The 7-Rights Framework for Neonatal VA proposes a structured, right-based, patient-centered approach to optimizing VA precision and safety. By integrating evidence-based practice, ethical considerations, and multidisciplinary collaboration, this framework enhances VA safety and procedural success, reduces variability in clinical practice, and ultimately improves patient outcomes while prioritizing family involvement and well-being. The framework’s adaptability ensures that it can evolve alongside technological advances, new research findings, and ethical developments, making it applicable not only in neonatal settings but also in broader VA care.

Authors

Matheus F. P. T. van Rens1,2 ✉, Kevin Hugill2,3, Robin van der Lee1, Fiammetta Piersigilli4, Bernhard Schwaberger5, Silke Mader6 and Agnes van den Hoogen7
© The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc 2025

1 Neonatal Intensive Care Unit, Radboudumc Amalia Children’s Hospital, Nijmegen, The Netherlands.
2 Formerly of Neonatal Intensive Care Unit, Women’s Wellness and Research
Center, Doha, Qatar.
3 Independent Scholar, Cumbria, UK.
4 Neonatal Intensive Care Unit, Louvain University, Saint Luc, Brussels, Belgium.
5 Division of Neonatology, Department of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
6 The European Foundation for the Care of Newborn Infants (EFCNI), München, Germany.
7 Division Woman and Baby Wilhelmina Children’s Hospital Utrecht, Utrecht University, Utrecht, The Netherlands.
✉email: Roland.vanRens@radboudumc.nl
Pediatric Research; https://doi.org/10.1038/s41390-025-04521-z