode/6CZGtNBBqjzPBr3AvKRV7t?si=VO_csdx_TkSJo--IiHa6sw

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Episode 6 - Breastmilk for preterm infants

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Listen to this episode from Preterm Birth Optimisation on Spotify. This episode looks at the importance of early breastmilk for preterm infants. Louise Weatherill, neonatal nurse, will be discussing the way their local project has enabled women to start preparation as early as possible in order to ensure feeding can start soon after admission.

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https://www.youtube.com/watch?v=04L1beTQBZA

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Webinar: Compassion and psychologically informed care

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Delivering on the Single delivery plan: The anatomy of compassion and robust psychologically informed care on the neonatal unit. The three year plan for maternity and neonatal services mentions 'compassion', listening to women and families and creating psychologically safe places for staff to work.

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Perinatal and Infant Mental Health,; supporting our families 

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Perinatal and Infant Mental Health,; supporting our families 

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HEE have recently released a free course on Perinatal and Infant Mental Health that will be key to support our understanding of neonatal families https://portal.e-lfh.org.uk/Catalogue/Index?HierarchyId=0_212_59288&programmeId=212

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Preterm Birth Optimisation: Episode 4 - Optimal Cord Management on Apple Podcasts

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‎Preterm Birth Optimisation: Episode 4 - Optimal Cord Management on Apple Podcasts

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‎Show Preterm Birth Optimisation, Ep Episode 4 - Optimal Cord Management - 23 Jan 2023

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Fetal Fibronectin In-Service (Webinar) - Hologic Education

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Fetal Fibronectin In-Service (Webinar) - Hologic Education

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This Fetal Fibronectin Testing in-service has been recorded to provide on-demand training for nurses, residents, and clinicians.

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Professional Resources - Rapid fFN (ffntest.com)

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FAQs, publications and additional resources regarding the Rapid fFN ® test.

Publications

Antenatal steroids

General fFN Studies

TVUS + fFN

Clinical Assessment

Standardization & cost savings

Twins

Test your knowledge

Think you know everything there is to know about fFN testing?
Take this quick 6 question true/false quiz and find out.

A negative fFN result is valid even if
she's had sex in the prior 24 hours.

AmniSure, ROM Plus®, and Actim PROM tests can be used instead of fFN testing.

Using fFN in addition to TVUS improves sPTB prediction by ~50% vs. TVUS alone.

~80% of patients will receive a
negative fFN test result.

The vast majority of symptomatic patients,
~80%, will receive a negative result.

~80% of patients will receive a
negative fFN test result.

The vast majority of symptomatic patients,
~80%, will receive a negative result.

fFN, Actim PROM, ROM Plus®, and
Amni Sure are different tests and can NOT be
used as substitutes.

Always collect an fFN sample before a digital exam.
Collection kits are free and you can always decide later to send the sample for testing, but you can't decide later to collect a sample.

fFN Testing ≠ ROM Testing

fFN testing detects fetal fibronectin, the "glue" that holds the baby to the mother, it is used to help assess the risk of preterm birth. ROM testing detects amniotic fluid in vaginal secretions. If amniotic fluid is present in vaginal secretions, there is a high probability of a ruptured fetal membrane. 1,2

fFN Testing ≠ ROM Testing

fFN testing detects fetal fibronectin, the "glue" that holds the baby to the mother, it is used to help assess the risk of preterm birth. ROM testing detects amniotic fluid in vaginal secretions. If amniotic fluid is present in vaginal secretions, there is a high probability of a ruptured fetal membrane. 1,2

Using fFN in addition to TVUS improves
sPTB prediction by ~50% vs. TVUS alone.

1 out of 4 patients with a cervical length (CL) measurement of <30mm will deliver <7 days.
However, when a patient with a <30mm CL also has a positive fFN result, her risk increases to ~1 out of 2. And if she has a <30mm CL and a negative fFN result, her risk drops to just ~1 out of 10.

Using fFN in addition to TVUS improves
sPTB prediction by ~50% vs. TVUS alone.

1 out of 4 patients with a cervical length (CL) measurement of <30mm will deliver <7 days.
However, when a patient with a <30mm CL also has a positive fFN result, her risk increases to ~1 out of 2. And if she has a <30mm CL and a negative fFN result, her risk drops to just ~1 out of 10.

Congratulations, you got 100%!

Very impressive. We can tell you
this is a rare accomplishment.

Share with a colleague to see if they know as much as you.

