Tag Archives: newborn screening
Ups. And Downs.

Ups. And Downs.

Our heart community took some major hits this week…we lost some very, very precious babies here on earth.  But the angels in heaven gained some new playmates.  I think many of us take the greatest solace in the messages from those parents who have already experienced loss.  Levi Beers (Aiden’s dad) never fails to put the faith back in one’s soul. http://mysonisanangel.wordpress.com/   I am grateful for his counsel and friendship.

And there are so many more…Cora’s mom, Kaia’s mom, James’ mom, Allie’s mom…

Despite their still-fresh grief, they reach out to CHD families and GIVE.  I saw a post from Stephanie, Kaia’s mom, that said she would be sure to have Kaia look for Hazel and Pierce in heaven…show them around, ya know.  Just that visual image provided such comfort and peace.  I have yet to see anything more tragic than a coffin the size of a shoe box.  It’s wrong in every way.  But hearing the hope directly from these parents…that is pure light.

And in the middle of all the darkness this week – there has actually been a good deal of light.

There were two things that I started working on last summer – after Eve’s surgery.  Newborn screening for heart defects.  And pediatric heart devices for surgeons.

Those two things became the cornerstone priorities of 1in100.  There is clearly so much to do in the wide world of CHD.  But for the moment, these were the things I truly thought weren’t getting enough traction.  And that I might have some of the tools to tackle.

So this week – strangely enough, BOTH of these priorities saw major breakthroughs.

1in100 Priority 1 – Newborn Screening/Early Detection

This coming week, for the first time in memory, there will be an official report on the agenda at the national Newborn Screening Advisory Committee meeting in Washington DC.  It will be presented by the Mayo Clinic doctor that is on the Minnesota committee and that has been advising on our pulse ox pilot study here.  I will be providing comments at this meeting – and the next step is to submit the formal nomination to make universal screening for CHD at “standard of care” for all newborns.   Anticipating this will happen as soon as February.

On a related note, there are at least two CHD screening bills at the state level that have been introduced in recent weeks.  Cora’s Law and Chloe’s Law are both making headway.  Kudos to Kristine http://instructionsarenotincluded.blogspot.com/ and Kelly http://chdbabies.blogspot.com/ for their passion and drive.

1in100 Priority 2 – Pediatric Heart Devices

Six months ago I made the rounds with heart device companies to find out why it’s so damn hard to get pediatric size devices into the hands of surgeons operating on tiny hearts.  Some reasons? FDA restrictions, small market, too much R&D, too long…been keeping at it regardless, even provided testimony at an FDA workshop in the fall.  Fast forward: Email from a major heart valve company. As of this week, they are working to develop a pediatric heart valve!!  Everyone (FDA, Industry and Physicians) have now made commitments to the speedy clinical study and introduction of pediatric valves with proven safety to the market.

Stunned and grateful.  I could have never imagined so many good people would mobilize, so quickly, to move these initiatives forward in such a meaningful way.

ONE DAY. ONE MISSION. 100 EVENTS.

February 13, 2010

This Valentine’s Weekend.  Put your heart in the right place.  Where your heart on your sleeve.  And Open Your Eyes.

One hundred global events mark the wind-down of Congenital Heart Defect Awareness Week, reinforcing the crusade against heart disease and heart defects in children as a year-round 24/7 battle.

On Saturday, February 13th – just as CHD Awareness Week 2010 is wrapping up – 100 events will be happening in tandem around the world.

There are no rules – these events are personalized to (and in honor of) advocates everywhere who are the front lines want to share what they know about the world’s most common birth defect.  One in one hundred babies born are afflicted with a congenital heart defect.  Personal stories, Newborn Screening, Medical Advancements, Heart Heroes and Rockstars.  It’s time the world heard what’s happening, what’s being done, and we can do.

Heart defect awareness is 24/7/365.  Every day is a good day to Know more and Do more.

1in100 EVENT ROSTER (updated weekly)

1. Annamarie & Paul Saarinen

In honor of Eve Isley and those who Do More everywhere.

Minneapolis, Minnesota

2. Rachel Boyum

In honor of Maggie Stewart

Lakeville, Minnesota

3. Amber Teater Schmidt

In honor of the 3rd anniversary of Kyleigh’s Open Heart Surgery

Lexington. KY

4. Kristina Daugherty

In honor of heart warrior Aiden (tricuspid atresia – 6 months old, glenn scheduled for March 2010)

St, Louis, MO

5. Kristin Uchida Collier

In honor of Khloe and everyone dealing with CHDs

Denver, CO

6. Kristi Bono Pena

LOCATION

7. Karla Hider

In honor of angel Isla (dilated cardiomyopathy and mitral valve regurgitation)

Cambridge, United Kingdom

8. Kristine Brite McCormick

In honor of angel Cora

Indianapolis, IN (??)

