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Small and Sick

Small and Sick

WHO-UNICEF Expert and Country Consultation on Small and/or Sick Newborn Care Group

(2023) WHO-UNICEF Expert and Country Consultation on Small and/or Sick Newborn Care

Group. A comprehensive model for scaling up care for small and/or sick newborns at district

level–based on country experiences presented at a WHO-UNICEF expert consulta- tion. J Glob

Health 2023;11:03023 (Open Access)

 

Access Guideline - https://jogh.org/wp-content/uploads/2023/04/jogh-13-03023.pdf

British Association of Perinatal Medicine (2019). Improving Normothermia in Very Preterm

Infants. A quality Improvement Toolkit.

Access Guideline - https://www.londonneonatalnetwork.org.uk/wp-content/uploads/2015/09/Toolkit-2009.pdf

British Association of Perinatal Medicine (BAPM) (2021) - Advanced Neonatal Nurse Practitioner

Capabilities Framework

 

Access Guideline - https://www.bapm.org/resources/300-advanced-neonatal-nurse-practitioner-capabilities-framework

British Association of Perinatal Medicine BAPM - Identification and Management of Neonatal

Hypoglycaemia in the Full Term Infant (Birth – 72 hours)

 

Access Guidelines - https://www.bapm.org/resources/identification-and-management-of-neonatal-hypoglycaemia-in-the-full-term-infant-birth-72-hours

Resuscitation Council UK - Newborn resuscitation and support of transition of infants at birth Guidelines

 

Access Guideline - https://www.resus.org.uk/library/2021-resuscitation-guidelines/newborn-resuscitation-and-support-transition-infants-birth

The Royal Hospital for Women: Hypoglycemia – Monitoring and Management of High

Risk Neonates.

Access Guideline - https://www.seslhd.health.nsw.gov.au/sites/default/files/documents/Hypoglycaemianeonate_0.pdf

NHS: Care of the Newborn Hypglycaemia Retrieved from:

 

https://www.bsuh.nhs.uk/wp-content/uploads/sites/5/2016/09/Hypoglycaemia-2012.pdf

India: Neonatal Hypoglycemia Treatment Guidelines (2022)

 

Access Guideline - https://iapindia.org/pdf/X9ceMoHV2pAF6UR_STG-NEONATAL-HYPOGLYCEMIA.pdf

USA Brigham and womens.org. Neonatal Glucose Assessment and Clinical Management.

Access Guideline - https://www.brighamandwomens.org/assets/bwh/pediatric-newborn-medicine/pdfs/dpnm-hypoglycemia-revised-12-19-16.pdf

Royal Children’s Hospital Melbourne. Nursing Standards.

 

Access Guideline - https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Nursing_Assessment/

Sweden. Neurodevelopmental guidelines

 

Access Guideline - https://cdnlinks.lww.com/permalink/mcn/a/mcn_43_2_2017_12_18_lockeridge_0040_sdc01.pdf

BMJ Mapping of NICU developmental care nursing interventions.

 

Access Guideline - https://bmjopen.bmj.com/content/bmjopen/12/1/e046807.full.pdf

Sidney Children’s Hospital Network. Developmentally Supportive Care for Newborn Infants Practice Guideline.

 

Access Guideline - https://www.schn.health.nsw.gov.au/_policies/pdf/2006-0027.pdf

Critical Care Medicine. Guidelines for Family-Centered Care in the Neonatal, Pediatric and Adult ICU.

 

Access Guideline - https://journals.lww.com/ccmjournal/Fulltext/2017/01000/Guidelines_for_Family_Centered_Care_in_the.12.aspx

UK. Guideline for Family-Centered Care in the Neonatal, Pediatric and Adult Intensive Care Unit.

 

Access Guideline - https://pearl.plymouth.ac.uk/bitstream/handle/10026.1/13043/PEARL%202017%20Davidson%20J%20et%20al.%20FCC%20Guidelines.pdf?sequence=1

Royal Children’s Hospital Melbourne. Neonatal and infant skin care.

