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Newborn Pulse Oximetry Screening to Detect Critical Congenital Heart Disease - HealthyChildren.org

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American Academy of Pediatrics (AAP) recommends pulse oximetry be performed at all newborn screenings to detect heart defects that put babies at risk for serious health problems at home. 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Wellness</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/healthy-living/emotional-wellness/Building-Resilience/Pages/default.aspx" target="_self">Building Resilience</a></li></ul></li><li><a href="/english/healthy-living/fitness/pages/default.aspx" target="_self">Fitness</a></li><li><a href="/english/healthy-living/growing-healthy/pages/default.aspx" target="_self">Growing Healthy</a></li><li><a href="/english/healthy-living/nutrition/pages/default.aspx" target="_self">Nutrition</a></li></ul><ul><li><a href="/english/healthy-living/oral-health/pages/default.aspx" target="_self">Oral Health</a></li><li><a href="/English/healthy-living/sleep/Pages/default.aspx" target="_self">Sleep</a></li><li><a href="/english/healthy-living/sports/pages/default.aspx" target="_self">Sports</a></li></ul></li></ul></div></li><li><span></span><a href="/english/safety-prevention" target="_self" class="root-desktop-link"><span>Safety &amp; Prevention</span></a><a href="https://www.healthychildren.org/English/ages-stages/baby/Pages/Newborn-Pulse-Oximetry-Screening-to-Detect-Critical-Congenital-Heart-Disease.aspx#" class="root-mobile-link"><span>Safety &amp; Prevention</span></a><div class="nav-dropdown"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/safety-prevention">Safety and Prevention</a></div><ul><li><a href="/english/safety-prevention/all-around/pages/default.aspx" target="_self">All Around</a></li><li><a href="/english/safety-prevention/at-home/pages/default.aspx" target="_self">At Home</a><ul class="dropdown-root-grandchild-container"><li><a href="/english/safety-prevention/at-home/medication-safety/Pages/default.aspx" target="_self">Medication Safety</a></li></ul></li><li><a href="/english/safety-prevention/at-play/pages/default.aspx" target="_self">At Play</a></li><li><a href="/english/safety-prevention/immunizations/pages/default.aspx" target="_self">Immunizations</a></li><li><a href="/english/safety-prevention/on-the-go/pages/default.aspx" target="_self">On The Go</a></li></ul></li></ul></div></li><li><span></span><a href="/english/family-life/pages/default.aspx" target="_self" class="root-desktop-link"><span>Family Life</span></a><a href="https://www.healthychildren.org/English/ages-stages/baby/Pages/Newborn-Pulse-Oximetry-Screening-to-Detect-Critical-Congenital-Heart-Disease.aspx#" class="root-mobile-link"><span>Family Life</span></a><div class="nav-dropdown two-col-container"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/family-life/pages/default.aspx">Family Life</a></div><ul><li><a href="/english/family-life/family-dynamics/pages/default.aspx" target="_self">Family Dynamics</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/family-life/family-dynamics/communication-discipline/Pages/default.aspx" target="_self">Communication & Discipline</a><a href="/English/family-life/family-dynamics/types-of-families/Pages/default.aspx" target="_self">Types of Families</a></li></ul></li><li><a href="/english/family-life/community//pages/default.aspx" target="_self">Getting Involved in Your Community</a></li><li><a href="/english/family-life/media/pages/default.aspx" target="_self">Media</a></li></ul><ul><li><a href="/english/family-life/health-management/pages/default.aspx" target="_self">Medical Home</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/family-life/health-management/pediatric-specialists/Pages/default.aspx" target="_self">Pediatric Specialists</a></li></ul></li><li><a