Understanding your newborn's screening results
Parents should be told by hospital staff whether their newborn has passed or failed the pulse oximetry screen and hearing screen before they leave the hospital. Since the heel stick has to be sent to the Newborn Screening Laboratory and analyzed, it usually takes about 5 to 7 days before results are available. Parents should be given the results of their infant's heel stick screening during their first pediatric well-child appointment.
If your baby passes the...
Pulse Oximetry Screen
Congrats! This means your newborn had normal blood oxygen saturations, which indicates that their heart is working normally.
NOTE: Pulse oximetry cannot identify every child with CCHD. Most babies who pass the pulse oximetry screen will not have CCHD. However, parents should know the signs of CCHD: blue color to the skin, fingernails or lips, fast breathing and/or poor feeding or weight gain. If you notice any of these signs, please contact your baby's doctor.
Congrats! This means your newborn did not show signs of hearing loss. No further hearing screening will be needed during the newborn period. Hearing screens will still need to be done periodically throughout childhood to ensure hearing loss has not developed later on. Contact the Early Hearing Detection and Intervention Program with any questions.
If the heel stick screening results are normal...
Congrats! This means your newborn did not screen positive for any of the 50+ conditions screened through the heel stick! No further screening is needed at this time.
If your baby does NOT pass the...
Pulse Oximetry Screen
If your newborn does not pass their pulse oximetry screen, another pulse oximetry screen will be performed one hour after the first failed screen. If your newborn fails this rescreen as well, an echocardiogram should be performed as soon as possible to rule-out a CCHD. Ideally, the echocardiogram should be performed before you leave the hospital.
This means your newborn may have hearing loss. Confirmatory testing will be needed to confirm that hearing loss is present in your newborn. The hospital staff should refer you to an audiology specialist to have the confirmatory testing done. If you need any assistance with the follow-up process for your child, call the Early Hearing Detection and Intervention (EHDI) Follow-up Coordinator at 317-233-1264 or email at SAllgeier@isdh.in.gov . You may also want to visit the Early Hearing Detection and Intervention Program page for more information.
If the heel stick screening results are abnormal (presumptive positive)...
If the heel stick results are abnormal (presumptive positive) it means your newborn's screen showed signs that they might have a genetic condition. This information will be communicated directly to your baby's primary care provider and the birthing facility staff within 7 days from the time the heel stick was performed.
Before a diagnosis can be made, confirmatory testing will first need to be done. You should be contacted by your newborn's primary care physician or the birthing facility who performed the screening to set up a repeat heel stick screen or to see a specialist who will perform confirmatory testing.