 

Access Guideline - https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Neonatal___infant_skin_care/

Canadian Pediatric Society. Discharge Planning of the preterm infant.

Access Guideline - https://cps.ca/en/documents/position/discharge-planning-of-the-preterm-infant

Scottish Neonatal Discharge Planning and Follow-Up Framework.

 

Access Guideline - https://www.perinatalnetwork.scot/neonatal/neonatal-discharge/

The Royal Children Hospital Melbourne Neonatal intravenous fluids.

 

Access Guideline - https://www.rch.org.au/clinicalguide/guideline_index/Neonatal_intravenous_fluids/

University of Iowa. Fluid management: NICU Handbook.

 

Access Guideline - https://uihc.org/childrens/educational-resources/fluid-management-nicu-handbook

Canada. Neonatal Transport.

Access Guideline - https://medicine.usask.ca/documents/cme/NeonatalTransportGuidelines.pdf

Every Premie. Safe Oxygen Recommendations.

 

Access Guideline - https://www.everypreemie.org/wp-content/uploads/2019/09/SafeOxygen_english_7.6.17.pdf

Royal Children’s Hospital Melbourne. Oxygen Delivery.

Access Guideline - https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Oxygen_delivery/

NHS Ashford and St. Peter’s Hospital. Neonatal intensive Care Unit Clinical Guideline Oxygen.

 

Access Guideline - https://www.ashfordstpeters.net/Guidelines_Neonatal/Oxygen%20Guideline%20June%202015.pdf

Joint United Kingdom Blood Transfusion and Tissue Transplantation Service.

 

Access Guideline - https://www.transfusionguidelines.org/transfusion-handbook/10-effective-transfusion-in-paediatric-practice/10-2-neonatal-transfusion

AAP. Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More weeks of Gestation.

 

Access Guideline - https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-

AAP. Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More weeks of Gestation.

 

Access Guideline - https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of

NHS Northern Devon Healthcare. Exchange Transfusion Guideline for Neonates.

Access Guideline - https://www.northdevonhealth.nhs.uk/wp-content/uploads/2018/10/Exchange-Transfusion-Guideline-for-Neonates.pdf

British Association of Perinatal Medicine (BAPM) (2021) - Advanced Neonatal Nurse Practitioner Capabilities Framework

 

Access Guideline - https://www.bapm.org/resources/300-advanced-neonatal-nurse-practitioner-capabilities-framework

British Association of Perinatal Medicine BAPM - Identification and Management of Neonatal Hypoglycaemia in the Full Term Infant (Birth – 72 hours)

Access Guideline - https://www.bapm.org/resources/identification-and-management-of-neonatal-hypoglycaemia-in-the-full-term-infant-birth-72-hours

Resuscitation Council UK - Newborn resuscitation and support of transition of infants at birth Guidelines

 

Access Guideline - https://www.resus.org.uk/library/2021-resuscitation-guidelines/newborn-resuscitation-and-support-transition-infants-birth

Workforce

Workforce

NHS (2015). Toolkit for High-Quality Neonatal Services.

Access Guideline - https://www.londonneonatalnetwork.org.uk/wp-content/uploads/2015/09/Toolkit-2009.pdf

Faculty Guidelines Institute: Recommended NICU Standards.

 

Access Guideline - https://fgiguidelines.org/wp-content/uploads/2020/08/Recommended-NICU-Standards_2020-08-31.pdf

KMC

KMC

American Academy of Pediatrics. Immediate Kangaroo Mother Care (iKMC) series.

 

Access Guideline - https://www.aap.org/en/aap-global/immediate-kangaroo-mother-care-ikmc/

World Health Organization (2023). Kangaroo mother care-Implementation strategy for scale-up

adaptable to different country context.

 

Access Guideline - https://www.who.int/publications/i/item/9789240071636

Kwazula Natal, South Africa (2021). KMC daily discharge scoring sheet.

Access Guideline - http://www.kznhealth.gov.za/neonates/records/KMC%20score%20sheet.pdf

Kwazula Nata, South Africa (2021). KMC Follow Up.