href="/English/family-life/power-of-play/Pages/default.aspx" target="_self">Power of Play</a></li><li><a href="/English/family-life/work-and-child-care/Pages/default.aspx" target="_self">Work & Child Care</a></li></ul></li></ul></div></li><li><span></span><a href="/english/health-issues/pages/default.aspx" target="_self" class="root-desktop-link"><span>Health Issues</span></a><a href="https://www.healthychildren.org/English/ages-stages/baby/Pages/Newborn-Pulse-Oximetry-Screening-to-Detect-Critical-Congenital-Heart-Disease.aspx#" class="root-mobile-link"><span>Health Issues</span></a><div class="nav-dropdown anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/health-issues/pages/default.aspx">Health Issues</a></div><ul><li><a href="/english/health-issues/conditions/pages/default.aspx" target="_self">Conditions</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/health-issues/conditions/abdominal/Pages/default.aspx" target="_self">Abdominal</a><a href="/English/health-issues/conditions/adhd/Pages/default.aspx" target="_self">ADHD</a><a href="/English/health-issues/conditions/allergies-asthma/Pages/default.aspx" target="_self">Allergies & Asthma</a><a href="/English/health-issues/conditions/Autism/Pages/default.aspx" target="_self">Autism</a><a href="/English/health-issues/conditions/chest-lungs/Pages/default.aspx" target="_self">Chest & Lungs</a><a href="/English/health-issues/conditions/chronic/Pages/default.aspx" target="_self">Chronic Conditions</a><a href="/English/health-issues/conditions/Cleft-Craniofacial/Pages/default.aspx" target="_self">Cleft & Craniofacial</a><a href="/English/health-issues/conditions/COVID-19/Pages/default.aspx" target="_self">COVID-19</a><a href="/English/health-issues/conditions/developmental-disabilities/Pages/default.aspx" target="_self">Developmental Disabilities</a><a href="/English/health-issues/conditions/ear-nose-throat/Pages/default.aspx" target="_self">Ear, Nose & Throat</a><a href="/English/health-issues/conditions/emotional-problems/Pages/default.aspx" target="_self">Emotional Problems</a><a href="/English/health-issues/conditions/eyes/Pages/default.aspx" target="_self">Eyes</a><a href="/English/health-issues/conditions/fever/Pages/default.aspx" target="_self">Fever</a><a href="/English/health-issues/conditions/flu/Pages/default.aspx" target="_self">Flu</a><a href="/English/health-issues/conditions/from-insects-animals/Pages/default.aspx" target="_self">From Insects or Animals</a><a href="/English/health-issues/conditions/genitourinary-tract/Pages/default.aspx" target="_self">Genitals and Urinary Tract</a><a href="/English/health-issues/conditions/head-neck-nervous-system/Pages/default.aspx" target="_self">Head, Neck & Nervous System</a><a href="/English/health-issues/conditions/heart/Pages/default.aspx" target="_self">Heart</a><a href="/English/health-issues/conditions/infections/Pages/default.aspx" target="_self">Infections</a><a href="/English/health-issues/conditions/learning-disabilities/Pages/default.aspx" target="_self">Learning Disabilities</a><a href="/English/health-issues/conditions/seizures/Pages/default.aspx" target="_self">Seizures</a><a href="/English/health-issues/conditions/sexually-transmitted/Pages/default.aspx" target="_self">Sexually Transmitted Infections</a><a href="/English/health-issues/conditions/skin/Pages/default.aspx" target="_self">Skin Conditions</a><a href="/English/health-issues/conditions/treatments/Pages/default.aspx" target="_self">Treatments</a></li></ul></li><li><a href="/English/health-issues/injuries-emergencies/Pages/default.aspx" target="_self">Injuries & Emergencies</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/health-issues/injuries-emergencies/sports-injuries/Pages/default.aspx" target="_self">Sports Injuries</a></li></ul></li><li><a href="/english/health-issues/vaccine-preventable-diseases/pages/default.aspx" target="_self">Vaccine Preventable Diseases</a></li></ul></li></ul></div></li><li><a