Pre-hospital management of the baby born at extreme preterm gestation
A BAPM Framework for Practice
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:
| Date | Page | Changes made |
| 26/5/2022 | 11 | “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.