 

Access Guideline - http://www.kznhealth.gov.za/neonates/records/KMC%20Follow%20Up.pdf

Kwazula Nata, South Africa (2021). KMC Unit Audit.

Access Guideline - http://www.kznhealth.gov.za/neonates/ess-pack/KMC%20audit%20(Tool%209).pdf

Neonatal Feeding

Neonatal Feeding

Barlow, S. M., Poore, M. A., Zimmerman, E. A., Finan, D. S. (2010) Feeding Skills in the Preterm Infant.

 

Access Article - https://leader.pubs.asha.org/doi/10.1044/leader.FTR3.15072010.22

Kwazula Nata, South Africa (2021). Preterm oral feeding trasition checklist.

Access Guideline - http://www.kznhealth.gov.za/neonates/records/Oral%20feeding%20transitionchecklist%202.pdf

British Association of Perinatal Medicine (2020). Optimising Early Maternal Breast Milk for

Preterm Infants. A quality Improvement toolkit.

 

Access Guideline - https://www.londonneonatalnetwork.org.uk/wp-content/uploads/2015/09/Toolkit-2009.pdf

EFCNI (2023). Toolkit for establishing and organizing human milk banks.

Access Guideline - https://www.efcni.org/wp-content/uploads/2023/04/EFCNI_Toolkit_Human_Milkbank_en_web.pdf

IFCDC-Recommendations for Best Practice for Feeding, Eating and Nutrition Delivery.

Access Guideline - https://nicudesign.nd.edu/nicu-care-standards/ifcdc--recommendations-for-best-practices-for-feeding-eating-and-nutrition-delivery/

University of Iowa. Feeding.

 

Access Guideline - https://uihc.org/childrens/educational-resources/feeding-nicu-handbook

NHS. Risk Stratified approach to enteral feeding on NICU

 

Access Guideline - https://ashfordstpeters.net/Guidelines_Neonatal/Risk%20Stratified%20Approach%20to%20Enteral%20Feeding%20Mar%202023.pdf

Other Guidelines

Other Guidelines
World Health Organisation

Essential Newborn Care (WHO)

High-quality universal newborn health care is the right of every newborn everywhere.

Babies have the right to be protected from injury and infection, to breathe normally, to be warm and to be fed. All newborns should have access to essential newborn care, which is the critical care for all babies in the first days after birth. Essential newborn care involves immediate care at the time of birth, and essential care during the entire newborn period. It is needed both in the health facility and at home.

 

https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/newborn-health/essential-newborn-care

World Health Organisation

WHO Human Resource Strategies To Improve Newborn Care in Health Facilities in Low and Middle-Income Countries

Every year, an estimated 15 million babies are born preterm – before 37 weeks of pregnancy. That is more than 1 in 10 live births. Approximately 1 million children die each year worldwide due to complications from their early birth. Those that survive often face a lifetime of ill-health including disability, learning difficulties, and visual and hearing problems. Half of the babies born at or below 32 weeks (2 months early) die in low-income settings, due to a lack of feasible, cost-effective care, such as warmth, breastfeeding support, and basic care for infections and breathing difficulties. In high-income countries, almost all these babies survive. Today, (November 2020) on World Prematurity Day, WHO launched a new Roadmap on human resource strategies to improve newborn care in health facilities in low- and middle-income countries, aimed at improving quality of care for newborns, including small and sick babies, and supporting countries to achieve the SDG target to reduce neonatal mortality to less than 12 per 1000 live births by 2030.

 

https://www.who.int/news/item/17-11-2020-who-launches-new-roadmap-on-human-resource-strategies-to-ensure-that-all-newborns-survive-and-thrive

World Health Organisation

WHO Recommendations for Care of the Preterm or Low-Birth-Weight Infant

The recommendations in this guideline are intended to inform development of national and subnational health policies, clinical protocols and programmatic guides. The target audience includes national and subnational public health policy-makers, implementers and managers of maternal, newborn and child health programmes, health-care facility managers, supervisors/instructors for in-service training, health workers (including midwives, auxiliary nurse-midwives, nurses, paediatricians, neonatologists, general medical practitioners and community health workers), nongovernmental organizations, professional societies involved in the planning and management of maternal, newborn and child health services, academic staff involved in research and in the pre-service education and training of health workers, and those involved in the education of parents.

