Congenital heart disease: issues with screening at the newborn physical examination
Seignior, H. (2019). Congenital heart disease: issues with screening at the newborn physical examination. British Journal of Midwifery. 27 (11), pp. 682-687. https://doi.org/10.12968/bjom.2019.27.11.682
Congenital heart disease (CHD) is a significant cause of infant death in the developed world. For this reason, screening for CHD forms part of the newborn physical examination (NPE) that occurs within 72 hours of birth. This article reviews the challenges faced by the examiner in the detection of CHD in the newborn. This includes relevant anatomy and physiology of the newborn circulation and the presentation of heart murmurs. The usefulness of additional screening tools is also discussed. Four-limb blood pressure (BP) is found to be unhelpful as a screening tool, whereas the use of pulse oximetry is supported by research evidence.
|Journal||British Journal of Midwifery|
|Journal citation||27 (11), pp. 682-687|
|Publisher||Mark Allen Group|
|Digital Object Identifier (DOI)||https://doi.org/10.12968/bjom.2019.27.11.682|
|08 Nov 2019|
|Publication process dates|
|Deposited||20 Jan 2023|
|Accepted author manuscript|
File Access Level
This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Midwifery (BJM), copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://www.magonlinelibrary.com/doi/abs/10.12968/bjom.2019.27.11.68...
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