Narayen Ilona C, Blom Nico A, Te Pas Arjan B
Department of Paediatrics, Division of Neonatology, Leiden University Medical Center, P.O. Box 9200, 2300 RC Leiden, The Netherlands.
Division of Paediatric Cardiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Int J Neonatal Screen. 2018 Mar 30;4(2):11. doi: 10.3390/ijns4020011. eCollection 2018 Jun.
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.
新生儿重症先天性心脏病筛查已被证明是安全、准确且具有成本效益的。该筛查已在世界各大洲的许多国家实施。然而，家庭分娩后重症先天性心脏病的筛查尚未得到广泛研究。荷兰以其独特的围产期护理系统而闻名，家庭分娩率高（18%），且在医院顺产分娩后可早期出院。我们报告了一项在荷兰围产期护理系统中进行的可行性、准确性和可接受性研究。在家分娩和早期出院后，使用脉搏血氧仪对新生儿进行重症先天性心脏病筛查是可行的，并且母亲们可以接受。该检测的准确性与其他早期筛查情况相当，具有中等敏感性和高特异性。