XX%! Not a perfect score,
but you learned something new!

You are in good company;
we rarely see anyone get 100%.

Share with a colleague to see if they know as much as you.

Ready to order specimen collection kits or brochures? Click here.

Frequently asked questions

What is Fetal Fibronectin?

Fetal fibronectin (fFN) acts as an adhesive glycoprotein at the maternal-fetal interface ¹ and is usually not detectable in vaginal secretions between 16-35 weeks. ⁶ Its premature presence in vaginal secretions is a biochemical indicator of preterm birth risk. fFN is the single common biochemical marker for all 4 mechanisms of preterm birth: activation of the maternal/fetal hypothalamic-pituitary-adrenal (HPA) axis, inflammation, decidual hemorrhage and pathological uterine distention. ⁷

Where is the Rapid fFN® test used?

In over 2,000 birthing hospitals across the United States. ²

Which patients can receive a Rapid fFN® test?

Patients presenting with signs or symptoms of preterm labor are eligible to receive a Rapid fFN ® test. ¹
These may include: ³

Contractions every 10 minutes or more often

Change in vaginal discharge (leaking fluid or bleeding from the vagina)

Pelvic pressure (the feeling that your baby is pushing downward)

Abdominal cramps with or without diarrhea

Low, dull backache

The Rapid fFN® test can be used on both symptomatic singleton and twin pregnancies.¹

When can the test be performed?

fFN testing is FDA approved in symptomatic patients between 24 ⁰ and 34 ⁶ weeks gestation. ¹ The FDA has also
approved fFN testing for asymptomatic patients at risk of preterm delivery between 22 ⁰ and 30 ⁶ weeks gestation. ¹

Why is the test performed?

To determine a woman's risk of preterm delivery in the next 7-14 days. ¹ Results can be useful when trying to determine whether to admit her to the hospital and when to administer antenatal corticosteroids.

How is the specimen collected?

The specimen must be collected prior to other vaginal exams, without gels or lubricants.¹

During speculum exam, lightly rotate swab across posterior fornix of vagina for 10 seconds to absorb cervicovaginal
secretions.¹

Remove swab and immerse polyester tip in buffer; break shaft at score even with top of tube.¹

Align the shaft with hole inside the tube cap and push down tightly over shaft, sealing tube; ensure shaft is aligned to avoid leakage. Write patient's name and other identifying information required on the specimen transport tube label.¹

What are contraindications for collecting/sending a specimen for an fFN test?

Dilation > 3 cm

Moderate or gross vaginal bleeding (spotting is OK)

Placental abruption or placenta previa

Rupture of membranes

If none of the above contraindications are present, it is appropriate to send the fFN sample to the lab according to instructions for use. ¹

Can I collect a specimen if the patient has had sex in the last 24 hours?

Yes. A negative fFN result is valid even if she's had sex in the 24 hours. Semen will not cause a false negative, but it can occasionally cause a false positive. So a positive result, in this situation, may not be valid and should be confirmed after 24 hours. ⁴

How are fFN results interpreted?

The Rapid fFN® test has an FDA-approved negative predictive value (NPV) of 99.2%, meaning that the patient has <1%
chance of delivery with a negative result in the next 14 days.¹

The Rapid fFN Test is the only FDA-approved test to assess the risk of preterm delivery that has both a 7 and 14-day indication.1,4

How many patients will receive a negative result?

The vast majority of patients, ~80%, will receive a negative result allowing you to focus on the 20% that really are at the highest risk. ¹

Can I use an AmniSure®, ROM Plus®, or Actim PROM® test instead of an fFN test to rule out imminent preterm birth?

No, these are different tests with different purposes. Patients can be in active preterm labor but not yet ruptured, so a negative ROM test result does not rule out imminent preterm birth.⁵

Leaking fFN can reveal her preterm birth risk long before her membranes actually rupture.

How long does it take to run the test?

Once the collected specimen arrives in the lab, it takes < 30 minutes for the TLiIQ® analyzer to produce an fFN test result.¹

The lab can likely provide a test result within 1 hour if the fFN sample is sent immediately (check with your
internal process).

How long is the specimen viable?

The specimen can be stored at room temperature for up to 8 hours before testing or kept refrigerated for up to 3 days before testing.¹

While an fFN sample is typically collected in L&D when a patient presents with symptoms of preterm birth, this lengthy period of viability also gives providers the flexibility to collect the fFN sample in the office prior to conducting a digital exam and then sending it with the patient to L&D.

