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ACR – Neonatal Assoc Professor Nicola Austin CDHB

Explore surprises, term admissions, very preterm morbidity, and neonatal outcomes analysis by Assoc. Prof. Nicola Austin at CDHB. Discover drivers of admissions, types of delivery, and acute care insights for neonatal healthcare.

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ACR – Neonatal Assoc Professor Nicola Austin CDHB

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  1. ACR – Neonatal Assoc Professor Nicola Austin CDHB

  2. Overview • SURPRISES • Term Admissions • Near term admissions • Very preterm morbidity • Outcomes

  3. Surprises • Lower admissions 2017/18 and occupancy 93% • 852 in 2018 - counted if stay over midnight

  4. Term admissions • Drivers ……. Look in the labour and birth section • Timing

  5. Term admissions • Drivers ……. Look in the labour and birth section • Type of delivery Emergency caesarean (n=793) for fetal distress 25.3% and obstructed labour 53.2%

  6. Term admissions • Drivers ……. Look in the labour and birth section • Acuity ? Reason for induction

  7. ACR data compared with Clinical indicator 20

  8. Near term admissions

  9. What about the term and near term cared for on the postnatal ward? • Transitional care …….. No data • New categoury in Neonatal service specification for ratification • 35/36 wk in NICU 99+8=107, PN =197

  10. Very preterm morbidity- Prevention

  11. Very preterm morbidity • Respiratory support • Chronic Lung Disease • Retinopathy • Intraventricular Haemorrhage • Sepsis • Feeding • Neurodevelopmental Outcome

  12. Very preterm morbidityRespiratory support

  13. Very preterm morbidityChronic lung disease

  14. CLD – management

  15. Very preterm morbidityReduced Retinopathy and Intraventricular Haemorrhage 1

  16. Very preterm morbidityInfection 7 • 10 Early onset – Gp B Strep 4, E coli 4 (30-34w) • 7 CLABBSI / 25 Late onset sepsis • Coagulase negative staphylococci 4 / 8 • NEC reduced since probiotics in 2011

  17. Feeding at discharge from NICU

  18. Neonatal outcome

  19. Conclusion • Large range of data and outcomes • Drivers of neonatal admissions • Missing data on transitional care babies on PN • Kapai • Questions

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