 

https://www.who.int/publications/i/item/9789240058262

Global alliance for newborn care

Zero Separation Statements

This campaign is supported by more than 140 national and international parent- and patient organisations, international healthcare professionals and medical societies including the World Health Organization (WHO). Download their statement for your communication to advocate a zero separation policy in neonatal care.

 

https://www.glance-network.org/zero-separation-statements/

Unicef

Ending Preventable Newborn Deaths and Stillbirths By 2030 (UNICEF)

UNICEF is committed to providing affordable, high-quality health care to mothers and newborns

before, during, and after pregnancy. To achieve this goal, UNICEF and partners have adopted

the Every Newborn Action Plan, which provides a roadmap for reducing newborn mortality and

stillbirths and improving maternal and newborn health by 2030. The updated targets and

milestones for 2020-2025 include ensuring that every pregnant woman has four or more

antenatal care contacts, every birth is attended by skilled health personnel, every woman and

newborn receives early routine postnatal care within two days, and every small and sick

newborn receives care. UNICEF is supporting countries in implementing these

recommendations and reaching these goals by providing essential packages of high-quality

maternal and newborn services, such as home visits, small and sick newborn care, and

kangaroo care. Four indicators have been identified to track progress towards these goals:

antenatal care, births attended by skilled health personnel, postnatal care within two days, and

care for small and sick newborns. Currently, data on these indicators are derived from

population-based household surveys, but efforts are underway to strengthen routine health

information systems to capture this information rapidly at the subnational level.

 

https://data.unicef.org/resources/ending-preventable-newborn-deaths-and-stillbirths-by-2030/

British association of perinatal medicine

British Association of Perinatal Medicine (BAPM) (2021) 

Advanced Neonatal Nurse Practitioner Capabilities Framework

The purpose of this framework is to give a career pathway to ANNPs working in any level or unit or within the transport setting. This model makes clear how ANNPs can progress outside the limitations of the clinical rota by setting out a variety of career development pathways using the four pillars of advanced practice: clinical practice, leadership and management, education and research.

 

The framework sets out the capabilities expected under each of these pillars at the level of ANNP, Senior ANNP and Consultant Nurse.

 

https://www.bapm.org/resources/300-advanced-neonatal-nurse-practitioner-capabilities-framework

British association of perinatal medicine

British Association of Perinatal Medicine BAPM 

Identification and Management of Neonatal Hypoglycaemia in the Full Term Infant (Birth – 72 hours)

Hypoglycaemia is a leading cause of term admission to neonatal units. In 2016 NHS Improvement and BAPM convened a working group to develop a Framework for Practice to address variation in practices in the definition of hypoglycaemia, the identification, management and admission thresholds of babies admitted to neonatal units for hypoglycaemia, and to promote safer practices that avoid unnecessary separation of mother and baby.

 

This update of the Framework is to ensure alignment of recommended clinical practice with the most up-to-date scientific evidence. 

 

This document is aimed at all healthcare professionals involved in the care of infants born at term during the first 48 - 72 hours after birth.

The framework should be delivered in partnership with parents.

 

We welcome your comments on the update of this Framework for Practice.

 

https://www.bapm.org/resources/identification-and-management-of-neonatal-hypoglycaemia-in-the-full-term-infant-birth-72-hours

Resuscitation Council UK 

Newborn resuscitation and support of transition of infants at birth Guidelines

Authors

Joe Fawke, Jonathan Wyllie, John Madar, Sean Ainsworth, Robert Tinnion, Rachel Chittick, Nicola Wenlock, Jonathan Cusack,

Victoria Monnelly, Andrew Lockey, Sue Hampshire, Published May 2021.

 

https://www.bapm.org/resources/300-advanced-neonatal-nurse-practitioner-capabilities-framework

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