What does an fFN test cost?

The cost of the Rapid fFN® test itself is covered by many insurance policies; however, costs to patients will vary depending on their individual insurance.

Remember to always collect an fFN specimen from each patient who presents with symptoms of preterm birth prior to doing a digital exam. If the specimen cannot be sent to the lab due to a contraindication identified later during the exam, there is NO CHARGE since the fFN collection swabs are free.

Package inserts and IFUs

To view the instructions for use, click the link below.
PACKAGE INSERTS & IFUs

Assess preterm birth risk with the Rapid fFN test

Contact us for more information about Rapid fFN ®.

Assess preterm birth risk with the Rapid fFN test

Contact us for more information about Rapid fFN ® test.

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FAQs, publications and additional resources regarding the Rapid fFN test.

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Neohelp™ | Neonatal heat regulation suit | Vygon (UK) Ltd roughly £10 per bag, purchased in bundles of ten.

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Neohelp™ | Neonatal heat regulation suit | Vygon (UK) Ltd

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Microsite® 2Fr introducer kit

Neonatal Catheters, Introducers and Cannulas

Premicath®

Neonatal Catheters, Introducers and Cannulas

Nutriline®

Neonatal Catheters, Introducers and Cannulas

Nutriline® Twinflo

Neonatal Catheters, Introducers and Cannulas

Umbilical Catheters

Umbilical Catheter

New Patient Resources from our Partners at Avanos

Our partners at Avanos have recently launched tubefed.co.uk - a dedicated website platform that offers a comprehensive guide to tube feeding. ...

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Using the LISA Technique for Reducing Neonatal Intensive Care

Utilising the LISA Technique in a local neonatal unit, for reducing neonatal intensive care January 2022 Introducing the LISA technique ...

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Increasing delayed cord clamping in c-section births

Our Neohelp™ heat loss prevention suit supports neonatologists perform more delayed cord clamping in c-section births by keeping neonates at ...

Read More

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Neohelp™ | Neonatal heat regulation suit | Vygon (UK) Ltd

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Neohelp™ is a sterile thermal heat regulation suit for neonatal, premature, and low birth weight babies to help prevent heat loss.

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Optimising cord management - YouTube
Kindly shared by Otilia Popescu at Tyneside and Sunderland Hospital

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Life start trolley_E_LearningModule (screencast.com)

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Free online storage and sharing with Screencast.com. 2 GB of storage and 2 GB of bandwidth per month for free. We won't compress, alter or take ownership of your content.

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https://hubble-live-assets.s3.amazonaws.com/bapm/file_asset/file/1898/Trauma_Informed_Approach_to_Repatriation_-_Davy_Evans.pdf

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https://www.youtube.com/watch?v=21wupvdt82M

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Safe and Effective Repatriation - a new framework

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Introducing the new BAPM Framework on the Safe and Effective Repatriation of Infants to Care Locations Closer to Home after Specialist Care. The webinar covers how we can develop a shared understanding of the benefits of effective repatriation following a period of neonatal specialist and/or intensive care and recommendations on placing the family at the centre of the process to enhance their outcomes and experience.

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BAPM framework for Safe Repatriation of Infants

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BAPM framework for Safe Repatriation of Infants

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Safe and Effective Repatriation of Infants | British Association of Perinatal Medicine (bapm.org)

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British Association of Perinatal Medicine

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This Framework intends to promote a shared understanding of the benefits of safe and effective repatriation following a period of neonatal specialist and/or intensive care. It aims to place infant and family at the centre of the process to enhance family centred/integrated care, thus ensuring better outcomes and experience for infants and their families.

Safe, high quality, family centred care at an appropriate location closer to home is a vital aspect of neonatal care.

This document intends to provide guidance to health care professionals pertinent to repatriation of infants to a neonatal unit closer to home for ongoing care. It does not cover escalation of care for clinical reasons.

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Safe and Effective Repatriation of Infants

# data[].attributes.attachment_link.description
This Framework intends to promote a shared understanding of the benefits of safe and effective repatriation following a period of neonatal specialist and/or intensive care. It aims to place infant and family at the centre of the process to enhance family centred/integrated care, thus ensuring better outcomes and experience for infants and their families.

