Congenital heart disease: issues with screening at the newborn physical examination

Journal article


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
AuthorsSeignior, H.
Abstract

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.

Year2019
JournalBritish Journal of Midwifery
Journal citation27 (11), pp. 682-687
PublisherMark Allen Group
ISSN2052-4307
Digital Object Identifier (DOI)https://doi.org/10.12968/bjom.2019.27.11.682
Publication dates
Print08 Nov 2019
Publication process dates
Deposited20 Jan 2023
Accepted author manuscript
License
File Access Level
Open
Additional information

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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https://openresearch.lsbu.ac.uk/item/92146

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Accepted author manuscript
Haplo Word BJM article.docx
License: CC BY 4.0
File access level: Open

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What is the significance of hearing a heart murmur during the newborn physical examination?
Seignior, H.L. (2021). What is the significance of hearing a heart murmur during the newborn physical examination? British Journal of Midwifery. 29 (3), pp. 158-170. https://doi.org/10.12968/bjom.2021.29.3.158