ANNP & Clinical Director Neonatal Services, Plymouth Hospitals NHS Trust.
ATAIN – Avoiding Term Admissions Into NNI
In 2013, the National Health Service (NHS) England reported increased admissions of term babies (>37 weeks gestation) to NNUs despite a falling birth rate. The data demonstrated that this cohort of admissions formed the largest proportion of all babies admitted to neonatal care. The Neonatal Data Analysis Unit (NDAU) identified that between 2011 and 2013 full-term admissions consisted of almost 60% of all admissions to NNU in England.
The ATAIN project set about identifying and addressing those factors that led to avoidable admissions. The objective was to avoid separation of mother and baby thus supporting maternal mental health, enhance breast feeding, prevent exposure to infection and potentially result in significant cost savings to the NHS through avoidable expenditure on cot days and treatment.
The project identified that some hospitals admitted as many as 65% of the babies born in the locality into the NNU. Other units were identified as performing well and admitting as few as 3%, consequently the NHS England target is 5%.
This lecture will outline the reasons for term admissions and strategies / tools to prevent unnecessary separation of term babies from their mothers after birth.