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WHO Global Position Paper and Implementation Strategy on kangaroo mother care call for fundamental reorganisation of maternalÃ¢â‚¬â€œinfant care (thelancet.com)

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WHO Global Position Paper and Implementation Strategy on kangaroo mother care call for fundamental reorganisation of maternalÃ¢â‚¬â€œinfant care (thelancet.com)

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https://hubble-live-assets.s3.amazonaws.com/bapm/file_asset/file/1857/Tracey_Kay_slides_-_Optimal_Cord_Management.pdf

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https://hubble-live-assets.s3.amazonaws.com/bapm/file_asset/file/1856/Steph_Cannell_slides_-_Early_maternal_EBM.pdf

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https://hubble-live-assets.s3.amazonaws.com/bapm/file_asset/file/1855/Noshin_Menzies_slides_-_PERIPrem_Resources_Coaching_-_FINAL.pdf

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PP slides of work shared on transfer project.

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PP slides of work shared on transfer project.

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Oxfords MatNeoSip presentation sharing the excellent work they have achieved on Corticosteroids.

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Oxfords MatNeoSip presentation sharing the excellent work they have achieved on Corticosteroids.

# data[].attributes.body
https://hubble-live-assets.s3.amazonaws.com/bapm/file_asset/file/1853/Eileen_Dudley_slides_-_Antenatal_Corticosteroids_QIP_Oxford_AHSN_MatNeoSIP.pdf

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Improving outcomes for preterm infants. BAPM webinar shared on Youu Tube for non members

# data[].attributes.subject
Improving outcomes for preterm infants. BAPM webinar shared on Youu Tube for non members

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Improving outcomes for preterm infants across UK - YouTube
https://hubble-live-assets.s3.amazonaws.com/bapm/file_asset/file/1852/Sarah_Bates_slides_-_Optimisation.pdf

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Improving outcomes for preterm infants across UK

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Antenatal Optimisation Toolkit | British Association of Perinatal Medicine (bapm.org)

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British Association of Perinatal Medicine

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The focus of this toolkit is to support implementation of the key elements of Antenatal Optimisation (AO). The toolkit provides an implementation strategy for units and networks who wish to improve compliance with key evidence-based AO interventions to improve preterm outcomes.

All women who are at risk of preterm birth (including both those in threatened preterm labour and those requiring intervention because of maternal or fetal indications), are identified appropriately and in a timely manner using evidence-based methods.

All women giving birth before 34 weeks of gestation, should receive a full course of antenatal steroids no longer than 7 days prior to birth, and ideally completed 24-48 hours before birth.

All women giving birth before 30 weeks of gestation, should receive a loading dose and ideally a minimum of 4 hour infusion of antenatal magnesium sulphate within the 24 hours prior to birth.

All women in established preterm labour (<37 weeks) should receive intrapartum antibiotic prophylaxis to prevent early onset neonatal Group B Streptococcal (GBS) infection irrespective of whether they have ruptured amniotic membranes.

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).

This improvement activity referred to in this toolkit is not intended to be read as a guideline which mandates a standard improvement journey for all units. 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.
Full Toolkit (PDF) Aims, Evidence and Rationale (PDF) Your Improvement Journey (PDF) Case Reporting Tool (word) Education Slides (powerpoint) Antenatal Optimisation Publications Webinar: Introducing the AO Toolkit (video)
16/2/21 The Full Toolkit and Aims, Evidence and Rationale have been updated to correct an error. In the diagram 'Antenatal Optimisation to Improve Preterm Outcomes- the rationale' the text now says '1 fewer baby with infection for 10 GBS+ women treated in PTL.' The previous version said '9 GBS+ women'.

If you have any feedback about this publication please do contact us.

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The focus of this toolkit is to support implementation of the key elements of Antenatal Optimisation (AO). The toolkit provides an implementation strategy for units and networks who wish to improve compliance with key evidence-based AO interventions to improve preterm outcomes.

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https://www.bapm.org/resources/304-bapm-webinar-optimising-early-maternal-breast-milk-for-preterm-infants

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British Association of Perinatal Medicine

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This webinar was held on the 7th December to support the launch of BAPM's Maternal Breast Milk Toolkit.

