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SAVE YOUR BABY
       from
Mental Retardation
Aries Glenn B. Galao, BSN, RN
What is newborn screening?
Newborn Screening
• A simple procedure to find out if your
  baby has a congenital metabolic
  disorder that may lead to mental
  retardation or even death if left
  untreated.
Why in newborn screening
done?
• Most babies with metabolic disorders
  look “normal” at birth.

• By doing NBS, metabolic disorders may
  be detected even before clinical signs
  and symptoms are present.

• Treatment can be given to prevent
  consequences of untreated conditions.
When is newborn screening
done?
• NBS is usually done on the 48th – 72nd
  hour of life.

• It may also be done 24 hours from
  birth.

• Some disorders are not detected if the
  test is done earlier than 24 hours.
How is newborn screening
done?
• Using the heel prick method, a few
  drops of blood are taken from the
  baby’s heel and blotted on a special
  absorbent filter card.

• The blood is dried for 4 hours and sent
  to Newborn Screening Center (NSC).
Who will collect the sample for
newborn screening?
• The blood sample for NBS may be
  collected by a trained:

   Physician
   Nurse
   Midwife
   Medical technologist
Where is newborn screening
available?
• NBS is available in participating
  Newborn Screening Facilities:
    Hospitals
    Lying-ins
    Rural Health Unit
    Health Canters

• If babies are delivered at home, they
  may be brought to the nearest Newborn
  Screening Facility.
When are newborn screening
results availabale?
• Normal NBS results are available 7-14
  working days from the time NBS
  samples are received at the Newborn
  Screening Centers.

• Positive NBS results are relayed from
  the NSC to the NSF immediately.

• Parents should claim the NBS reults
  from their physician or health
  practitioner.
What is the meaning of the
newborn screening result?
• A negative screen means that NBS
  result is normal.

• A positive screen means that the
  newborn must be brought back to
  his/her health practitioner for further
  testing.
What should be done when a
baby has a positive NBS result?
• Babies with positive results should be
  referred at once to a specialist for
  confirmatory testing and further
  management.

• Consult http://www.nsrc-nih.org.ph
  for the list of specialists.
Effect if
     Disorder           Effect if NOT
                                           SCREENED and
     Screened           SCREENED
                                              Treated
CH (Congenital       Severe Mental
                                          Normal
Hypothyroidism)      Retardation
CAH (Congenital
                     Death                Alive and Normal
Adrenal Hyperplasia)
GAL (Galactosemia)   Death or Cataracts   Alive and Normal
PKU                  Severe Mental
                                          Normal
(Phenylketonuria)    Retardation
                     Severe Anemia,
G6PD Deficiency                           Normal
                     Kernicterus
16:59


Help us save
the 33,000
   babies
affected by
any of these
 disorders.

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Newborn screening

  • 1. SAVE YOUR BABY from Mental Retardation Aries Glenn B. Galao, BSN, RN
  • 2. What is newborn screening?
  • 3. Newborn Screening • A simple procedure to find out if your baby has a congenital metabolic disorder that may lead to mental retardation or even death if left untreated.
  • 4. Why in newborn screening done?
  • 5. • Most babies with metabolic disorders look “normal” at birth. • By doing NBS, metabolic disorders may be detected even before clinical signs and symptoms are present. • Treatment can be given to prevent consequences of untreated conditions.
  • 6. When is newborn screening done?
  • 7. • NBS is usually done on the 48th – 72nd hour of life. • It may also be done 24 hours from birth. • Some disorders are not detected if the test is done earlier than 24 hours.
  • 8. How is newborn screening done?
  • 9. • Using the heel prick method, a few drops of blood are taken from the baby’s heel and blotted on a special absorbent filter card. • The blood is dried for 4 hours and sent to Newborn Screening Center (NSC).
  • 10. Who will collect the sample for newborn screening?
  • 11. • The blood sample for NBS may be collected by a trained:  Physician  Nurse  Midwife  Medical technologist
  • 12. Where is newborn screening available?
  • 13. • NBS is available in participating Newborn Screening Facilities:  Hospitals  Lying-ins  Rural Health Unit  Health Canters • If babies are delivered at home, they may be brought to the nearest Newborn Screening Facility.
  • 14. When are newborn screening results availabale?
  • 15. • Normal NBS results are available 7-14 working days from the time NBS samples are received at the Newborn Screening Centers. • Positive NBS results are relayed from the NSC to the NSF immediately. • Parents should claim the NBS reults from their physician or health practitioner.
  • 16. What is the meaning of the newborn screening result?
  • 17. • A negative screen means that NBS result is normal. • A positive screen means that the newborn must be brought back to his/her health practitioner for further testing.
  • 18. What should be done when a baby has a positive NBS result?
  • 19. • Babies with positive results should be referred at once to a specialist for confirmatory testing and further management. • Consult http://www.nsrc-nih.org.ph for the list of specialists.
  • 20. Effect if Disorder Effect if NOT SCREENED and Screened SCREENED Treated CH (Congenital Severe Mental Normal Hypothyroidism) Retardation CAH (Congenital Death Alive and Normal Adrenal Hyperplasia) GAL (Galactosemia) Death or Cataracts Alive and Normal PKU Severe Mental Normal (Phenylketonuria) Retardation Severe Anemia, G6PD Deficiency Normal Kernicterus
  • 21. 16:59 Help us save the 33,000 babies affected by any of these disorders.