The BAPM working group was convened to produce a Framework for Practice on the provision of neonatal parenteral nutrition (PN) relevant to all persons involved in care of the newborn in the United Kingdom (UK), including commissioners and neonatal networks.
As few as one quarter of neonates receive optimal care in regard to management of PN. Variation in practice, particularly for extremely low birth weight (ELBW) babies, has been highlighted and recommendations made that consensus in best PN neonatal practice be sought and minimum standards required to deliver neonatal PN defined.
Following consultation with a wide variety of specialist healthcare professionals working in neonatal care, this Framework for Practice aims to describe best practice for the administration of neonatal PN within the current system of organisation of neonatal care in the UK. We have identified those babies for whom PN should be the standard of care and how this should be achieved.