The Science behind MBM for preterm babies - click here to view the full presentation
Minesh Khashu, Consultant Neonatologist & Professor of Perinatal Health, University Hospitals Dorset
Slidepack
Introduction to the MBM Toolkit
Sarah Bates, Chair of MBM Toolkit group, BAPM LNU & SCU Representative, PERIPrem Operational Lead & Neonatal Consultant, Great Western Hospital, Swindon

The science behind MBM for preterm babies
Minesh Khashu, Consultant Neonatologist & Professor of Perinatal Health, University Hospitals Dorset

The role of Family Care in MBM optimisation
Aniko Deierl, Consultant Neonatologist, Imperial College Healthcare NHS Trust

Working Together to optimise MBM - the AHP perspective
Sara Clarke, Senior Specialist Neonatal Network Dietitian, West Midlands Neonatal ODN

Global & national drivers - UNICEF BFI
Karen Read, Professional Lead for Neonatal Baby Friendly Initiative
Download the Maternal Breast Milk Toolkit

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BAPM Webinar: Optimising Early Maternal Breast Milk for Preterm Infants

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https://www.bapm.org/resources/340-qi-publications-optimal-cord-management-edition

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British Association of Perinatal Medicine

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Publications Review - Optimal Cord Management Edition, January 2021

This document provides short summaries of the key evidence in this area and can be used to persuade your team of the rationale.

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QI publications - Optimal Cord Management Edition

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Publications Review - Optimal Cord Management Edition, January 2021 This document provides short summaries of the key evidence in this area and can be used to persuade your team of the rationale.

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https://www.bapm.org/resources/deterioration-of-the-newborn-newtt-2-a-framework-for-practice

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British Association of Perinatal Medicine

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Framework: NEWTT 2 - Deterioration of the Newborn

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Toolkit for Building Successful Perinatal Teams

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Toolkit for Building Successful Perinatal Teams

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https://www.bapm.org/resources/building-successful-perinatal-teams-doc

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British Association of Perinatal Medicine

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Perinatal optimisation refers to The BAPM 'Perinatal Optimisation Care Pathway' and is the process of reliably delivering evidence-based interventions in the antenatal, intrapartum and neonatal period to improve preterm outcomes.

Reliable delivery of the this Pathway depends on a strong teamworking culture, high quality communication habits and pursuit of common goals within perinatal teams, undertaken within a favourable quality context where the structure and processes support an optimal environment for delivering quality improvement.

This 'Building Successful Perinatal Optimisation Teams' Toolkit will enable perinatal teams to assess their quality context, team interactions, functioning and ways of working and to use this assessment to provide intelligence about culture and readiness for change.
Join the Building Successful Perinatal Optimisation Teams Webinar.

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Building Successful Perinatal Optimisation Teams

# data[].attributes.attachment_link.description
Perinatal optimisation refers to The BAPM 'Perinatal Optimisation Care Pathway' and is the process of reliably delivering evidence-based interventions in the antenatal, intrapartum and neonatal period to improve preterm outcomes.

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https://www.bapm.org/resources/webinar-building-successful-perinatal-teams-to-improve-perinatal-optimisation

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British Association of Perinatal Medicine

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Webinar: Building Successful Perinatal Teams to Improve Perinatal Optimisation

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British Association of Perinatal Medicine (BAPM) is registered in England & Wales under charity number 1199712 at 5-11 Theobalds Road, London, WC1X 8SH.

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Recommendations | Specialist neonatal respiratory care for babies born preterm | Guidance | NICE

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1.1.1 Be aware that the risk factors for bronchopulmonary dysplasia (BPD) include those in table 1. Note that the risk factors 'treated with surfactant' and 'treated for a patent ductus arteriosus (PDA)' are likely to reflect the severity of the baby's condition. Surfactant should be used, and a PDA should be treated, where clinically appropriate.

The risk factors in table 1 (below) have been identified in large prospective cohort studies, but other gestational ages and other risk factors not listed here might also be associated with an increased risk of bronchopulmonary dysplasia.

In babies born before 32 weeks

Lower gestational age

Lower birthweight

Small for gestational age

Core body temperature of less than 35°C on admission to neonatal unit

Invasive ventilation begun within 24 hours of birth

Clinical sepsis with or without positive blood cultures

Feeding with formula milk (exclusively or in addition to breast milk)

Treated with surfactant

Treated for a patent ductus arteriosus (PDA)

The risk factors of being treated with surfactant and treated for a PDA are likely to reflect the severity of the baby's condition. Surfactant should be used, and a PDA should be treated, where clinically appropriate.

In babies born before 30 weeks

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Specialist neonatal respiratory care for babies born preterm

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1.1.1 Be aware that the risk factors for bronchopulmonary dysplasia (BPD) include those in table 1. Note that the risk factors 'treated with surfactant' and 'treated for a patent ductus arteriosus (PDA)' are likely to reflect the severity of the baby's condition. Surfactant should be used, and a PDA should be treated, where clinically appropriate.