Abstract
Submit Manuscript | http://medcraveonline.com screening newborns for CCHDs after the first 24 hours of life [3]. The New Jersey protocol requires both pre-ductal (right hand) and post-ductal (either foot) measured oxygen saturations to be 95% or higher. Any infant who fails the pulse oximetry screen should have a diagnostic echocardiogram. In June 2011, New Jersey passed a law requiring pulse oximetry screening in all licensed birthing facilities. Soon after, the Department of Health developed a screening algorithm that specified pre and post-ductal screening between 24 and 48 hours of life or prior to hospital discharge. In September 2011, Kathleen Sebelius, the US Secretary of Health and Human Services, recommended that all states add pulse oximetry screening for CCHDs to the uniform screening panel for newborns. Subsequently, the American Academy of Pediatrics published a policy statement endorsing the Health and Human Services’ recommendation [4]. The American College of Cardiology Foundation and the American Heart Association recommended that screening should be done no earlier than 24 hours of life and before hospital discharge. Many states are moving toward legislation mandating all birthing centers and hospitals to screen for CCHDs. Today, many hospitals in the US have voluntarily initiated routine pulse oximetry screening for CCHDs in asymptomatic newborns.
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