DEAR FRIENDS

THIS IS TO MAKE OBSTETRICS AND GYNECOLOGY EASY FOR YOU. DURING MY POST GRADUATE DAYS I STRUGGLED ALOT ON THESE SIMPLE TOPICS. NOW I UNDERSTAND IT MUCH BETTER WITH PRACTICE SO READ AND UNDERSTAND....

Thursday, June 14, 2018

New born screening

NEWBORN SCREENING TESTS Your baby is screened for several problems before going home— including high bilirubin, hearing impairment, and hereditary diseases.

BILIRUBIN SCREENING Every newborn is screened for high bilirubin (hyperbilirubinemia) before leaving the hospital. High bilirubin causes jaundice (described on page 22). If your baby’s test result shows that your baby is at risk, you’ll be instructed to take your baby to your doctor’s office or to the hospital or an outpatient lab to repeat the test a day or two after your baby goes home. It’s very important that you have this follow-up test as instructed

HEARING SCREENING Good hearing is essential for the normal development of language and listening skills, yet 1 in 300 newborns have some sort of hearing problem. Too often, hearing loss is not detected in until a speech or language delay has already occurred. That’s why the American Academy of Pediatrics recommends that all newborns have a hearing screening before they leave the hospital.

SCREENING TESTS FOR HEREDITARY DISEASES Most states require that newborns be tested for certain hereditary diseases. The problems caused by these disorders can usually be prevented if treatment is started early enough. Testing requires taking a few drops of blood from your baby’s heel. Usually, two tests are necessary: The first test is done shortly before your baby goes home from the hospital. A follow-up test may be required sometime between 7 and 28 days of age , and between 5 and 15 days . If a second test is necessary, you’ll be given a screening kit and instructions for when to follow up with your doctor. Make sure you take your screening kit with you to your follow-up appointment.

Disorder                                   Description           -               How treated
Phenylketonuria (PKU)        A hereditary disease in which the body can’t break down certain parts of    1 in 10,000 newborns    proteins (phenylalanine amino acids). Can lead to mental retardation.                                                                                                     Special diet
Hypothyroidism                  A hereditary condition in which the thyroid gland doesn’t produce              1 in 5,000 newborns           enough of a substance called thyroxine. May cause mental retardation and                                             slow growth. Thyroid replacement medicine (thyroxine)
 Galactosemia                    A rare hereditary condition in which the body can’t break down galactose  1 in 50,000 newborns        (a type of sugar), which is found mostly in dairy products. May lead to                                                   mental retardation, cataracts, and liver damage. Special diet By request* Hemoglobinopathies,       Abnormalities in the hemoglobin of red blood cells. May lead to anemia    including sickle cell anemia             and bleeding problems. Early education and clinical care\
1 in 3,000 newborns   

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