This article's tone or style may not reflect the encyclopedic tone used on Wikipedia.(May 2018) |
Formation | 1979 |
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Legal status | Registered charity |
Headquarters | London |
Location |
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Region served | England, Scotland, Wales, Northern Ireland, Channel Islands |
Website | http://www.bliss.org.uk |
Bliss is a UK-based charity for infants. Bliss supports the families of babies in neonatal care and works with health professionals to provide training and improve care for babies. It campaigns for improved hospital resources across England, Scotland, Wales and Northern Ireland, and is actively involved in neonatal research. Its chief executive is Caroline Lee-Davey.
Bliss was founded in 1979 when a letter was sent to the Daily Telegraph [1] in response to a story on neonatal intensive care units. The article said that no hospital had all the equipment it needed to safely care for the premature and sick babies in their care. Allan Chilvers suggested setting up a society to raise funds for life-saving equipment like incubators for premature babies and Bliss (Baby Life Support Systems) was founded. In five years Bliss raised £750,000 and donated equipment to 82 hospitals. [2]
The 1990s saw the introduction of artificial pulmonary surfactants and antenatal steroids which reduced infant mortality and meant more premature babies began to survive. During this decade, Bliss was chosen as the charity for the Blue Peter appeal twice, raising £2.7 million and helping to raise awareness about underfunding in neonatal intensive care units. [2]
In 2000, Bliss ran a campaign to show that neonatal units in the UK were relying on the charity for equipment, rather than the NHS. The story made the front page of the Daily Express [3] and £6.5 million was then announced for neonatal intensive care. From then on, Bliss decided to spend less money on equipment and started funding medical training and research. [2]
Bliss aims to provide support for families through an email helpline, parent forum (in partnership with Netmums), information on their website, and through volunteers who provide face-to-face support on the neonatal unit. It also provides free information on subjects such as kangaroo care and weaning a premature baby, as well as Little Bliss magazine, which contains stories and tips from parents and healthcare professionals. [4]
Bliss champions family-centred care, an approach which can lower a baby’s stress levels, shorten hospital stays, reduce hospital readmissions and improve long-term health outcomes by supporting parents to provide hands on care when they are in hospital.
The Bliss Baby Charter [ permanent dead link ] is a practical framework to assess neonatal units on their delivery of family-centred care. It encourages units to improve care through a series of audits, and awards units for delivering family-centred care to an excellent standard.
Two neonatal units have been accredited with the Bliss Baby Charter – Southampton and Portsmouth – and in 2017, 130 out of 195 units are taking part in the Bliss Baby Charter.
Bliss raise awareness of the issues affecting babies in neonatal care by campaigning for change within government and the NHS. [5] In February 2014 Bliss launched a campaign urging for more financial help for families with babies in hospital, called 'It's not a game: the very real costs of having a premature or sick baby'. [6]
Bliss released the Bliss Baby Report for England in 2015, shortly followed by Bliss Baby Report: time for change Archived 26 June 2017 at the Wayback Machine for Wales in 2016, and the Bliss Scotland Baby Report in January 2017. They found that neonatal services in both England and Scotland are lacking enough nurses and doctors to meet standards for high-quality care. Along with this, services are also struggling to give parents enough practical support to care for their baby, such as free overnight accommodation and support with meal costs.
Bliss also campaign for flexibility in the school starting age. [7] This has led to a revised English School Admissions Code in December 2014, alongside updated guidance, Advice on the Admission of Summer Born Children. Furthermore, in September 2015, Nick Gibb MP released an open letter [8] stating his intention to make further changes to the School Admissions Code so summer-born children can automatically start reception at five years old. He has committed to considering allowing due date, rather than birth date, to be used when making admissions decisions.
The Parental Bereavement (Pay and Leave) Bill for which Bliss campaigned became an Act of Parliament on 13 September 2018. [9] Bliss continues to campaign for an extension to parental leave and pay for parents whose babies are in neonatal care. The Government launched a consultation into these proposals in July 2019. [10]
Bliss works in partnership to promote and support best practice in neonatal care, and is currently involved in over £10.1 million of research which is responsible for significant improvements in the care and treatment of babies born premature or sick.
Since 1995 Bliss has supported the EPICure study, [11] the longest running study into prematurity in the world, which tracks the chances of survival and later health status of babies born at less than 26 weeks gestational age. This study is helping to inform healthcare and education services to ensure the right support is provided at all times for premature and sick babies as they grow towards adulthood.
