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Time:  This presentation commences at 7pm AEDT (Sydney, Melbourne, Canberra). Please adjust for daylight savings time in other states/territories. 

Title: Positioning preterm infants in the first 72 hours of life – practices, non-autonomic outcomes, and parent and staff perceptions.
Summary: Positioning is a routine part of neonatal care as rotating preterm infants between supine, prone and lateral positions aids in musculoskeletal development, stress reduction, and skin protection. For infants <29 weeks gestation, midline head positioning, sometimes in combination with supine body position, has been integrated into neuroprotective care bundles as part of quality improvement projects. The aim of this practice is to reduce the risk of intraventricular haemorrhage associated with sudden changes in cerebral blood flow. The Positioning preterm Infants for Neuroprotection (PIN) study was a pilot RCT that assessed whether it was feasible to introduce a midline head position and supine body position for infants <29 weeks gestation in the first 72 hours. Hannah’s PhD is nested within this study. This presentation will discuss her systematic review which looked at the influence of positioning on non-autonomic outcomes, such as comfort and sleep, her retrospective cohort study which examined what ‘routine’ positioning practices were for this group of infants prior to the PIN Study, and also discuss some preliminary findings of her parent and staff interviews which explored their perceptions of positioning in the first 72 hours of life.

Presenter: Hannah Skelton 
Hannah Skelton is the Clinical Nurse Consultant for Neonatology in the Western Sydney Local Health District, based at Westmead NICU. She is also a PhD Candidate in the School of Nursing and Midwifery at Western Sydney University. Hannah’s current research focuses on the positioning practices of infants, <29 weeks gestation at birth, in the first 72 hours of life. She is also interested in how to ensure that practice aligns with current practice and optimises outcomes for the neonate, the family and the staff.