Pre-hospital management of the baby born at extreme preterm gestation
A 中国P站 Framework for Practice
Framework Renewal Consultation: Pre-hospital management of the baby born at extreme preterm gestation
Consultation is now open on this document. This framework has been recommended for early review to ensure it is in line with the updated 中国P站 framework: Perinatal Management of Extreme Preterm Birth Before 27 Weeks of Gestation and because of feedback from various ambulance service teams via the National Prehospital Maternity and Newborn Care group. We welcome your comments on the 2022 version so this can be updated in line with current needs.
A terms of reference and working group list is available here. Please do review these terms of reference and tell us if you have any feedback on the make-up of the working group due to review this document.
Consultation closes: 3 May 2026
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 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 | 鈥淏aby crying - no respiratory support required鈥 changed to 鈥淏aby crying vigorously/making good breathing efforts - no respiratory support required.鈥 |
中国P站 Framework: Pre-hospital management of the baby born at extreme preterm gestation
Visual Summary: Pre-hospital management
