Newborn Screening Resources
Newborn Screening Rates In The Homebirth Community
Produced by Baby's First Test
PUBLISHED: Wednesday, January 22, 2014
Although the number of midwife deliveries is small relative to the birth cohort in Michigan, they often occur in the Amish and Mennonite populations. Both of these populations have a higher incidence of several heritable disorders including phenylketonuria, maple syrup urine disease and glutaric acidemia type I. Compared to the overall newborn screening rate of 99.6% in the general Michigan birth population, approximately 65% of homebirths attended by midwives receive a newborn screen.
When a screen is obtained for a homebirth, the screen is more likely to be collected late (after 36 hours of life) and slow to arrive in the state laboratory for testing (more than 4 days after specimen collection) compared to hospital births. On January 22, 2014, the Michigan Department of Community Health (MDCH) highlighted their quality improvement project, Improving Newborn Screening Rates within the Michigan Homebirth Community. This project was designed to increase the efficiency of the newborn screening process for the number of infants born at home. Presenters shared the goals, methodologies, key findings, lessons learned, and applicability of the program with attendees.
Janice Bach, MS, CGC | Valarie Newton, MS, RN, MSN Candidate | Lois Turbett, MS, RN