Pulse oximetry screening adapted to a system with home births: The Dutch experience

Ilona C. Narayen; Nico A. Blom; Arjan B. Te Pas

doi:10.3390/ijns4020011

Pulse oximetry screening adapted to a system with home births: The Dutch experience

Ilona C. Narayen, Nico A. Blom, Arjan B. Te Pas

Leiden University

Research output: Contribution to journal › Review article › peer-review

Abstract

Neonatal screening for critical congenital heart defects is proven to be safe, accurate, and cost-effective. The screening has been implemented in many countries across all continents in the world. However, screening for critical congenital heart defects after home births had not been studied widely yet. The Netherlands is known for its unique perinatal care system with a high rate of home births (18%) and early discharge after an uncomplicated delivery in hospital. We report a feasibility, accuracy, and acceptability study performed in the Dutch perinatal care system. Screening newborns for critical congenital heart defects using pulse oximetry is feasible after home births and early discharge, and acceptable to mothers. The accuracy of the test is comparable to other early-screening settings, with a moderate sensitivity and high specificity.

Original language	English
Article number	11
Journal	International Journal of Neonatal Screening
Volume	4
Issue number	2
DOIs	https://doi.org/10.3390/ijns4020011
Publication status	Published - Jun 2018
Externally published	Yes

Keywords

Congenital heart defects
Home births
Neonates
Screening

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/ijns4020011

Cite this

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title = "Pulse oximetry screening adapted to a system with home births: The Dutch experience",

abstract = "Neonatal screening for critical congenital heart defects is proven to be safe, accurate, and cost-effective. The screening has been implemented in many countries across all continents in the world. However, screening for critical congenital heart defects after home births had not been studied widely yet. The Netherlands is known for its unique perinatal care system with a high rate of home births (18%) and early discharge after an uncomplicated delivery in hospital. We report a feasibility, accuracy, and acceptability study performed in the Dutch perinatal care system. Screening newborns for critical congenital heart defects using pulse oximetry is feasible after home births and early discharge, and acceptable to mothers. The accuracy of the test is comparable to other early-screening settings, with a moderate sensitivity and high specificity.",

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T2 - The Dutch experience

AU - Narayen, Ilona C.

AU - Blom, Nico A.

AU - Te Pas, Arjan B.

N1 - Publisher Copyright: © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

PY - 2018/6

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N2 - Neonatal screening for critical congenital heart defects is proven to be safe, accurate, and cost-effective. The screening has been implemented in many countries across all continents in the world. However, screening for critical congenital heart defects after home births had not been studied widely yet. The Netherlands is known for its unique perinatal care system with a high rate of home births (18%) and early discharge after an uncomplicated delivery in hospital. We report a feasibility, accuracy, and acceptability study performed in the Dutch perinatal care system. Screening newborns for critical congenital heart defects using pulse oximetry is feasible after home births and early discharge, and acceptable to mothers. The accuracy of the test is comparable to other early-screening settings, with a moderate sensitivity and high specificity.

AB - Neonatal screening for critical congenital heart defects is proven to be safe, accurate, and cost-effective. The screening has been implemented in many countries across all continents in the world. However, screening for critical congenital heart defects after home births had not been studied widely yet. The Netherlands is known for its unique perinatal care system with a high rate of home births (18%) and early discharge after an uncomplicated delivery in hospital. We report a feasibility, accuracy, and acceptability study performed in the Dutch perinatal care system. Screening newborns for critical congenital heart defects using pulse oximetry is feasible after home births and early discharge, and acceptable to mothers. The accuracy of the test is comparable to other early-screening settings, with a moderate sensitivity and high specificity.

KW - Congenital heart defects

KW - Home births

KW - Neonates

KW - Screening

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DO - 10.3390/ijns4020011

M3 - Review article

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ER -

Pulse oximetry screening adapted to a system with home births: The Dutch experience

Abstract

Keywords

UN SDGs

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