Perinatal Management of Extreme Preterm Birth Before 27 weeks of Gestation (2019)
A BAPM Framework for Practice
PLEASE NOTE - This framework has now been revised. You can see the latest version here.
The infographic below contains out of date data and should not be used. The infographics supporting this framework are not suitable to be used as parent leaflets. Updated infographics with more up to date data are available for professional use only and are contained within the 2026 framework.
The purpose of this Framework for Practice is to assist decision-making relating to perinatal care and preterm delivery at 26 weeks and 6 days of gestation or less in the United Kingdom.
This framework was developed in collaboration with Bliss, BMFMS, MBRRACE-UK, the NNA, RCOG, RCPCH and Sands.
BMJ Podcast
A discussion of the BAPM framework for practice on management of babies <27 weeks' gestation, the editorial and viewpoint published in the May edition of the journal. ADC Fetal and Neonatal’s Associate Editor Jonathan Davis talks to Dr Helen Mactier, Consultant Neonatologist and President British Association of Perinatal Medicine; Dr Annie Janvier, Pediatrics and Clinical Ethics, University of Montreal, Canada; and Dr Dominic Wilkinson, Oxford Uehiro Centre for Practical Ethics, University of Oxford, UK.
Perinatal Management of Extreme Preterm Birth - A Framework for Practice
Extreme Preterm Birth Infographic 2019 (Colour)
Extreme Preterm Birth Infographic 2019 (Black and White)
Consultation Responses