9. Jessica Twigg

In honor of angel Ethin

Michigan

10. Lisa Roseman Brancato

In honor of

Chicago, IL

11. Michelle Shannon

Omaha, NE/Council Bluffs, IA

12. Amber Whitman

In honor of Addison and Cora

Franklin, IN

13. Isabelle & Ron Ouimette

In honor of Andre

Danville, MA

14. Melissa

INFO
Sacramento, CA

15. Holly

(son – TOF, now 28 months)

Burlington, VT

16. Abby Whaley

In honor of angel Allie

Raleigh, NC

17. Laurel Hubert

In honor of Lyla’s first heart birthday

LOCATION TBD

18. Ann Thompson

In honor of Eve

Emmons, Minnesota

19. Josh & Jenny Madigan

In honor of Maddie and Eve

Rosemount, Minnesota

20. Audra Grunwaldt

In honor of Ben

Souix Falls, South Dakota

21. Grete Lekanger

In honor of angel babies

Oslo, Norway

22. Richard & Carolyn Gray

In honor of hearts everywhere

Carmel, CA

23. Bonnie Burkert

In honor of Eve

Los Angeles, CA

24. Mary Calvano & It’s My Heart Michigan

In honor of Drew, CHD Warriors and Angels

TBD, Michigan

25. Levi & Tracy Beers

In honor of angel Aiden

Denver, CO

26. Tracy Dougherty

Centerville, Iowa

27. Kelli Carlson

In honor of Will

TBD, Rhode Island

28. Doug & Gretchen Kingland

In honor of Eve

Northwood, Iowa

29. Melissa Hingos

In honor of Jack & Eve

Raleigh, NC

30. Rene Saarinen

In honor of Eve

Hibbing, MN

31. Tom Reynolds

In honor of friends fighting CHD

Eagle, CO

32. Holly Anderson

Brooklyn Park, MN

33. Kris Huson

In honor of Eve

Minneapolis, MN

34. Monique Bowersox

In honor or Eve

Rochester, MN

35. Tony Weisshauer

Des Moines, IA

36. Denise Sanders

In honor of Michael

Clearwater, FL

Want to host a 1in100 Event?

Post here – Or email annamarie@1in100.org – Or post on Facebook.com/1in100.

Name, Location, Time of Day, in Honor of

More to come!

Welcome to the World Wednesday

Welcome to the World Wednesday

This is the most popular day for babies to be born…Wednesdays, I mean.  15.4% more births happen on Wednesday than on the average day.  Got me thinking – my first two children, Jack and Elle, were born on Thursdays.  Baby Eve, a Friday.  Not the first time I’ve fallen out of the statistical norm.  We are 1in100 for Pete’s sake.

So I did the math – and it means that today, 126 babies were born in the US with a heart defect.  A study from a few years back cites that routine newborn examinations STILL fail to detect more than half of babies with heart disease; examination at 6 weeks misses one third.

I personally know 17 children sleeping in intensive care units tonight.  I also know 11 families who have buried their babies in the past 5 months, including baby Cora’s parents.   She went home from the hospital with her mommy – just like half of the 126 other CHD babies born this day.  One month ago today, Cora died nursing in her mothers arms.

While this all seems very, very wrong I choose (partly for sanity, partly for peace) to view it as our window in humanity to make some things right.  Simple, safe newborn screening for the world’s most common birth defect is just a start.  Check it out.  Pass it along.

And welcome to the world, sweet Wednesday babies.

What is Newborn Screening with Pulse Oximetry?

Pulse oximetry monitoring uses a light source and sensor to measure oxygen in the blood.
A soft, wrapped sensor is wrapped around the baby’s foot.
Light passing through the foot measures the amount of oxygen in the blood.
The test is quick (3-5 minutes) and painless. Pulse oximetry monitoring should detect most heart defects.

Why is it important to check babies for heart defects?

If undetected, some congenital heart defects can cause serious or even life-threatening problems. Early detection and early treatment lead to better outcomes.

Why check the blood oxygen level with pulse oximetry?

A low oxygen saturation level may indicate the presence of a heart defect.

What are the benefits of the screening?

Babies are less likely to be sent home with unidentified heart problems – some of which can cause acute, emergency situations or even death.  If identified in the first 24-48 hours of life, medical teams are available for diagnosis and treatment of CHDs. Critical congenital heart defects, requiring immediate treatment or repair, can be performed before discharge from the hospital.

Will screening find all types of heart defects?

No current screening tool exists to detect CHDs 100 percent of the time. Pulse oximetry screening should detect most heart defects (those associated with a low blood oxygen level). However, some heart detects may not be found on screening (those not associated with a low blood oxygen level).

What will happen if a baby has a low blood oxygen level?

The pulse oximetry test will be done again. If the level is still lower than expected, then an echocardiogram (sonogram of the heart) will be done. A pediatric cardiologist will ‘read’ the echocardiogram to check for the presence of a heart defect. If a CHD is found, the pediatric cardiologist will start collaborating on those findings and working on treatment options. Most heart defects can be corrected or improved with surgery, procedures and/or medications.

What are the other signs and symptoms of heart defects parents can watch for?

• Baby tires easily during feeding (falls asleep before feeding finishes)
• Sweating around the head, especially during feeding
• Fast breathing when at rest or sleeping
• Pale or bluish skin color
• Poor weight gain
• Sleeps a lot, not playful or curious for any length of time
• Puffy face, hands and/or feet
• Often irritable, difficult to console

Congenital Heart Defects (CHDs) are defects that are present at birth and affect the structure or function of the heart or vessels.

• Heart defects are the most common birth defect.
• CHDs occur in approximately one of every 100 births.
• About 40,000 babies with CHD are born in the US each year.
• Heart defects are the leading cause of newborn and infant death.
• Although some babies will be diagnosed before birth or at birth, sometimes the diagnosis is not made until days, weeks, months or even years later.