href="/english/News/pages/default.aspx" target="_self" class="root-desktop-link"><span>News</span></a><a href="/english/News/pages/default.aspx" class="root-mobile-link"><span>News</span></a></li><li><span></span><a href="/english/tips-tools/pages/default.aspx" target="_self" class="root-desktop-link"><span>Tips &amp; Tools</span></a><a href="https://www.healthychildren.org/English/ages-stages/baby/Pages/Newborn-Pulse-Oximetry-Screening-to-Detect-Critical-Congenital-Heart-Disease.aspx#" class="root-mobile-link"><span>Tips &amp; Tools</span></a><div class="nav-dropdown two-col-container anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/tips-tools/pages/default.aspx">Tips and Tools</a></div><ul><li><a href="/english/tips-tools/ask-the-pediatrician/pages/default.aspx" target="_self">Ask The Pediatrician</a></li><li><a href="/English/asthmatracker/pages/asthmatracker.aspx" target="_self">Asthma Action Tracker</a></li><li><a href="/English/fmp/Pages/MediaPlan.aspx" target="_self">AAP Family Media Plan</a></li><li><a href="/english/tips-tools/find-pediatrician/Pages/Pediatrician-Referral-Service.aspx" target="_self">Find a Pediatrician</a></li><li><a href="/English/tips-tools/HealthyChildren_Magazine/Pages/default.aspx" target="_self">Healthy Children Magazine</a></li><li><a href="/English/tips-tools/healthy-children-podcast/Pages/podcast.aspx" target="_self">Healthy Children Podcast</a></li></ul><ul><li><a href="/English/tips-tools/HealthyChildren-Texting-Program/Pages/default.aspx" target="_self">Healthy Children Texting Program</a></li><li><a href="/English/MotorDelay/Pages/default.aspx" target="_self">Motor Delay Tool</a></li><li><a href="/english/tips-tools/newsletters/pages/default.aspx" target="_self">Newsletters</a></li><li><a href="/English/healthy-living/fitness/StopWatch-Tool/Pages/default.aspx" target="_self">Physical Activity Checker</a></li><li><a href="/english/tips-tools/symptom-checker/pages/default.aspx" target="_self">Symptom Checker</a></li><li><a href="/english/tips-tools/webinars/pages/default.aspx" target="_self">Webinars</a></li></ul></li></ul></div></li><li><span></span><a href="/english/our-mission/pages/default.aspx" target="_self" class="root-desktop-link"><span>Our Mission</span></a><a href="https://www.healthychildren.org/English/ages-stages/baby/Pages/Newborn-Pulse-Oximetry-Screening-to-Detect-Critical-Congenital-Heart-Disease.aspx#" class="root-mobile-link"><span>Our Mission</span></a><div class="nav-dropdown anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/our-mission/pages/default.aspx">Our Mission</a></div><ul><li><a href="/english/our-mission/aap-in-action/pages/default.aspx" target="_self">AAP in Action</a></li><li><a href="/english/our-mission/Pages/contributors.aspx" target="_self">Medical Editor &amp; Contributors</a></li><li><a href="/english/our-mission/sponsors/pages/default.aspx" target="_self">Sponsors</a></li><li><a href="/english/our-mission/pages/sponsorship-opportunities.aspx" target="_self">Sponsorship Opportunities</a></li><li><a href="/english/our-mission/pages/spread-the-word.aspx" target="_self">Spread the Word</a></li></ul></li></ul></div></li><li><a href="http://shop.aap.org/for-parents/" class="btn-shop-aap" target="_blank">Shop AAP</a></li></ul> <div class="mobile-nav-extra"> <div class="extra-pic"> <a id="ctl00_aapTopNavigation_lnkFAP" class="mobile-fap-link" href="/english/tips-tools/find-pediatrician/pages/pediatrician-referral-service.aspx">Find a Pediatrician</a> </div> <div class="mobile-nav-search"> <input name="ctl00$aapTopNavigation$txtMobileSearch" type="text" id="ctl00_aapTopNavigation_txtMobileSearch" /> <input type="submit" name="ctl00$aapTopNavigation$btnMobileSearch" value="" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$aapTopNavigation$btnMobileSearch&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, false))" id="ctl00_aapTopNavigation_btnMobileSearch" class="btn-search" /> </div> </div> </div> </div> </nav> <div class="clear">&nbsp;</div> <!