新生儿先天性心脏病筛查PPT.pptx

Newborn Screening for Critical Congenital Heart DiseaseEducation for NursesWhy do we need to screen?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.Who endorses this?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! CCHD Fact SheetCongenital 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). Why is this Important? 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 first few days or weeks of life and often require emergency care. Why Pulse Oximetry? Newborn screening using pulse oximetry can identify some infants with a CCHD before they show signs of a CCHD. Once identified, babies with a CCHD can be seen by cardiologists and can receive specialized care and treatment that could prevent death or disability early in life. Treatment can include medications and surgery.When are babies screened?Pulse oximetry is a sim