The heads of babies that are born extremely premature (less than 29 weeks) do not grow very well, which affects how their brains develop later. Many of these babies are fed intravenously, directly into a vein, in the first month of life as their gut is too immature to digest milk in high enough quantities for their nutritional needs. The SCAMP study, which was funded by Bliss, [12] wanted to investigate whether improving the nutritional content of the babies’ intravenous feeds improves early head growth, which could affect brain development and ultimately the future quality of life for very premature babies.
Results: The study showed head growth in the first 28 days of life can be improved by increasing the protein and energy content of the intravenous feed in babies less than 29 weeks, which continues up to 36 weeks. Other studies have found that there is a link between head circumference and IQ, and it is also believed that this increased brain growth could prevent learning difficulties and cerebral palsy.
17 November is World Prematurity Day. Bliss marks this international awareness day with other organisations from around the world. The group of organisations is known as the World Prematurity Network and is made up of consumer and parent groups that are leaders in addressing preterm birth in their countries. Members of the World Prematurity Network call for actions to prevent preterm birth and to improve care for babies born premature.
As well as Bliss, the World Prematurity Network includes:
In 2016 Bliss raised over £12,000 from their World Prematurity campaign that focused on the need for high quality, family-centred care for all premature babies. Watch the family-centred care video here. [ permanent dead link ]
March of Dimes is a United States nonprofit organization that works to improve the health of mothers and babies. The organization was founded by President Franklin D. Roosevelt in 1938, as the National Foundation for Infantile Paralysis, to combat polio. The name "March of Dimes" was coined by Eddie Cantor. After funding Jonas Salk's polio vaccine, the organization expanded its focus to the prevention of birth defects and infant mortality. In 2005, as preterm birth emerged as the leading cause of death for children worldwide, research and prevention of premature birth became the organization's primary focus.
Kangaroo mother care (KMC), which involves skin-to-skin contact (SSC), is an intervention to care for premature or low birth weight (LBW) infants. The technique and intervention is the recommended evidence-based care for LBW infants by the World Health Organization (WHO) since 2003.
A children's hospital(CH) is a hospital that offers its services exclusively to infants, children, adolescents, and young adults from birth up to until age 18, and through age 21 and older in the United States. In certain special cases, they may also treat adults. The number of children's hospitals proliferated in the 20th century, as pediatric medical and surgical specialties separated from internal medicine and adult surgical specialties.
Evelina London Children's Hospital is a specialist NHS hospital in London. It is administratively a part of Guy's and St Thomas' NHS Foundation Trust and provides teaching hospital facilities for London South Bank University and King's College London School of Medicine. Formerly housed at Guy's Hospital in Southwark, it moved to a new building alongside St Thomas' Hospital in Lambeth on 31 October 2005.
The Great Orchestra of Christmas Charity is the biggest, non-governmental, non-profit, charity organization in Poland raising money for pediatric and elderly care. The GOCC Foundation holds American Heart Association certification to provide courses in CPR and AED, and for the use of high technology for medical lifesaving. The GOCC aims to support health care in Poland by purchase of state of the art medical equipment for Polish hospitals and clinics and by establishing and running six medical programmes and one educational programme. The foundation supports pediatric and geriatric wards, furnishing them in both complex medical devices such as MRI scanners, and providing long-term care units with anti-bedsore mattresses and beds.
Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn. It is a hospital-based specialty and is usually practised in neonatal intensive care units (NICUs). The principal patients of neonatologists are newborn infants who are ill or require special medical care due to prematurity, low birth weight, intrauterine growth restriction, congenital malformations, sepsis, pulmonary hypoplasia, or birth asphyxia.
A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. The NICU is divided into several areas, including a critical care area for babies who require close monitoring and intervention, an intermediate care area for infants who are stable but still require specialized care, and a step down unit where babies who are ready to leave the hospital can receive additional care before being discharged.
Liverpool Women's NHS Foundation Trust runs Liverpool Women's Hospital, a major obstetrics, gynaecology and neonatology research hospital in Liverpool, England. It is one of several specialist hospitals located within the Liverpool City Region; alongside Alder Hey Children's Hospital, Liverpool Heart and Chest Hospital, the Walton Centre, Mersey Regional Burns and Plastic Surgery Unit, and Clatterbridge Cancer Centre.
Newborn transport is used to move premature and other sick infants from one hospital to another, such as a medical facility that has a neonatal intensive care unit and other services. Neonatal transport services such as NETS use mobile intensive care incubators fitted with mechanical ventilators, infusion pumps and physiological monitors capable of being used in a mobile environment. These transport systems seek to emulate the environment of a neonatal intensive care and permit uninterrupted care to occur in a referring hospital and then during the journey by road or air ambulance. Power and medical gas supplies are carried within the system as well as making use of external supplies; as available. Infant transport systems commonly weigh over 100 kg and present a challenge to vehicle operators in terms of weight, manual handling, crashworthiness and power consumption.