---- PAGE CONTENT --> <section class="page-content"> <div id="hcMainContainer"> <div class="left-col-container col-xs-3 col-sm-3 col-md-3 col-lg-3"> <h5 class="title rail-left-title"> Ages & Stages </h5> <div class="rail-left"> <div class="vertical-nav-header-top"></div> <div id="ctl00_cphLeftNav_QuickLaunchNavigationManager"> <div class="vertical-navigation"> <table id="zz1_QuickLaunchMenu" class="ms-navSubMenu1 zz1_QuickLaunchMenu_7 zz1_QuickLaunchMenu_2" cellpadding="0" cellspacing="0" border="0"> <tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun0"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/ages-stages/Your-Childs-Checkups/Pages/default.aspx" style="border-style:none;font-size:1em;">Your Child’s Checkups</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun1"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/MotorDelay/Pages/default.aspx" style="border-style:none;font-size:1em;">Motor Delay Tool</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun2"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/ages-stages/prenatal/Pages/default.aspx" style="border-style:none;font-size:1em;">Prenatal</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun3"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4 ms-selectednavheader zz1_QuickLaunchMenu_10" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3 ms-selectednavheader zz1_QuickLaunchMenu_9" href="/English/ages-stages/baby/Pages/default.aspx" style="border-style:none;font-size:1em;">Baby</a></td> </tr> </table></td> </tr><tr> <td><table border="0" cellpadding="0" cellspacing="0" width="100%" class="ms-navSubMenu2 zz1_QuickLaunchMenu_8"> <tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun4"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" 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tabindex="-1"></a> <!-- COL --> <div class="middle-col-container col-xs-12 col-sm-9 col-md-9 col-lg-9"> <div class="article-page"> <div class="breadcrumbs"> <div class="menu-more"> <div class="menu-icon crumb"> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> </div> <span id="ctl00_cphPageContent_Breadcrumb_lblInThisSection">In This Section</span> </div> <div class="breadcrumb-trail"> <a href="/English" >Healthy Children</a> > <a href="https://www.healthychildren.org/English/ages-stages" >Ages & Stages</a> > <a href="https://www.healthychildren.org/English/ages-stages/baby" >Baby</a> > Newborn Pulse Oximetry Screening to Detect Critical Congenital Heart Disease </div> </div> <div class="int-page-header"> <div class="page-section">Ages & Stages </div> </div> <div class="layout-content"> <!-- (SOCIAL-CONTAINER) --> <div class="article-social-container"> <div class="article-social-left"> <div class="reader-listen-container"> </div> </div> <div class="article-social-right"> <!-- ShareThis BEGIN --> <div class="sharethis-inline-share-buttons"></div> <!-- ShareThis END --> </div> </div> <div id="read_content" class="fontScalerWrapper"> <h1 class="page-title">Newborn Pulse Oximetry Screening to Detect Critical Congenital Heart Disease</h1> <div class="middle-bottom-wpz"> <menu class="ms-hide"> <ie:menuitem id="MSOMenu_Help" iconsrc="/_layouts/15/images/HelpIcon.gif" onmenuclick="MSOWebPartPage_SetNewWindowLocation(MenuWebPart.getAttribute('helpLink'), MenuWebPart.getAttribute('helpMode'))" text="Help" type="option" style="display:none"> </ie:menuitem> </menu> </div> <!