Abstract
Medical and nursing care for the newborn is organized differently in different health systems. Whereas general support in terms of screening and routine care is provided for a large number of babies in a maternity setting, in comparison neonatal intensive care for sick and immature babies is a low throughput but high cost service. Increasing medical costs and difficulty in staffing intensive care services make it important to evaluate the organization of neonatal care, and new data on the relationship between throughput and outcome are driving centralization of care for the smallest and sickest children. In this chapter, the elements of service organization are described.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
BLISS the premature baby charity (2005) Special care for sick babies-choice or chance? BLISS, London
BLISS the premature baby charity (2009) The Bliss baby charter standards. BLISS, London
British Association of Perinatal Medicine (1997) The BAPM neonatal dataset for the annual reporting of data by neonatal intensive care units. BAPM, London
British Association of Perinatal Medicine (2001) Standards for hospitals providing intensive and high dependency care. BAPM, London
British Association of Perinatal Medicine (2008) Report of a BAPM/RCPCH working group: health status at two years as a perinatal outcome. BAPM, London
Department of Health (2009) Toolkit for high quality neonatal services. Department of Health, London
Field D, Draper ES (1999) Survival and place of delivery following preterm birth: 1994–96. Arch Dis Child Fetal Neonatal Ed 80:F111–F114
Goodman DC, Fisher ES, Little GA et al (2002) The relation between the availability of neonatal intensive care and neonatal mortality. N Engl J Med 346:1538–1544
Hall D, Wilkinson AR (2005) Quality of care by neonatal nurse practitioners: a review of the Ashington experiment. Arch Dis Child Fetal Neonatal Ed 90:F195–F200
Hamilton KE, Redshaw ME, Tarnow-Mordi W et al (2007) Nurse staffing in relation to risk-adjusted mortality in neonatal care. Arch Dis Child Fetal Neonatal Ed 92:F99–F103
Lasswell SM, Barfield WD, Rochat RW et al (2010) Perinatal regionalization for very low-birth-weight and very preterm infants: a meta-analysis. JAMA 304(9):992–1000
Mahle WT, Newburger JW, Matherne GP et al (2009) Role of pulse oximetry in examining newborns for congenital heart disease: a scientific statement from the American Heart Association and American Academy of Pediatrics. Circulation 120:447–458
Marlow N, Bryan Gill A (2007) Establishing neonatal networks: the reality. Arch Dis Child Fetal Neonatal Ed 92:F137–F142
Marlow N, Bennett C, Draper ES et al (2014) Perinatal outcomes for extremely preterm babies in relation to place of birth in England: the EPICure 2 study. Arch Dis Child Fetal Neonatal Ed 99(3):F181–F188
Moss GD, Cartlidge PH, Speidel BD, Chambers TL (1991) Routine examination in the neonatal period. BMJ 302:878–879
Neonatal Critical Care Clinical Reference Group (2015) Neonatal Service Specification 2015 Available from: https://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-e/e08/
Perlman JM, Wyllie J et al (2015a) Part 7: Neonatal Resuscitation: 2015 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation 132:S204–S241
Perlman JM, Wyllie J, Kattwinkel J et al (2015b) Part 7: Neonatal Resuscitation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Pediatrics 136(Suppl 2):S120–S166
Resuscitation Council (UK) (2015) Resuscitation and support of transition of babies at birth. https://www.resus.org.uk/resuscitation-guidelines/resuscitation-and-support-of-transition-of-babies-at-birth
Royal College of Obstetricians and Gynaecologists (2003) Prevention of early onset neonatal Group B streptococcal disease (Greentop Guideline no. 36). RCOG, London
Royal College of Obstetricians and Gynaecologists, Royal College of Anaesthetitsts, Royal College of Paediatrics and Child Health (2007) Safer childbirth: minimal standards for the organisation, delivery of care in labour. RCOG, London
Sweet DG, Carnielli V, Greisen G et al (2013) European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants–2013 update. Neonatology 103(4):353–368
The Neonatal Taskforce (2009) A framework for commissioning neonatal services. Department of Health, London
The UK National Neonatal Dataset. Available from: https://www1.imperial.ac.uk/neonataldataanalysis/data/data/
Tucker J, UK Neonatal Staffing Study Group (2002) Patient volume, staffing, and workload in relation to risk-adjusted outcomes in a random stratified sample of UK neonatal intensive care units: a prospective evaluation. Lancet 359:99–107
Tucker J, Tarnow-Mordi W, Gould C et al (1999) UK neonatal intensive care services in 1996. On behalf of the UK Neonatal Staffing Study Collaborative Group. Arch Dis Child Fetal Neonatal Ed 80:F233–F234
Tucker J, McCabe C, McCabe C et al (2002) Patient volume, staffing, and workload in relation to risk-adjusted outcomes in a random stratified sample of UK neonatal intensive care units: a prospective evaluation. Lancet 359:99–107
Watson SI, Arulampalam W, Petrou S et al (2014) The effects of designation and volume of neonatal care on mortality and morbidity outcomes of very preterm infants in England: retrospective population-based cohort study. BMJ Open 4(7), e004856
Watson SI, Arulampalam W, Petrou S et al (2016) The effects of a one to one nurse to patient ratio on the mortality rate in neonatal intensive care: a retrospective, longitudinal, population-based study. Arch Dis Child Fetal Neonatal Ed 101(3):F195–F200
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this entry
Cite this entry
Marlow, N. (2018). Organization of Perinatal Care: Training of Doctors and Nurses. In: Buonocore, G., Bracci, R., Weindling, M. (eds) Neonatology. Springer, Cham. https://doi.org/10.1007/978-3-319-29489-6_167
Download citation
DOI: https://doi.org/10.1007/978-3-319-29489-6_167
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29487-2
Online ISBN: 978-3-319-29489-6
eBook Packages: MedicineReference Module Medicine