Adapted protocol for pulse oximetry screening for congenital heart defects in a country with homebirths

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• 作者：Ilona C. Narayen (1)
  Nico A. Blom (2)
  Marjolein S. Verhart (3)
  Marrit Smit (3)
  Fennie Posthumus (4)
  Annique J. M. van den Broek (5)
  Hester Havers (6)
  Monique C. Haak (3)
  Arjan B. te Pas (1)
  
  1. Department of Neonatology ; Leiden University Medical Center ; Leiden ; The Netherlands
  2. Department of Pediatric Cardiology ; Leiden University Medical Center ; Leiden ; The Netherlands
  3. Department of Obstetrics ; Leiden University Medical Center ; Leiden ; The Netherlands
  4. Cooperation of community-based midwives in the Leiden region ; Leiden ; The Netherlands
  5. Department of Pediatrics ; Diaconessenhuis Leiden ; Leiden ; The Netherlands
  6. Department of Pediatrics ; Rijnland Ziekenhuis ; Leiderdorp ; The Netherlands
  
• 关键词：Congenital heart defects ; Pulse oximetry ; Screening ; Neonate ; Feasibility ; the Netherlands ; Homebirth
• 刊名：European Journal of Pediatrics
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：174
• 期：1
• 页码：129-132
• 全文大小：146 KB
• 参考文献：1. Ewer AK, Granelli AD, Manzoni P, Sanchez LM, Martin GR (2013) Pulse oximetry screening for congenital heart defects. Lancet 382(9895):856鈥? CrossRef
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  10. Smit M, Ganzeboom A, Dawson JA, Walther FJ, Bustraan J, van Roosmalen JJ, te Pas AB (2013) Feasibility of pulse oximetry for assessment of infants born in community based midwifery care. Midwifery. doi:10.1016/j.midw.2013.06.005
  11. Thangaratinam S, Brown K, Zamora J, Khan KS, Ewer AK (2012) Pulse oximetry screening for critical congenital heart defects in asymptomatic newborn babies: a systematic review and meta-analysis. Lancet 379(9835):2459鈥?4 2)60107-X" target="_blank" title="It opens in new window">CrossRef
  12. Turska-Kmi茅c A, Borszewska-Kornacka MK, Blaz W, Kawalex W, Zuk M (2012) Early screening for critical congenital heart defects in asymptomatic newborns in Mazovia province: Experience of the POLKARD pulse oximetry programme 2006-2008 in Poland. Kardiol Pol 70:370鈥?
  
• 刊物主题：Pediatrics;
• 出版者：Springer Berlin Heidelberg
• ISSN：1432-1076

文摘

Pulse oximetry has been recommended for neonatal screening for critical congenital heart defects (CCHD) and is now performed in several countries where most births take place in hospital. However, there is a wide variation in perinatal care in European countries, and studies are now recommended to determine the accuracy and cost-effectiveness of CCHD screening in individual countries. In the Netherlands, a large part of births are supervised by a community-based midwife, at home or at policlinics. A screening protocol has been developed to fit into the Dutch perinatal setting, and also has the potential to increase safety in homebirths. Conclusion: the provided protocol might be useful for other countries that are planning to implement CCHD screening after homebirths or early discharge from hospital.