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Newborn Screening Rates In The Homebirth Community

Although the number of midwife deliveries is small relative to the birth cohort in Michigan, they often occur in the Amish and Mennonite populations, which have a higher incidence of several heritable disorders including phenylketonuria, maple syrup urine disease and glutaric acidemia type I. Compared to the overall newborn screen rate of 99.6% in the general population of Michigan births, approximately 65% of homebirths attended by midwives receive a newborn screen. When a screen is obtained for a homebirth, the screen is more likely to be collected late (after 36 hours of life) and slow to arrive in the state laboratory for testing (more than 4 days after specimen collection) compared to hospital births. On Wednesday, January 22nd, the Michigan Department of Community Health (MDCH) will highlight their quality improvement project, Improving Newborn Screening Rates within the Michigan Homebirth Community. This project was designed to increase the efficiency of the newborn screening process for the number of infants born at home. Presenters will share the goals, methodologies, key findings, lessons learned, and applicability of the program. Presenters: Janice Bach, MS, CGC | Valarie Newton, MS, RN, MSN Candidate | Lois Turbett, MS, RN