-- (BANNER-IMAGE) --> <div id="ctl00_cphPageContent_EditModePanel1"> <div class="article-image"> <span class="img-desktop-responsive"> <img alt="Click here to insert a picture from SharePoint." src="/SiteCollectionImagesArticleImages/newborn-pulse-oximetry-screening-to-detect-critical-congenital-heart-disease.jpg?RenditionID=3" width="468" style="BORDER: 0px solid; "> </span> <span class="img-mobile-responsive print-no"> <img alt="Click here to insert a picture from SharePoint." src="/SiteCollectionImagesArticleImages/newborn-pulse-oximetry-screening-to-detect-critical-congenital-heart-disease.jpg?RenditionID=3" width="468" style="BORDER: 0px solid; "> </span> </div> </div> <div> <div id="ctl00_cphPageContent_ctl00_label" style='display:none'>Page Content</div><div id="ctl00_cphPageContent_ctl00__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_ctl00_label"><p><em class="ms-rteFontSize-2">By&#58; Alex R. Kemper, MD, MPH, MS, FAAP</em><br></p><p>Most babies are born with healthy hearts that pump oxygen-rich blood from the lungs to every cell in the body. However, about 1 baby in every 100 is born with a <a href="/English/health-issues/conditions/heart/Pages/Challenges-Faced-by-Parents-of-Children-with-Congenital-Heart-Disease.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/health-issues/conditions/heart/Pages/Challenges-Faced-by-Parents-of-Children-with-Congenital-Heart-Disease.aspx">congenital heart defect (CHD)</a>. This means the heart did not form correctly. And of babies born with CHD, 1 in 4 will have a &quot;critical&quot; heart defect or <a href="https&#58;//medlineplus.gov/genetics/condition/critical-congenital-heart-disease/" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//medlineplus.gov/genetics/condition/critical-congenital-heart-disease/" target="_blank" aria-label="critical congenital heart defect (CCHD - open in a new tab" data-uw-rm-ext-link="na">critical congenital heart disease (CCHD)</a>. CCHD leads to levels of oxygen in the blood that are too low.<br></p><p>Because low blood oxygen can result in life-threatening complications, babies with CCHD usually need surgery or other procedures in the first year of life. Sometimes, they need these procedures more urgently—within the first days or weeks of birth.<br></p><h2>What is pulse oximetry?<br></h2><h2 style="font-size&#58;27.2px;"> <img src="/SiteCollectionImagesArticleImages/Infant_prevent_death_Pulse_Ox.png" alt="Newborn Pulse Oximetry Screening to Detect Critical Congenital Heart Disease - HealthyChildren.org" class="ms-rtePosition-2" data-uw-rm-alt-original="Newborn Pulse Oximetry Screening to Detect Critical Congenital Heart Disease - HealthyChildren.org" data-uw-rm-alt="ALT" style="margin&#58;5px;width&#58;384px;height&#58;218px;" /> </h2><p> There are types of CCHD that cause lower than usual blood oxygen levels. Those can be picked up by a test called <a href="https&#58;//www.cdc.gov/heart-defects/screening/index.html" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.cdc.gov/heart-defects/screening/index.html">pulse oximetry</a>―even before a baby becomes sick. <br></p><p></p><p>Pulse oximetry (also called pulse ox) is a simple way to measure the level of oxygen in the blood using sensors placed on the skin. <br></p><p></p><div class="ms-rteElement-AAPCalloutLightOrange">The American Academy of Pediatrics (AAP) recommends pulse oximetry be performed at all <a href="/English/ages-stages/baby/Pages/Newborn-Screening-Tests.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/ages-stages/baby/Pages/Newborn-Screening-Tests.aspx">newborn screenings</a> to detect CCHD. </div><p>Identifying CCHD before the baby leaves the hospital or birth center can prevent dangerous problems after going home. It also makes early management and treatment possible, which can lead to better outcomes. Each <a href="https&#58;//newbornscreening.hrsa.gov/newborn-screening-process#nbs-same" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//newbornscreening.hrsa.gov/newborn-screening-process#nbs-same">state</a> has a requirement for newborn pulse oximetry screening.</p><h2>Fetal ultrasounds of the heart do not detect all types of heart defects<br></h2><p>Many problems in the fetal heart are now found early by fetal ultrasounds, and families are getting referred earlier to <a href="/English/family-life/health-management/pediatric-specialists/Pages/What-is-a-Pediatric-Cardiologist.