Translate the text from English to Welsh.



 
The guidance, which has been set out in a Welsh Health Circular (WHC), sets out what Health Boards need to do to care for babies born alive before 24 weeks of gestation, whilst also supporting their families and ensuring they are fully involved in making decisions about their care and treatment.   
  
The WHC was developed in response to a concern from a member of the public \- Emma Jones – that current professional guidance from the British Association of Perinatal Medicine (BAPM) does not state what the NHS should do to care for babies born alive before 24 weeks. This followed the death of her son, Riley, who died after he was born at the age of 22 weeks and 4 days in December 2013\.  
  
As a result, the Welsh Government has worked with Emma Jones over the last few years to develop additional guidance that promotes the highest quality, evidence\-based and compassionate services for mothers and babies born alive before 24 weeks.   
  
The guidance states that where the birth of a baby on the threshold of survival is anticipated or occurs, maternity teams should consult the on call neonatal or paediatric team (whenever possible before the baby is born), to ensure that clinical assessments are planned and undertaken.   
  
Additionally, the family of the baby will be involved in the decision making about ongoing care.  It takes into account the professional advice that is available to clinicians for the care of babies born on the threshold of survival.  
  
Bereavement services are needed by many families, and every Health Board in Wales now has a bereavement midwife lead to promote best practice.  
  
Concerned member of the public and mother, Emma Jones said: 


> “My journey for change started at the National Assembly when I presented my signed petition.
> 
> “From Riley’s death came a fight for change, which ended in success.”

The Chief Medical Officer for Wales and Medical Director of NHS Wales, Dr Frank Atherton said:


> “When a baby is born very early, parents and professionals are faced with difficult and distressing decisions. Whilst medical science has provided many advances in the care of very premature babies, especially those born under 26 weeks of gestation, there are limits to what is possible in terms of survival. 
> 
> “Very tiny babies, even when they are born alive, may not be able to be resuscitated because their airways and lungs are too immature and delicate to withstand intubation and ventilation, and their blood vessels too small to administer medicines or fluids. 
> 
> “We recognised there was a need for the Welsh Government to develop this additional guidance, because the current professional guidance from the British Association of Perinatal Medicine (BAPM) does not state what the NHS should do to care for babies born alive before 24 weeks.
> 
> “We are very grateful to Emma Jones for sharing her painful experiences with us, and for working with us to develop the new guidance, which will help maternity services to support sensitively mothers and families where babies are born on the threshold of survival.”







Translation:


 
Mae’r canllawiau a geir mewn Cylchlythyr Iechyd Cymru, yn nodi’r hyn y mae’n rhaid i Fyrddau Iechyd Lleol ei wneud, er mwyn gofalu am fabanod sy’n cael eu geni’n fyw cyn cyfnod beichiogrwydd o 24 wythnos. Mae hefyd yn rhoi cyngor ar sut i gefnogi teuluoedd y babanod hynny, gan sicrhau eu bod yn cael eu cynnwys yn y broses o wneud penderfyniadau am y gofal a’r driniaeth y mae’r babanod sydd wedi eu geni’n gynnar yn ei dderbyn. 

Datblygwyd y Cylchlythyr mewn ymateb i bryder gan aelod o’r cyhoedd, sef Emma Jones. Roedd yn pryderu nad oedd y canllaw presennol i weithwyr iechyd proffesiynol gan Gymdeithas Meddygaeth Amenedigol Prydain yn nodi beth ddylai’r GIG ei wneud i ofalu am fabanod sydd wedi eu geni’n fyw cyn cyfnod beichiogrwydd o 24 wythnos. Daw hyn yn sgil marwolaeth ei mab, Riley, a fu farw wedi iddo gael ei eni yn 22 wythnos a 4 diwrnod ym mis Rhagfyr 2013\.  
  
O ganlyniad, mae Llywodraeth Cymru wedi cydweithio ag Emma Jones dros y blynyddoedd diwethaf i ddatblygu canllawiau ychwanegol sy’n hybu gwasanaethau o’r ansawdd uchaf i famau babanod sy’n cael eu geni’n fyw cyn cyfnod beichiogrwydd o 24 wythnos, a sicrhau hefyd fod y gwasanaethau hynny yn seiliedig ar dystiolaeth ac yn dosturiol.   
  
Yn ôl y canllawiau, pan fo disgwyl i fabi gael ei eni’n gynnar ar y trothwy goroesi, neu pan fo hynny yn digwydd, dylai timau mamolaeth ymgynghori â’r timau pediatreg neu’r timau newyddenedigol sydd ar alwad (cyn i’r babi gael ei eni os yw hynny’n bosib), i sicrhau bod yr asesiadau clinigol yn cael eu cynllunio a’u cynnal.   
  
Hefyd, bydd teulu’r babi yn cael ei gynnwys yn y broses o benderfynu ynghylch ei ofal parhaus. Mae’r canllawiau’n ystyried y cyngor proffesiynol sydd ar gael i glinigwyr ar gyfer gofalu am fabanod sy’n cael eu geni ar y trothwy goroesi.  
  
Mae angen gwasanaethau profedigaeth ar lawer o deuluoedd ac, erbyn hyn, mae gan bob Bwrdd Iechyd yng Nghymru fydwraig profedigaeth sy’n arwain er mwyn hybu’r arferion gorau.  
  
Dywedodd Emma Jones:   



> “Dechreuodd hyn i gyd wrth i mi gyflwyno deiseb wedi ei llofnodi i Gynulliad Cenedlaethol Cymru.
> 
> “Mae marwolaeth Riley wedi arwain at frwydr i newid y drefn. Heddiw mae’r frwydr honno wedi ei hennill.”

  
Dywedodd Prif Swyddog Meddygol Cymru a Chyfarwyddwr GIG Cymru,  Dr Frank Atherton:


> “Pan fo babi’n cael ei eni yn gynnar iawn, mae rhieni a gweithwyr proffesiynol yn wynebu penderfyniadau anodd a all beri gofid. Diolch i ddatblygiadau mewn gwyddoniaeth feddygol mae gofal i fabanod sy’n cael eu geni yn gynnar iawn, yn enwedig cyn cyfnod beichiogrwydd o 26 wythnos, wedi gwella. Er hynny mae pen draw i’r hyn sy’n bosib ei oroesi. 
> 
> “Hyd yn oed pan fo babanod bach iawn yn cael eu geni’n fyw, efallai na fydd modd eu dadebru oherwydd bod eu llwybrau anadlu a’u hysgyfaint yn rhy anaeddfed a brau i gymryd tiwbiau i’w helpu i anadlu, a bod eu pibellau gwaed yn rhy fach i allu rhoi hylifau a meddyginiaethau iddynt. 
> 
> “Roedd yn amlwg bod angen i Lywodraeth Cymru ddatblygu’r canllawiau ychwanegol hyn, oherwydd nad yw’r canllawiau proffesiynol presennol gan Gymdeithas Meddygaeth Amenedigol Prydain yn nodi beth ddylai’r GIG ei wneud er mwyn gofalu am fabanod sy’n cael eu geni’n fyw cyn cyfnod beichiogrwydd o 24 wythnos.
> 
> “Diolch o waelod calon i Emma Jones am fod yn barod i rannu ei phrofiadau poenus â ni. Diolch iddi hefyd am gydweithio â ni i ddatblygu’r canllawiau newydd. Bydd hyn o fudd i wasanaethau mamolaeth yn ei gwaith o gefnogi mamau a theuluoedd mewn ffordd sensitif pan fo babanod yn cael eu geni ar y trothwy goroesi.”