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Newborn screening testing in Washington

September 01, 2014

For most parents, the newborn period is a time of profound joy, incredible challenges, and LOTS of questions.  As pediatricians, some of the questions we are frequently asked are related to a simple blood test done on all infants in Washington State.  Commonly referred to as the “newborn screen” or “NBS”, “PKU”, or “newborn metabolic testing”, this test checks for several congenital disorders that are rare but can be life-threatening. 

Often parents want to know:

  • What does the test involve? The newborn screen is done by pricking the heel of the infant at around 24 hours of age, then collecting a few drops of blood onto a piece of test paper.  This is dried and then sent to the state lab, where the testing is performed.  Because some of the conditions may take several days to show up, the test is repeated at 7-14 days old (usually by your primary care doctor; it can also ...

Importance of planning pregnancies with Multiple Sclerosis (MS)

June 04, 2014

A recent study addressed the outcomes of pregnancy in women with MS who were taking fingolimod (Gilenya). Of 66 pregnancies on the medication, 41 attempted to carry the pregnancy to term. 26 of the 41 had healthy newborns. There were, 9 miscarriages, 24 elective abortion, 4 ongoing pregnancies and 1 with an unknown outcome. Of the elective abortions, four were for fetal malformations. There were 5 cases with abnormal fetal development in the 66 pregnancies. Poor fetal outcomes were found in 14.6% of the pregnancies. This contrasts with a 3% rate of poor outcomes for most pregnancies.

This paper highlights the importance of care in planning pregnancies in MS. It is now known that women with MS have ...

Managing pain during labor

April 25, 2014
One of the most common concerns women have during their pregnancy is how to manage pain during labor and delivery.  Labor pain may be more or less intense than you expected, or may hurt in a different way. It is hard to predict how any labor will go or how anyone will respond to pain.

Labor pain is due to contractions of the muscles of the uterus and by pressure on the cervix. This can feel like strong cramping in the abdomen, groin, and back. Some women experience pain in their sides or thighs as well. Women can also feel pressure on the bladder and bowels by the baby's head and the stretching of the birth canal and vagina. Some find the hardest part is not the contraction itself, but the fact that the contractions keep coming.  

One of the best ways to alleviate fears for women is to learn about the available strategies for coping with pain. There are both medical and non-medical tools that may be a good match for you.

While you are deciding, t...

Parent's guide to newborn testing, screening, and prevention measures

February 14, 2014
When picturing the first days of an infant’s life, what we look forward to the most is love. We express our love in so many ways: skin-to-skin, breastfeeding, swaddling and snuggling. 
 
Love also means keeping them safe. 
 
Advances in maternal-infant health are one of the greatest success stories of the 20th century, with a drop in the death rate of 99%. But some of those dangers only stay in the past through constant vigilance. Behind every screening test and preventive measure is a careful, research-driven rationale. Here are seven newborn tests, screenings, and prevention measures you should know about:
 
Vitamin K injection 
Vitamin K is vital for blood to clot properly. Newborns cannot make Vitamin K and it is poorly transferred in breast milk. Without this injection, babies are at risk for spontaneous bleeding from the umbilical cord, mucus membranes, even in the brain. Giving Vitamin K...

Jaundice in newborn babies

January 24, 2014
As a new parent, you’re understandably eager and excited to leave the hospital and settle into your new routine with your baby. Sometimes, that routine is delayed due to the baby’s blood test confirming hyperbilirubinemia, also known as jaundice.

Jaundice in newborns is caused by an excess of red blood cells. Jaundice is seen as a yellow color to the skin, appearing first at the head (skin and sclera – or “whites of the eyes”) then progressing to the feet. As it decreases, it lessens in reverse. Before birth, the placenta removes bilirubin from the baby’s system; after birth, the baby’s liver takes over. In breast-fed babies, an imbalance between mother’s milk supply and baby’s feeding can lead to a higher-than-expected bili level. In addition to ensuring the baby is feeding well and having enough wet/stool diapers, phototherapy or “bili lights” may be needed. Bili lights help speed up the process by breaking down the bilirubin i...

Swedish welcomes record 9,014 babies in 2013

January 13, 2014

SEATTLE – Swedish Health Services delivered 9,014 babies across four hospitals in 2013, a record for the hospital system and an increase of 3 percent over 2012. Last year also saw a record number of births at both Swedish Ballard and Swedish Issaquah, which each surpassed 1,000 deliveries for the first time. In total, three of Swedish’s four hospitals offering childbirth services saw growth in 2013.

Seattle's first baby of 2014 is a Swedish baby

January 01, 2014

Congratulations to Niamh O'Connell and Wyatt Powell, who are the proud parents of Seattle’s first baby born in 2014. Killian Powell was born at 12:51 a.m. on Jan. 1 at Swedish First Hill.

Piper's first birthday honors Swedish Neonatal Intensive Care Unit

December 04, 2013

Listening to Stephanie Baily talk about her daughter, Piper, turning one year old, you can’t help but hear the pride and gratitude in her voice. Piper was born seven weeks early due to complications with Stephanie’s pregnancy and spent 25 days in the Swedish NICU before she could go home.

4th Annual Holidays at the Hospital at Swedish

November 08, 2013

We hope you can join us for a winter wonderland celebration for Swedish Pediatric patients, families, & friends!

This is a free, fun, and festive holiday celebration for the community that will feature:

  • Carolers
  • Photos with Santa
  • Teddy Bear Clinic
  • Cookie decorating
  • Holiday activities and crafts tables
  • Plus, we’ll have a super special guest from the Seattle Sounders, Roger Levesque!

We’ll also be collecting toys for children up to age 18 as well as donations for art supplies and games. Donated items will be given to children at the hospital receiving care and treatment.

Where:
Swedish First Hill
1101 Madison, Medical Tower Lobby
Seattle, WA 98122
**Free parking is available on the s...

Signs of Hearing Loss for Babies and Children

September 02, 2013

Early identification and intervention of childhood hearing loss is linked to improved outcomes in communication and learning. Most newborns receive a hearing screening before being discharged from the hospital. However, some children may experience hearing loss sometime after that initial screening. Childhood hearing loss can be caused by a number of factors including family history, health problems at birth, syndromes, persistent middle ear fluid, chronic ear infections, and exposure to loud noise or head trauma. Children with normal hearing typically demonstrate similar listening and vocalization behaviors. If your child does not display these behaviors, it may be a sign of possible hearing loss or other problems.

Does your baby…

 

Birth – 3 months

  • Wake or startle in response to a sudden noise?
  • Seem to be soothed by your voice?

4-6 months

  • Move ...