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/family-life/health-management/pediatric-specialists/Pages/What-is-a-Pediatric-Cardiologist.aspx">pediatric cardiologists</a> for further care. Still, there are still cases of CHD that can be missed.</p><p>Many newborns develop signs of CCHD such as turning blue or breathing fast right after birth. Those babies are diagnosed and treated before being discharged from the hospital. However, there are babies with CCHD who may look and act healthy for several days before becoming suddenly seriously ill at home.</p> <div class="ms-rteElement-AAPCalloutLightGreen"> <h3>How is newborn pulse ox screening done?<br></h3> <img src="/SiteCollectionImagesArticleImages/pulse_ox_demo.jpg" alt="Newborn Pulse Oximetry Screening to Detect Critical Congenital Heart Disease - HealthyChildren.org" class="ms-rtePosition-2" data-uw-rm-alt-original="Newborn Pulse Oximetry Screening to Detect Critical Congenital Heart Disease - HealthyChildren.org" data-uw-rm-alt="ALT" style="margin&#58;5px;width&#58;182px;height&#58;182px;" />A small soft sensor is wrapped around the baby's right hand and one foot. The sensor is hooked up to a monitor for about 5 minutes. It measures the oxygen level in the blood and the heart rate. <strong>The test is fast, easy, and does not hurt. </strong>Pulse oximetry screening is done after 24 hours after birth to allow the baby's heart and lungs to fully adjust to life outside the womb. Results are ready as soon as the screening in done.<br></div><h2>What happens if a baby has an abnormal pulse oximetry screening?</h2><p>If the screening test suggests a problem, additional testing is needed. These can evaluate for CHD or other potential causes of low oxygen are needed before the baby is discharged from the hospital.</p><p>Testing may include a chest radiography and bloodwork. An ultrasound of the baby's heart, called an echocardiogram, may be performed and read by a pediatric cardiologist. </p><p>The echocardiogram will evaluate all the structures and function of the baby's heart in detail. If the baby's echocardiogram shows any problems, the baby's medical team will discuss next steps with the parents.<em> See &quot;</em><a href="/English/health-issues/conditions/heart/Pages/Common-Types-of-Cardiac-Testing.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/health-issues/conditions/heart/Pages/Common-Types-of-Cardiac-Testing.aspx"><em>Common Types of Cardiac Testing</em></a><em>.&quot;</em></p><p>As with any screening test, the pulse oximetry screening test is not always correct. Sometimes here can be false positives, meaning that while the pulse ox screen suggests a problem, the heart is normal. </p><p> <strong>Just because a baby has an abnormal pulse oximetry screening test does not mean that the baby has a heart defect.</strong> </p><p>There are other reasons that a baby may have lower oxygen levels, such as infection or lung problems. These can also be important to be picked up early. Some healthy babies can have a low pulse oximetry reading while their heart and lungs are adjusting to the changes that happen after birth.</p><h2>If a baby passes the pulse oximetry screening, does it mean there are no heart defects?<br></h2><p>Unfortunately, no. Pulse oximetry testing picks up only some types of CHD. Heart defects that are not causing a low blood oxygen level at the time of the screen are not picked up by the test.</p><h3> Even if a baby passes the pulse oximetry screening, parents should watch for&#58;<br></h3><ul style="list-style-type&#58;disc;"><li><p> Problems feeding</p></li><li><p>Difficulty in breathing, fast breathing, or grunting</p></li><li><p>Irritability</p></li><li><p>Excessive sleepiness</p></li><li><p>Bluish color to the lips or skin</p></li><li><p>Poor weight gain</p></li></ul><p>Contact your baby's doctor right away if you notice any of these signs.