Cawsey M J, Noble S, Cross-Sudworth F, Ewer A K
Birmingham Women's Hospital, NHS Foundation Trust, Birmingham, UK.
Birmingham Women's Hospital, NHS Foundation Trust, Birmingham, UK Institute of Metabolism and Systems Research, College of Medicine and Dentistry, University of Birmingham, UK.
Arch Dis Child Fetal Neonatal Ed. 2016 Jul;101(4):F349-51. doi: 10.1136/archdischild-2015-309936. Epub 2016 Feb 25.
Pulse oximetry has been shown to be a valuable additional screening test for detecting critical congenital heart defects in newborns. The feasibility of homebirth screening by the attending midwife has not been reported previously.
Routine pulse oximetry screening of homebirths at 2 h of age was introduced in a UK tertiary maternity service in January 2014. The process and outcomes were evaluated.
Retrospective review of the clinical record of all babies undergoing pulse oximetry screening performed following homebirths over a 16-month period was undertaken. The acceptability of screening among the home care team (n=11) was also evaluated.
Ninety babies underwent routine pulse oximetry screening within 2 h following homebirth; two had a positive result and were admitted to the neonatal unit with significant respiratory illness. Screening was acceptable and reassuring to midwives enabling prompt postnatal decision making and confirming normal transition without significantly increasing workload.
Early pulse oximetry screening for homebirths is both feasible and acceptable.
脉搏血氧饱和度测定已被证明是检测新生儿严重先天性心脏病的一项有价值的附加筛查试验。此前尚无关于助产士在家庭分娩时进行筛查的可行性报道。
2014年1月，英国一家三级产科服务机构引入了在出生后2小时对家庭分娩的婴儿进行常规脉搏血氧饱和度测定筛查。对该过程及结果进行评估。
对16个月期间所有家庭分娩后接受脉搏血氧饱和度测定筛查的婴儿的临床记录进行回顾性分析。同时评估了家庭护理团队（n = 11）对筛查的接受程度。
90名婴儿在家庭分娩后2小时内接受了常规脉搏血氧饱和度测定筛查；2名结果呈阳性，因严重呼吸系统疾病被收入新生儿病房。筛查对于助产士来说是可接受且令人安心的，有助于产后迅速做出决策，并确认正常过渡，同时不会显著增加工作量。
对家庭分娩的婴儿进行早期脉搏血氧饱和度测定筛查是可行且可接受的。
