7.9% babies are born preterm per year. It is well described that
extremely preterm babies born in a high activity tertiary centre with a
NICU have a better outcome but despite this only 72% babies are born in
“the right place”. There are challenges in both maternity and neonatal
services due to problems accepting women for in utero transfer,
prediction of preterm birth and neonatal cot capacity. This article
describes these challenges and how we can resolve them by working
together as perinatal teams.