Tag Archives: maternal health

Local Hospital Acknowledged by DHEC Newborn Screening Program for Becoming Champions of Satisfactory Dried Blood Spot Collection

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Newborn screening is a state public health service intended to identify infants who may be at an increased risk of certain disorders. Many consider newborn screening the most successful public health program in the United States. The Centers for Disease Control and Prevention (CDC) listed newborn screening as one of the 10 great public health achievements of the last decade.*

The term “newborn screening” refers to the collective group of conditions screened at birth including dried blood spot, hearing, and Critical Congenital Heart Disease (CCHD). Our focus for this post is on Newborn Screening dried blood spots.

Every infant born in South Carolina is screened for unexpected medical conditions by collecting a blood sample, or blood spot specimen, from the infant’s heel 24 to 48 hours after birth. Five blood spots are obtained from approximately 57,000 infants born in South Carolina every year. Once dried and packaged, those blood spots are sent to the South Carolina Public Health Laboratory, where they are assessed for proper testing criteria also known as a satisfactory specimen collection.

If the laboratory deems the collection as unsatisfactory, those specimens are rejected, and the lab is unable to test for more than 50 disorders that are identifiable during the newborn period. Many of these disorders are time-critical or life-threatening. A repeat specimen is then requested, and a pediatrician, hospital, or health department is tasked with recollecting the specimen. This process can lead to a critical time delay of identifying an infant with a time critical disorder, timely diagnosis and treatment. Getting it right the first time, every time is important for all babies born in South Carolina.

 

In June 2019, the Newborn Screening Program, along with partners from the South Carolina Hospital Association (SCHA), traveled to McLeod Health Clarendon in Manning, SC. This recent visit was to recognize the hospital staff for achieving 100% satisfactory blood spot specimens in 2018. When the nurse manager, Debi, received a call from DHEC to acknowledge her facility’s accomplishment, she was pleasantly surprised. She revealed that her staff began to champion their newborn screening blood spot collection after attending the DHEC “First Time, Every Time” dried blood spot collection training workshop.

The processes implemented after the training guided them along a journey for success. Here is what Debi had to say: “I could not be prouder of my diligent and conscientious Women’s Services team at McLeod Health Clarendon; they truly exemplify our mission of providing excellence in healthcare! We would also like to thank the SC DHEC newborn screening team for making such a positive impact in the health care of all South Carolina newborns!” -Debi Love-Ballard, R.N., Director of McLeod Health Clarendon’s Women and Infant Services.

DHEC Group Pic for Newborn Screening Awards

McLeod Health Clarendon was the only South Carolina hospital to accomplish the goal of 100% satisfactory bloodspot specimen collection in 2018.  Approximately 400 infants received their results in a timely manner without experiencing a repeat collection process.

Congratulations McLeod Health Clarendon. Their impact on the babies born in their community is a true representation of DHEC’s vision of Healthy People, Healthy Communities in South Carolina.

For more information about newborn screening, visit https://scdhec.gov/health-professionals/lab-certification-services/newbornscreening and https://www.babysfirsttest.org/.

* Koppaka, R Ten great public health achievements – United States, 2001–2010. MMWR Morb Mortal Wkly. Rep. 2011;60(19):619–623

South Carolina Health at a Glance: Maternal and Infant Health

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Our next installment of the 2018 Live Healthy State Health Assessment summaries covers maternal and infant health.  Because the document is 346 pages, we will summarize each section.  Check out our previous posts:  overview of the report, South Carolina demographics, leading causes of death and hospitalization, cross-cutting, and access to healthcare.

Infant Mortality

The five leading causes of infant death in South Carolina were:

  • Birth defects (85%)
  • Preterm birth and low birthweight (14.2%)
  • Unintentional injuries (9.7%)
  • Sudden Infant Death Syndrome (SIDS) (6.7%)
  • Maternal complication of pregnancy (5.0%).

Targeted education and interventions focused on infant death prevention and contributing factors helps to reach audiences in greatest need.  Although the infant mortality rate decreased from 8.5 deaths per 1,000 live births in 2007 to 7.0 deaths in 2016, this rate is higher than the national infant mortality rate and the Healthy People 2020 targeted goal.

