新生儿先天性心脏病筛查.pptxVIP

Newborn Screening for Critical Congenital Heart Disease;The purpose of the Congenital Heart Disease (CHD) Screening Program is to identify newborns with CHD prior to clinical deterioration of the affected infant. Delayed diagnosis of critical congenital heart disease (CCHD) can result in death or injury to infants. ;The Department of Health and Human Services here in the United States made this CHD (also called CCHD—Critical Congenital Heart Disease) screening recommendation September of 2011. In January of this year, the American Academy of Pediatrics endorsed this recommendation. Our OB –PEDS team has recently approved the policy and we are ready to get started now! We had some questions to answer about newborn echocardiograms before we could get started! ; Congenital heart defects (CHDs) account for 24% of infant deaths due to birth defects. In the United States, about 4,800 (or 11.6 per 10,000) babies born every year have one of seven critical congenital heart defects (CCHDs, which also are known collectively in some instances as critical congenital heart disease). ;Seven of the most common CRITICAL CONGENITAL HEART DEFECTS are: Hypoplastic Left Heart Pulmonary Atresia Tetralogy of Fallot Transposition of the Great Arteries Tricuspid Atresia Truncus Arteriosus Total Anomalous Pulmonary venous Return;Babies with one of these CCHDs are at significant risk of disability or death if their CCHD is not diagnosed soon after birth. These seven CCHDs among some babies potentially can be detected using pulse oximetry screening, which is a test to determine the amount of oxygen in the blood and pulse rate. ; Some babies born with a heart defect can appear healthy at first and can be sent home with their families before their heart defect is detected. It has been estimated that at least 280 infants with an unrecognized CCHD are discharged each year from newborn nurseries in the United States. These babies are at risk for having serious complications within the firs