Alder Hey Children's Hospital is a children's hospital and NHS foundation trust in West Derby, Liverpool, England. It is one of the largest children's hospitals in the United Kingdom, and one of several specialist hospitals within the Liverpool City Region, alongside the Royal Liverpool University Hospital, Liverpool Women's Hospital, Liverpool Heart and Chest Hospital, the Walton Centre, Mersey Regional Burns and Plastic Surgery Unit, and Clatterbridge Cancer Centre.
B.C. Women's Hospital & Health Centre, an agency of the Provincial Health Services Authority (PHSA), is a Canadian hospital located in Vancouver, British Columbia, Canada, specializing in women's health programs. It is the only facility in Western Canada dedicated to the health of women, newborns and families, and is the largest maternity hospital in the country. It is a teaching hospital and major provincial health care resource, and is a key component in women's health research.
Neonatal nursing is a sub-specialty of nursing care for newborn infants up to 28 days after birth. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin". Neonatal nursing requires a high degree of skill, dedication and emotional strength as they care for newborn infants with a range of problems. These problems vary between prematurity, birth defects, infection, cardiac malformations and surgical issues. Neonatal nurses are a vital part of the neonatal care team and are required to know basic newborn resuscitation, be able to control the newborn's temperature and know how to initiate cardiopulmonary and pulse oximetry monitoring. Most neonatal nurses care for infants from the time of birth until they are discharged from the hospital.
Rainbow Babies & Children's Hospital is a pediatric acute care children's teaching hospital located in Cleveland, Ohio. It is affiliated with Case Western Reserve University School of Medicine and has a neonatal intensive care unit (NICU), pediatric intensive care unit (PICU), and level 1 pediatric trauma center.
University Hospital Crosshouse, known locally as Crosshouse Hospital, is a large district general hospital situated outside the village of Crosshouse, two miles outside Kilmarnock town centre in Scotland. It provides services to the North Ayrshire and East Ayrshire areas and is managed by NHS Ayrshire and Arran.
Bristol Royal Hospital for Children, also known as the Bristol Children's Hospital, is a paediatric hospital in Bristol and the only paediatric major trauma centre in South West England. The hospital is part of the University Hospitals Bristol and Weston NHS Foundation Trust (UHBW), which includes eight other hospitals. The hospital is located next to the Bristol Royal Infirmary in the city centre.
The Baby Friendly Hospital Initiative (BFHI), also known as Baby Friendly Initiative (BFI), is a worldwide programme of the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF), launched in 1992 in India following the adoption of the Innocenti Declaration on breastfeeding promotion in 1990. The initiative is a global effort for improving the role of maternity services to enable mothers to breastfeed babies for the best start in life. It aims at improving the care of pregnant women, mothers and newborns at health facilities that provide maternity services for protecting, promoting and supporting breastfeeding, in accordance with the International Code of Marketing of Breast-milk Substitutes.
A neonatal nurse practitioner (NNP) is an advanced practice registered nurse (APRN) with at least 2 years experience as a bedside registered nurse in a Level III NICU, who is prepared to practice across the continuum, providing primary, acute, chronic, and critical care to neonates, infants, and toddlers through age 2. Primarily working in neonatal intensive care unit (NICU) settings, NNPs select and perform clinically indicated advanced diagnostic and therapeutic invasive procedures. In the United States, a board certified neonatal nurse practitioner (NNP-BC) is an APRN who has acquired Graduate education at the master's or doctoral level and has a board certification in neonatology. The National Association of Neonatal Nurse Practitioners (NANNP) is the national association that represents neonatal nurse practitioners in the United States. Certification is governed by the National Certification Corporation for Obstetrics, Gynecologic and Neonatal Nursing Specialties (NCC).
ITH Pharma is a specialist British compounding pharmaceutical company, founded in 2008 by two pharmacists who started their careers in the NHS.
William Aaron Silverman was an American physician who made important contributions to neonatology. He held academic positions at Columbia University College of Physicians and Surgeons and served as the medical director of the neonatal intensive care unit at Columbia-Presbyterian Medical Center. Silverman urged physicians to address considerations like quality of care in formulating medical treatment plans, especially in the management of premature infants.
Andrew Wilkinson is a Professor Emeritus of Paediatrics and Perinatal Medicine at All Souls College, Oxford. Wilkinson is most notable for being an international authority in neonatology and a lead author of the Standards of Care for NICU and NICE guidelines on retinopathy of prematurity.