RT Journal Article
SR Electronic
T1 Feasibility of pulse oximetry screening for critical congenital heart defects in homebirths
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP F349
OP F351
DO 10.1136/archdischild-2015-309936
VO 101
IS 4
A1 M J Cawsey
A1 S Noble
A1 F Cross-Sudworth
A1 A K Ewer
YR 2016
UL http://fn.bmj.com/content/101/4/F349.abstract
AB Background Pulse oximetry has been shown to be a valuable additional screening test for detecting critical congenital heart defects in newborns. The feasibility of homebirth screening by the attending midwife has not been reported previously.Aim Routine pulse oximetry screening of homebirths at 2 h of age was introduced in a UK tertiary maternity service in January 2014. The process and outcomes were evaluated.Methods Retrospective review of the clinical record of all babies undergoing pulse oximetry screening performed following homebirths over a 16-month period was undertaken. The acceptability of screening among the home care team (n=11) was also evaluated.Results Ninety babies underwent routine pulse oximetry screening within 2 h following homebirth; two had a positive result and were admitted to the neonatal unit with significant respiratory illness. Screening was acceptable and reassuring to midwives enabling prompt postnatal decision making and confirming normal transition without significantly increasing workload.Conclusions Early pulse oximetry screening for homebirths is both feasible and acceptable.