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The purpose of this Framework for Practice is to assist decision-making prior to and/or at the time of birth relating to perinatal care and preterm birth at 26 weeks and 6 days of gestation or less in the United Kingdom.

Whilst this update retains the core elements of the 2019 Framework, we have made revisions to provide clearer language, support and guidance around appropriate decisions for babies assessed to be at extremely high risk of dying. It emphasises that for such babies, comfort care should be provided. 

This framework also includes updated survival and neurodevelopmental outcome figures and the proportion of babies liveborn. This revision emphasises the importance of joint maternity and neonatal counselling with families, which includes communication between centres when transfers antenatally or postnatally are considered. 

Based on parent feedback we have not updated the infographic but are currently considering the development of alternative supporting materials.

The 2019 infographic is not suitable to be used as a parent leaflet. If you wish to share this with parents as part of a wider conversation please be aware that it is not based on the most up to date data.