This BAPM Framework for Practice provides guidance on therapeutic hypothermia for neonatal encephalopathy. The framework covers case selection, parent / carer communication, recommendations for infants who fall outside of current criteria, investigations, network and transport implications, nursing care, prognostication, reorientation of care, follow-up, governance and future research.


1. Magnetic Resonance Imaging and Spectroscopy
2. General care
3. Neurological examination

BAPM Frameworks for Practice

A BAPM Framework for Practice is a practical guidance document for an aspect of neonatal practice. It will be evidence based wherever possible but if evidence is not available then recommendations may be based on a professional consensus view. A framework for practice is intended as an overarching document that can be used by local units and/or networks to produce their own guidelines. 

Useful links:

Peeps HIE Charity

Peeps provides support to parents, families & friends of those affected by HIE (Hypoxic-Ischaemic Encephalopathy) and works to raise awareness of HIE.


“CoolCuddle” is a technique developed by researchers and nurses in Bristol to enable parents cuddle their babies safely during therapeutic hypothermia and intensive care. “CoolCuddle” has been investigated in 8 level 3 NICUs across England and shown to improve parent-infant bonding and does not have a clinically significant impact on the cooling process or intensive care. The instruction videos and the standard operating procedure will help to train nurses to implement the CoolCuddle in the NICUs and inform parents about the CoolCuddle. This project was funded by NIHR rfPB.

Staff training for CoolCuddle

Parent video of CoolCuddle

Therapeutic Hypothermia for Neonatal Encephalopathy - a Framework for Practice
Therapeutic Hypothermia for Neonatal Encephalopathy - Consultation Responses
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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