Anxiety of the mothers with referred baby during Universal Newborn Hearing Screening

Khairi, Daud Mohd; Rafidah, Kamaruddin Noor; Asghari, Ahmad; Rahman, Normastura Abd; Mansor, Suzana; Zakaria, Mohd Normani

doi:10.1016/j.ijporl.2011.01.009

Cited by 46 publications

(22 citation statements)

References 31 publications

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“…Earlier studies have found an association between false-positive newborn screen results and negative psychosocial effects [24]. This association was also documented in studies screening for hearing, cystic fibrosis, diabetes [25]–[28]. We hypothesized that such psychosocial effects could lead to parents perceiving children with false-positive test results as vulnerable which in turn may lead to increased health care utilization.…”

Section: Discussionmentioning

confidence: 72%

Psychological Effects of False-Positive Results in Expanded Newborn Screening in China

Chen

et al. 2012

PLoS ONE

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ObjectivesAs more families participate expanded newborn screening for metabolic disorders in China, the overall number of false positives increases. Our goal was to assess the potential impact on parental stress, perceptions of the child's health, and family relationships.MethodsParents of 49 infants with false-positive screening results for metabolic disorders in the expanded newborn screening panel were compared with parents of 42 children with normal screening results. Parents first completed structured interview using likert scales, closed and open questions. Parents also completed the parenting stress index.ResultsA total of 88 mothers and 41 fathers were interviewed. More mothers in the false-positive group reported that their children required extra parental care (21%), compared with 5% of mothers in the normal-screened group (P<0.001). 39% of mothers in the false-positive group reported that they worry about their child's future development, compared with 10% of mothers in the normal-screened group (P<0.001). Fathers in the false-positive group did not differ from fathers in the normal-screened group in reporting worry about their child's extra care requirements, and their child's future development. Children with false-positive results compared with children with normal results were triple as likely to experience hospitalization (27%vs 9%, respectively; P<0.001).ConclusionsThe results showing false-positive screening results may affect parental stress and the parent-child relationship. Parental stress and anxiety can be reduced with improved education and communication to parents about false-positive results.

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Section: Discussionmentioning

confidence: 72%

Psychological Effects of False-Positive Results in Expanded Newborn Screening in China

Chen

et al. 2012

PLoS ONE

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“…In this regard, Chair et al. reported a significantly lower anxiety level before hearing rescreen as compared to that after first screen.…”

Section: Discussionmentioning

confidence: 96%

Delayed first otoacoustic emissions test decreases failure on neonatal hearing screening after caesarean delivery

et al. 2013

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“…Parents should know that 1st OAE screening failures are not definitive until confirmed by appropriately timed second-stage screening preferably with AABR. Face-to-face interviews with mothers whose babies failed on 1st OAE led to a significantly lower anxiety level before hearing rescreen as compared to that after first screen [21]. …”

Section: Discussionmentioning

confidence: 99%

Impact of Gestational Age on Neonatal Hearing Screening in Vaginally-Born Late-Preterm and Early-Term Infants

et al. 2013

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Background: Late-preterm and early-term (LP-ET) infants, defined herein as 35⁰-37⁶ weeks' gestation, often fail on 1st otoacoustic emissions (OAE) test. Hypothesis: LP-ET infants fail more than term infants (38⁰-42 weeks' gestation) on the 1st OAE test. Aim: To evaluate the effect of gestational age on the 1st OAE test. Methods: We studied 1,572 vaginally-delivered (VD) infants ≥35 weeks' gestation (1.1.2011-30.9.2011). Perinatal and neonatal variables and results of OAE tests were recorded. Results: LP-ET infants, compared to full-term infants, had a significantly 2-fold higher need for repeated hearing tests: 80.2 versus 43.3 tests/1,000 neonates, respectively (p = 0.026). Univariate analysis showed that late prematurity and age at 1st OAE were significantly associated with failure on 1st OAE. At age 24-42 h, failure on 1st OAE was 2-fold higher in the LP-ET infants than in full-term infants: 9.4 versus 4.7% (p = 0.02). Risk for failure on 1st OAE was age-dependent: 9-fold higher when 1st OAE was performed at 24-42 h of age (5.3%) versus 0.6% after age 42 h. Multivariate analysis showed that variables that were independently significantly associated with failure on 1st OAE included late prematurity (OR 2.0 (1.1-3.7)) and age at 1st OAE (OR 9.2 (1.2-70.7)). Conclusions: Compared to term infants, VD LP-ET infants had 2-fold higher rates of failure on 1st OAE (up to 42 h of life) and needed repeated hearing tests. Failure rates after 42 h become negligible in both groups. In VD LP-ET infants, 1st OAE is better performed after 42 h of age.

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Anxiety of the mothers with referred baby during Universal Newborn Hearing Screening

Cited by 46 publications

References 31 publications

Psychological Effects of False-Positive Results in Expanded Newborn Screening in China

Psychological Effects of False-Positive Results in Expanded Newborn Screening in China

Delayed first otoacoustic emissions test decreases failure on neonatal hearing screening after caesarean delivery

Impact of Gestational Age on Neonatal Hearing Screening in Vaginally-Born Late-Preterm and Early-Term Infants

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