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Role of pulse oximetry in screening newborns for congenital heart disease at 1 hour and 24 hours after birth

Padmapriya Siva, Bharathi Senthilvelan, Harini Gopalakrishnan, Sellaraman Subramanian.

Abstract
Background: The incidence of congenital heart disease is 8-10 /1000 live birth in different parts of the world. Early detection of major critical congenital heart defects might improve the outcome of new-born babies. Echocardiography is mainly used as diagnostic tool rather than screening tool due to cost effectiveness. Thus pulse oximetry, non-invasive easy to perform stays as main screening tool for diagnosis of critical congenital heart disease in newborn.
Methods: Prospective study conducted in Neonatal unit in Chennai Medical College Hospital & research centre over a period of one year. A total of 430 asymptomatic newborn delivered were screened with pulse oximetry at 1 hour and 24 hours after birth. All positive newborns were screened with echocardiography.
Results: Out of 430 newborns screened, 5 newborns had saturation

Key words: Pulse oximetry, Saturation, Congenital heart disease



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