</p><h2>More information</h2><ul><li><p> <a href="/English/ages-stages/baby/Pages/Newborn-Screening-Tests.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/ages-stages/baby/Pages/Newborn-Screening-Tests.aspx">Newborn Screening Tests</a></p></li><li><p> <a href="/English/ages-stages/prenatal/Pages/Tests-During-Pregnancy.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/ages-stages/prenatal/Pages/Tests-During-Pregnancy.aspx">Tests &amp; Screenings During Pregnancy</a></p></li><li><p> <a href="/English/health-issues/conditions/heart/Pages/Challenges-Faced-by-Parents-of-Children-with-Congenital-Heart-Disease.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/health-issues/conditions/heart/Pages/Challenges-Faced-by-Parents-of-Children-with-Congenital-Heart-Disease.aspx">Challenges Faced by Parents of Children with Congenital Heart Disease</a></p></li><li><p> <a href="/English/health-issues/conditions/heart/Pages/Genetics-and-Congenital-Heart-Defects.aspx" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.healthychildren.org/English/health-issues/conditions/heart/Pages/Genetics-and-Congenital-Heart-Defects.aspx">Genetics and Congenital Heart Defects</a></p></li><li><p> <a href="http&#58;//pediatrics.aappublications.org/content/129/1/190" data-uw-rm-brl="PR" data-uw-original-href="http&#58;//pediatrics.aappublications.org/content/129/1/190" target="_blank" aria-label="Endorsement of Health and Human Services Recommendation for Pulse Oximetry Screening for Critical Congenital Heart Disease - open in a new tab" data-uw-rm-ext-link="na">Endorsement of Health and Human Services Recommendation for Pulse Oximetry Screening for Critical Congenital Heart Disease</a> (AAP Policy Statement) </p></li><li><p> <a href="https&#58;//www.ncbi.nlm.nih.gov/pubmed/29209720" data-uw-rm-brl="PR" data-uw-original-href="https&#58;//www.ncbi.nlm.nih.gov/pubmed/29209720" target="_blank" aria-label="Association of U.S. State Implementation of Newborn Screening Policies for Critical Congenital Heart Disease with Early Infant Cardiac Deaths - open in a new tab" data-uw-rm-ext-link="na">Association of U.S. State Implementation of Newborn Screening Policies for Critical Congenital Heart Disease with Early Infant Cardiac Deaths</a> (JAMA, 2017)<br></p></li></ul><div><table cellspacing="0" width="100%" class="ms-rteTable-0"><tbody><tr class="ms-rteTableEvenRow-0"><td class="ms-rteTableEvenCol-0" style="width&#58;100%;"><h2>About Dr. Kemper<br></h2><p><strong><img src="/SiteCollectionImagesArticleImages/kemper-alex.jpg" class="ms-rtePosition-1" alt="Alex R. Kemper, MD, MPH, MS, FAAP" data-uw-rm-alt="CT" style="margin&#58;5px;" />Alex R. Kemper, MD, MPH, MS, FAAP</strong>, who serves on the AAP Councils on Clinical Information Technology and Quality Improvement and Patient Safety, is Division Chief of Primary Care Pediatrics at Nationwide Children's in Columbus, Ohio. <br></p></td></tr></tbody></table><br></div></div> <div id="ctl00_cphPageContent_PublishingPageContentField_label" style='display:none'>Article Body</div><div id="ctl00_cphPageContent_PublishingPageContentField__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_PublishingPageContentField_label"></div> <dl id="ctl00_cphPageContent_dlLastUpdated" class="article-details"> <dt><span id="ctl00_cphPageContent_lblLastUpdated">Last Updated</span></dt> <dd><span id="ctl00_cphPageContent_lblDate">6/27/2024</span></dd> </dl> <dl id="ctl00_cphPageContent_dlSource" class="article-details"> <dt><span id="ctl00_cphPageContent_lblArticleSource">Source</span></dt> <dd><span id="ctl00_cphPageContent_lblSource">American Academy of Pediatrics Section on Cardiology and Cardiac Surgery (Copyright © 2024)</span></dd> </dl> <div class="disclaimer"> <span id="ctl00_cphPageContent_lblDisclaimer">The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. 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