A multidisciplinary team (MDT) of professionals have spent the last 12 months developing a ground-breaking new framework for best practice for the nutrition and feeding management of the surgical neonate.
The new holistic framework was first proposed a year ago, when a gap in current guidance was identified. There was excellent engagement in the development of the working group, greater highlighting the need for standardisation around neonatal nutrition and feeding in a surgical setting. The final working group included nurses, dieticians, speech and language therapists, specialist, pharmacists, infant feeding advisors, neonatologist, neonatal nutritional nurse specialists, colorectal nurses and ANNPs. We forged strong links with the BDA Neonatal dietetic interest group (BDA NDiG), SLT in neonatal care CEN group, pharmacy groups and specialist nurse groups.
This impressive MDT was brought together by the National Neonatal Surgical Interest Group (NNSIG). Heading up the group, Chairperson Fiona Metcalfe and Education Lead Rhiannon Jones have been instrumental in helping so many knowledgeable professionals reach a consensus on this exciting but previously overlooked area of practice.
Commenting on the significance of the MDTs work, Moriam Mustapha – Lead Neonatal Dietitian, London Neonatal Operational Delivery Network, said: “This framework provides a vital first step in standardising nutritional care in this vulnerable population. The NNSIG have been trailblazers in bringing together multiple healthcare professionals, parents and families to reach a national consensus on the nutritional management of surgical infants – an area with very limited clinical research due to heterogeneity and relatively small numbers that make robust clinical trials difficult”.
While the expertise and experience of the many professionals involved in the framework was critical, so too was the input from parents of parents of a premature infant who required surgery and had a stoma. Their recommendations for care and communication have also been included in the guidance to ensure the resulting framework considers all aspects of caring for a surgical neonate. It’s this depth of research that ensures the document is inclusive of all neonates and families, while simultaneously optimising care from a clinical perspective.
“It’s been an absolute privilege and joy coming together as a really inclusive, multi professional & respectful group to develop some guidance that extends beyond feed volumes and processes and reflects the equal importance of more holistic, family integrated and neuroprotective care,” said Zoë Gordon – Neonatal speech and language therapist, (SALT) & lactation consultant- Oxford, TVW Neonatal Network Lead SALT.
“To have a surgical based document that reflects the importance of breast milk and breastfeeding rather than assuming all infants will be bottle fed feels like a huge milestone I was never sure I would see.”
The new framework is being launched on 3rd November at the Neonatal Surgical MDT Education Day, during which members of the MDT will deliver presentations around key aspects of neonatal surgical, nutritional care that is recommended in the document.
Book now to ensure you secure a place at the launch of this exciting framework.