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This framework offers a high-level approach to perioperative care of an extremely premature newborn baby for all neonatal staff groups.

This is intended as a framework to assist care providers who deliver care to babies at <28 weeks gestation around the time of an operation. We leave the specific implementation of the recommendations to the care provider to adopt and deliver.

In addition, the document covers how we might best support families during their baby鈥檚 operation. The location where a necessary operation takes place or who delivers the anaesthetic are outside the scope of this framework.