Central PA Medicine Fall 2017 - 29

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also vary from state to state. There are a set
of national standards (issued in 2010) that
each state must follow, but the national
standards require states to test for only 26
disorders. But some states have gone above
and beyond, and are screening newborns for
close to 50 genetic disorders, while others
screen for 30.
Screening for Critical Congenital Health
Defect (CCHD) by Pulse Oximetry - Babies
born with congenital heart defects are at
significant risk for death or disability if their
condition is not diagnosed soon after birth.
Seven defects are classified as CCHD and can
be detected using pulse oximetry screening,
which is a test to determine the amount of
oxygen in the blood and pulse rate. In 2014,
PA state passed an Act that requires that all
birthing facilities perform CCHD screening
using pulse oximetry on a newborn child
in its care before discharge from a birthing
facility. Babies with a CCHD should be seen
by cardiologists and can receive specialized
care and treatment that could prevent death
or disability early in life.

Hearing Screening - Hearing screening is
a short test to determine if newborns might
have hearing loss. Hearing screening is easy
and not painful. There are two ways to screen
a baby's hearing. The first test measures a tiny
sound from the ear that indicates that the
baby is hearing properly. This test is called
an Otoacoustic Emissions test. The second
test measures the baby's nerve response to
sound. This is called an Auditory Brainstem
Response. All babies should be screened for
hearing loss no later than one month of age.
It is best if they are screened before leaving
the hospital.
The Newborn Screening Program's goal is
to eliminate or reduce mortality, morbidity
and disabilities by screening and treatment
of the disorders included in the Pennsylvania
Newborn Screening Panel so as to help
affected babies live as long and normal of
a life as possible.

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Table of Contents for the Digital Edition of Central PA Medicine Fall 2017

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