Routine Tests and Screenings for Your Newborn

Routine Tests and Screenings for Your Newborn Post Delivery

There are many tests and screenings that we do for your newborn after delivery. These tests are done to ensure the health of your baby.

Newborn Genetic Screening: This tests for several genetic conditions, including Phenylketonuria (PKU), Galactosemia, Hypothyroidism, Sickle Cell Anemia, Cystic Fibrosis, Biotinidase Deficiency, Hemoglobinopathy, Congenital Adrenal hyperplasia. This test will be performed before discharge and repeated at 8-30 days of age. Newborn genetic screening is performed with a heel stick, and the only known side effect is localized pain. A "tenderfoot" heel stick device is used to prevent unnecessary repeat sticks or undue squeezing to obtain specimens.

A hearing test for your baby: The American Academy of Pediatrics and the Colorado Department of Health recommend screening your baby's hearing before three months of age. Your baby will be screened while in the hospital using a process called Auditory Brainstem Response (ABR). This easy, painless test measures the brainwave response of the baby's inner ear to sound.

A Blood Glucose Examination: This test can help identify babies who suffer from unstable glucose levels. The test should occur within one hour of birth and before feeding for early, very large, or small babies or if the baby exhibits symptoms of hypoglycemia. These include jittering, inability to stay warm, and lethargy. The only known side effect is the temporary pain of a small "stick" to draw a single drop of blood.

Newborn screening for critical congenital heart disease (CCHD): This tests for congenital heart defects and should be performed 24 hours after birth.

Bilirubin test: This test identifies babies at risk for elevated bilirubin (jaundice). All babies are tested for jaundice before discharge. A blood sample is obtained from the heel, usually at the same time as the newborn genetic screen.

Routine Medications

Hepatitis B Vaccine: This is recommended by the American Academy of Pediatrics to reduce the risk of contracting Hepatitis B and chronic liver disease. The first dose of HBV may be given either in the nursery or at the first well-baby visit. The second dose is given at 1-2 months, and the third dose is given at 6-18 months. No serious reactions have been known to occur.

Vitamin K injection: This prevents hemorrhagic disease of the newborn (spontaneous bleeding that can take place without warning). Though the condition is rare, it has a devastating effect when it does occur. This medication is given within two hours of birth. The only known side effects are a localized tenderness at the injection site and a brief sensation when injected.

Ilotycin (Erythromycin) Eye Ointment: This routine medication protects the baby's eyes from possible infection because of contamination at birth. The medication is given within one hour of birth. The known side effects include occasional temporary, localized redness and blurry vision for about 30 minutes.

Complete Healthcare for Women - Obstetrics and Gynecology

509-392-6700

Richard Lorenzo, D.O.

Kortney Jones ARNP

Author

Richard Lorenzo, DO Dr. Lorenzo is also a Fellow of the American Congress of Obstetricians and Gynecologists and a Fellow of the American College of Osteopathic Obstetricians and Gynecologists. He provides gynecological and obstetric services, including prenatal care, pregnancy care, infertility, and gynecology. Dr. Lorenzo is proficient in advanced surgical techniques, including minimally-invasive procedures, as well as surgery for abnormal uterine bleeding, endometriosis, and hysterectomy. He has specialized training in high-risk obstetrics and minimally invasive surgical techniques, including minimally invasive hysterectomy.