How Is Newborn Screening Done?

Health Teaching Plan Topic: Newborn Screening Date: May 11, 2011 Venue: NICU General Objective: After
2 hours of discussion, the mothers will be able to know what are the definition, how is the newborn screening done, advantages of newborn screening. Teaching Method /Strategy After 2 minutes Definition of Newborn Discussion of discussion Screening Question and the student will Newborn screening is answer be able to: the process of testing Define newborn babies for Newborn treatable genetic, endocri screening nologic, metabolic and he Importance matologic diseases of new born screening Importance of Newborn how is Screening newborn screening Early diagnosis and done and treatment of these the interpretatio metabolic disorders can help prevent serious ns of the medical problems like result When is the mental retardation, best time to physical disability, and even death. have the baby How is newborn screened screening done? The health care professional The screening is done by that can collecting a few drops of perform NBS blood from your babys heel on special filter paper. After the sample has dried for 2-4 hours, it is mailed to the laboratory for analysis. Objective Content People Involved students Materials Needed Visual aide Evaluation active participation pencil and paper quiz
A negative screen means that results are normal. A positive screen will require the baby to undergo further testing by a pediatrician. The best time to have your baby tested It is best to have your baby tested at 24-48 hours of life. However, if your baby did not get Expanded Newborn Screening in the hospital, your pediatrician can perform the test at an office visit. In this case, it is best that your pediatrician perform the test within the first week of life, since the test is most sensitive at that time. We do not recommend this test for infants older than two months. Health care professionals that perform NBS
Newborn screening can be done by a physician, a nurse, a midwife or medical technologist.
After 10 minutes of discussion, the student will be able to enumerate the target diseases to be detected of newborn screening
Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency A condition where the body lacks the enzyme called G6PD. The deficiency may cause hemolytic anemia, when the body is exposed to oxidative substances found in certain drugs, foods and chemicals. Parents of G6PD-positive babies receive a list of these substances from their doctor. While this is the mildest disorder that is covered in NBS, it is the most common: One out of 55 babies may be affected. Read more in our article on G6PD deficiency. Congenital Hypothyroidism This is a lack of thyroid hormone, which your baby needs to grow. Treatment is required within the first four weeks of a baby's life to prevent stunted physical growth and mental retardation. One out of 3,369 babies is at risk. Congenital Adrenal Hyperplasia An endocrine disorder that causes severe salt loss, dehydration and abnormally high levels of male sex hormones. Left undetected and untreated, it can be fatal within seven to 14 days. One in 7,960 babies is at risk.
discussion
Students
Visual aide
active participation pencil and paper quiz return demonstratio n
Galactosemia A condition in which babies cannot process the sugar present in milk (galactose). This leads to increased galactose levels in the body, which leads to liver and brain damage. It also causes cataracts to develop. One in 82,250 babies may be affected. Phenylketonuria A condition where the body does not properly use the enzyme phenylalanine, which may lead to brain damage. One in 109,666 babies may be at risk.
What should be done when a baby is tested a positive NBS result?

Babies with positive results should be referred at once to the nearest hospital or specialist for confirmatory testing and further management. Should there be no specialist in the area, the NBS secretariat office will assist its attending physician. Disorder Screened CH (Congenital Hypothyroidism CAH (Congenital Adrenal Hyperplasia) GAL (Galactosemia) PKU (Phenylketonuria G6PD Effects SCREENED Severe Mental Retardation Death Effect if SCREENED and treated Normal Alive and Normal
Death of Cataracts Alive and Normal Severe Mental Normal Retardation Severe Anemia, Normal Kernicterus

How Is Newborn Screening Done?

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How Is Newborn Screening Done?

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What diseases can newborn screening detect?

When should newborn screening be performed?

Health Teaching Plan Topic: Newborn Screening Date: May 11, 2011 Venue: NICU General Objective: After

Newborn screening can be done by a physician, a nurse, a midwife or medical technologist.

active participation pencil and paper quiz return demonstratio n

What should be done when a baby is tested a positive NBS result?

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