Expanded Newborn Screening Flashcards
Is a simple procedure to find out if your baby has a congenital disorder that may lead to mental retardation or even death if left untreated.
Newborn Screening
The expanded newborn screening program increased the screening planel of disorders from six to ..?
more than 28
Why is ENBS important?
- Most babies with metabolic disorder look “normal” at birth
- By doing ENBS, metabolic disorders may be detected before clinical signs & symptoms are present
- early treatment can then be given to prevent consequences of untreated conditions
When is ENBS done?
Done immediately after 24 hrs from birth
How is ENBS done?
- Few drops of blood are taken from the baby’s heel,
- Blotted on a special absorbent filter card & then sent to newborn screening center
Who can collect ENBS sample?
- Physician
- Nurse
- Medical Technologist
- Trained Midwife
Where is ENBS available?
- Hospitals
- Lying-ins
- Rural health units
- Health centers
- Some private clinics
How much does ENBS cost?
P1750 and is included in the newborn care package for PhilHealth members
It is a Philhealth benefit package for essential health services of the newborn during the first few days of life
Newborn Care Package
Newborn care package covers what?
- Essential newborn care
- ENBS
- Hearing Screening Tests
Eligibilities of NCP
- Either parents are eligible to avail
- Born in accredited facilities that perform deliveries
- Services were availed of upon delivery.
Where is ENBS results claimed?
Health facility wehre ENBS was availed.
Normal ENBS results are available by how many working days from the time samples are received?
7-14 working days
What does a negative ENBS result mean?
Normal
What happens if ENBS results come back positive?
Newborn must be brought back to his/her health practitionat for further testing.
What happes to the dried blood sample after screening?
- After testing, it is stored in a secure locked area.
- Stored sample is retained to allow for normal quality assurance & may be used for ethics commitee approved researches for the benefit of the general public.
Effect if baby is not screened for endocrine disorders
- Severe Mental Retardation
- Death
Effect if baby is not screened for amino acid disorders
- Mental retardation
- Coma and death from metabolic crisis
Effect if baby is not screened for fatty acid disorders
- Developmental and physical delays
- Neurologic impairment
- Sudden death
- Coma
- Seizure
- Enlargement of the heart & liver
- Muscle weakness
Effect if baby is not screened for organic acid disorders
- Developmental delay
- Breathing problems
- Neurologic damage
- Seizure
- Coma
- Early death
Effect if baby is not screened for urea cycle defect
- Seizure
- Mental retardation
- Death
Effect if baby is not screened for Hemoglobinopathies
- Painful crises
- Anemia
- Stroke
- Multi-organ failure
- Death
What is the most common condition among the ENBS Panel of Disorders?
G6PD deficiency
Glucose-6-Phosphate Dehydrogenase
If newborn has G6PD deficiency what must be avoided?
- Napthalene or moth balls
- Some drugs including herbal mediciens
