The unplanned birth of an extremely preterm baby in an out of hospital setting is a challenging situation, even for experienced paramedics and ambulance clinicians.

Acknowledging the limitation of skills and equipment available, this consensus document offers a pragmatic approach to the management of unexpected extreme preterm birth in an out of hospital setting. 

A draft document was written by a Working Group co-ordinated by the British Association of Perinatal Medicine and comprising experienced paramedic, midwifery and neonatal practitioners with expertise in pre-hospital care, emergency maternity care and resuscitation of the newborn; this draft was extensively revised following wide consultation. 

Following feedback from our paramedic colleagues, and to avoid any confusion, the follow amendment has been made: 

DatePageChanges made
26/5/202211“Baby crying - no respiratory support required” changed to “Baby crying vigorously/making good breathing efforts - no respiratory support required.”
BAPM Framework: Pre-hospital management of the baby born at extreme preterm gestation
Visual Summary: Pre-hospital management

Webinar: Caring for babies and families following extremely preterm birth

This webinar will provide an introduction to the new framework ‘Pre-hospital management of the baby born at extreme preterm gestation’ and discuss how paramedic and neonatal teams can work together to ensure a smooth transition to hospital care for both baby and mother.

Register here

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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