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Newborn Screening- Resources for Midwives

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Michigan Newborn Screening Guide for Homebirths

This comprehensive guide provides detailed instructions for community birth providers on the process for collecting newborn screens in Michigan. This document is updated quarterly to include up-to-date information. 
Newborn Screening Guide for Homebirths
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The Newborn Screening Educational Online Tutorial

Three Michigan newborn screening courses can be accessed online and offer nursing contact hours. Titles of the trainings are: 

  • Newborn Screening - Michigan (includes information on blood spot screening and the Michigan BioTrust for Health consent process)
  • Critical Congenital Heart Disease
  • Sickle Cell Disease - Pain Management
The Newborn Screening Educational Online Tutorial
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BioTrust Consent Homebirth Instruction Sheet

After newborn screening is completed, left over blood spots are stored. The BioTrust is a program that oversees the research use of these stored blood spots. The choice to participate in this de-identified research can be made by parents around the time that blood spots are collected for screening. This document provides instructions on how to complete the consent process with clients. 
BioTrust Consent Homebirth Instruction Sheet

Introducing Newborn Screening to Clients 

As trusted providers, it is important for community birth providers to educate their clients about newborn screening throughout their pregnancy. Early education allows families to recognize the importance of screening and have their questions answered prior to collection. Resources are available to help you introduce the screening process to families.  More information on newborn screening education can be found under the "Prenatal Education Resources" tab of this webpage.

 
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QR code to access NBS online ordering form for midwives

Newborn Screening Results

Newborn screening lab reports are mailed or faxed to the submitter once testing is complete. A statement of understanding form must be completed to receive results via fax. 

MDHHS Statement of Understanding Automatic Fax Transmission Option

Carefully review results with the family. If follow-up requests are made, such as obtaining a repeat collection, complete those steps as quickly as possible.

The NBS Program ensures that all infants with positive newborn screens receive rapid follow-up through a designated coordinating center. If a strong positive result is detected, the primary care provider and/or community birth attendant is immediately notified. Notification includes the screening results, action required, and the designated coordinating center contact information. The coordinating centers are responsible for arranging prompt medical management that includes confirmatory diagnostic testing, clinical evaluations by medical specialists, and treatment. To learn more information about Michigan’s follow-up coordinating centers, including contact information, please click here.

After newborn screening is complete, clients may also choose to have the leftover blood spots destroyed or request that they be returned to their family for personal use. These options ensure that families have autonomy over the storage and use of blood spots. Storage and consent decisions can be changed at any time by completing the forms listed below:

Critical Congenital Heart Disease Screening

Congenital heart defects are the most common group of birth defect. Critical congenital heart defects (CCHD) are one of the most significant causes of infant death in the United States. Screening for CCHDs using pulse oximetry is a mandated part of newborn screen in Michigan. Michigan offers community birth attendants the opportunity to obtain pulse oximetry equipment to community birth attendants as part of a loan program.

To learn more about Michigan CCHD screening, please visit the CCHD Website
 

Early Hearing Detection and Intervention Program

Community birth providers contribute to the holistic care of expectant mothers and newborns and can have a positive impact on the long-term outcomes for children who are Deaf or Hard of Hearing. Michigan has a mandated hearing screening and reporting system. Therefore, each community birth provider should have a procedure in place to assist families in obtaining a hearing screen for their newborn.

To learn more about the Michigan Early Hearing Detection and Intervention program, please visit the Early Hearing Detection and Intervention Program website.