Pulse oximetry screening in a midwifery-led maternity setting with high antenatal detection of congenital heart disease.

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dc.contributor.author Cloete, Hester en
dc.contributor.author Gentles, Thomas L en
dc.contributor.author Webster, Dianne R en
dc.contributor.author Davidkova, Sarka en
dc.contributor.author Dixon, Lesley A en
dc.contributor.author Alsweiler, Jane en
dc.contributor.author Bloomfield, Francis en
dc.contributor.author Pulse Oximetry Screening Steering Committee en
dc.date.accessioned 2020-01-10T01:12:28Z en
dc.date.issued 2020-01 en
dc.identifier.citation Acta paediatrica (Oslo, Norway : 1992) 12 Jul 2019 en
dc.identifier.issn 0803-5253 en
dc.identifier.uri http://hdl.handle.net/2292/49477 en
dc.description.abstract AIM:To assess local and individual factors that should be considered in the design of a pulse oximetry screening strategy in New Zealand's midwifery-led maternity setting. METHODS:An intervention study was conducted over 2 years. Three hospitals and four primary maternity units participated in the study. Post-ductal saturation levels were measured on well infants with a gestation of ≥35 weeks. Infant activity and age (hours) at the time of the test were recorded. RESULTS:Screening was performed on 16 644 of 27 172 (61%) eligible infants. The age at which the screening algorithm was initiated varied significantly among centres. The probability of achieving a pass result (saturations ≥95%) in the context of no underlying pathology ranged from .94 for an unsettled infant screened <4 hours of age to .99 (P < .001) when the test was performed after 24 hours on a settled infant. Forty-eight (0.3%) infants failed to reach saturation targets: 37 had significant pathology of which three had cardiac disease. CONCLUSION:Screening practices were influenced by the setting in which it was undertaken. Infant activity and age at the time of testing can influence saturation levels. Screening is associated with the identification of significant non-cardiac pathology. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Acta paediatrica (Oslo, Norway : 1992) en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by-nc/4.0/ en
dc.subject Pulse Oximetry Screening Steering Committee en
dc.title Pulse oximetry screening in a midwifery-led maternity setting with high antenatal detection of congenital heart disease. en
dc.type Journal Article en
dc.identifier.doi 10.1111/apa.14934 en
pubs.issue 1 en
pubs.begin-page 100 en
pubs.volume 109 en
dc.rights.holder Copyright: The authors en
pubs.end-page 108 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.elements-id 779289 en
pubs.org-id Liggins Institute en
pubs.org-id LiFePATH en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Paediatrics Child & Youth Hlth en
dc.identifier.eissn 1651-2227 en
pubs.record-created-at-source-date 2019-07-13 en
pubs.dimensions-id 31298757 en

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