Each baby counts

Each Baby Counts 2015 | The Royal College of Obstetricians and Gynaecologists.

In the UK, each year over 1000 babies die or are left with severe brain injury because something goes wrong during labour.

Each Baby Counts is the RCOG’s national quality improvement programme to reduce the number of babies who die or are left severely disabled as a result of such incidents occurring during term labour.

The report presents key findings and recommendations based on the analysis of complete data relating to term stillbirths, neonatal deaths and babies with brain injuries born during 2015, the first full year of the programme.

Full report: Each baby counts

 

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ADHD in children and young people: prevalence, care pathways, and service provision

Sayal, Kapil , Prasad Vibhore,  Daley David, Ford Tamsin, Coghill, David . ADHD in children and young people: prevalence, care pathways, and service provision Lancet Psychiatry 2017.  Published Online October 9, 2017 http://dx.doi.org/10.1016/
S2215-0366(17)30167-0

Attention-deficit hyperactivity disorder (ADHD) is a common childhood behavioural disorder. Systematic reviews indicate that the community prevalence globally is between 2% and 7%, with an average of around 5%. At least a further 5% of children have substantial difficulties with overactivity, inattention, and impulsivity that are just under the threshold to meet full diagnostic criteria for ADHD. Estimates of the administrative prevalence (clinically diagnosed or recorded) vary worldwide, and have been increasing over time. However, ADHD is still relatively under-recognised and underdiagnosed in most countries, particularly in girls and older children. ADHD often persists into adulthood and is a risk factor for other mental health disorders and negative outcomes, including educational underachievement, difficulties with employment and relationships, and criminality. The timely recognition and treatment of children with ADHD-type difficulties provides an opportunity to improve long-term outcomes.

This Review includes a systematic review of the community and administrative prevalence of ADHD in children and adolescents, an overview of barriers to accessing care, a description of associated costs, and a discussion of evidence-based pathways for the delivery of clinical care, including a focus on key issues for two specific age groups—younger children (aged ≤6 years) and adolescents requiring transition of care from child to adult services.

Patient Safety Alert: Risk of severe harm and death from infusing total parenteral nutrition too rapidly in babies

NHS Improvement, Patient Safety Alert, NHS/PSA/W/2017/005 

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From incident reporting, three main types of error were identified: lipids infused at the rate intended for the aqueous solution, incorrect infusion rate, and miscalculation of volumes. NHS organisations should consider if immediate action is needed to be taken locally.

Faltering growth- recognition and management of faltering growth in children

Faltering growth- recognition and management of faltering growth in children – guidance (NG75) – National Institute for Health and Care Excellence

This new guideline includes a definition of growth thresholds for concern and identifying the risk factors for, and possible causes of, faltering growth. It also covers interventions, when to refer, service design, and information and support.