Infant Mortality_SC Health Assessment

Birth Defects

Babies affected by birth defects are at an increased risk for long-term physical, cognitive, and social challenges.  Families affected by birth defects often deal with complex medical conditions that require surgery and early intervention services within the first three years of life.  Approximately 8,074 birth defects were reported in South Carolina from 2009-2015.  Birth defect types include:  cardiovascular, central nervous system, chromosomal, orofacial, musculoskeletal, renal, genital, gastrointestinal, limb defects, and eye and ear defects.

Strategies to prevent birth defects include maintaining a healthy diet and consuming at least 400 micrograms of folic acid daily, regularly visiting a healthcare provider for chronic disease management and infection prevention, and avoiding exposure to drugs and alcohol.

Preterm Birth

Preterm birth is the live birth of a baby before 37 weeks of pregnancy.  The earlier a baby is born, the greater the chances of having health problems in the short-term and long-term for the newborn.  These health problems can include respiratory distress, bleeding of the brain, anemia, or other health issues.

In 2016, preterm birth in South Carolina was higher than the United States.  The percent of preterm birth increased as the age of the mother increased.  Approximately 14.7% of non-Hispanic Black women experienced preterm births.

Preterm birth_SC Health assessment

Low Birthweight

Low birthweight is the birth of a baby weighing less than five pounds, eight ounces.  Although some low birthweight babies are healthy, others may require special care at birth due to respiratory distress, intestinal complications, bleeding of the brain, or other health problems.  Babies born at a low birthweight also have increased risk for developing chronic health conditions later in life.

Low Birthweight_SC Health Assessment

Teen Birth

The birth rate for teenagers aged 15 to 19 has continuously declined since 1991, reaching historic lows across the United States.  Success in the decline may be attributed to increased access to long-acting reversible contraception, delayed onset of sexual activity, and effective abstinence education.  Although the teen birth rate has declined significantly from 2007 to 2016, South Carolina’s teen birth rate is higher than national rate.

Teen birth_SC Health assessment

For more information about South Carolina maternal health statistics on Sudden Infant Death Syndrome (SIDS), intended pregnancy, prenatal care, breastfeeding, and pregnancy-related death, read the full Maternal and Infant Health chapter of the 2018 State Health Assessment.

 

World Breastfeeding Week 2018: Mother’s love, Mother’s Milk

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World Breastfeeding Week offers a perfect time to highlight the benefits of breastfeeding.

The annual observance, coordinated by the World Alliance for Breastfeeding Action (WABA), is August 1-7, 2018. This year’s theme, “Breastfeeding: Foundation of Life,” focuses on educating everyone on how breastfeeding is the foundation of lifelong health for babies and mothers. In a world filled with health disparities, it is critical that all babies have a strong foundation for a healthy life. According to WABA, breastfeeding prevents hunger and malnutrition in all its forms and ensures food security for babies, even in times of crises.

“Breastfeeding is one of the best gifts a mother can give her child,” said Ellen Babb, DHEC’s Breastfeeding Coordinator. “No formula can equal the unique combination of easily digestible nutrients and immune factors found in human milk. In addition to numerous physical benefits for mother and baby, breastfeeding promotes a special, lasting bond between them.”

Tackling the myths

Unfortunately, there are many myths about breastfeeding that have made many mothers indecisive on whether to breastfeed their babies or not. Take a look at a few of them below.

Myth: I won’t be able to make enough milk.

Moms almost always make enough milk to feed their babies. Your baby is likely getting more than you think at each feeding. A newborn’s stomach is only the size of an almond. If you eat in a healthy way, drink water, and nurse often, your milk supply should be plentiful. If you have any concerns about your milk supply or your child’s weight, check in with your baby’s doctor or nurse.

Myth: Breastfeeding hurts.

The truth is that breastfeeding is not supposed to be a painful experience. In fact, pain is usually a red flag that something is wrong. While a baby’s latch can be strong, it’s not actually biting, not even when the baby is cutting teeth. As with any new skill, there is an adjustment period. WIC provides breastfeeding peer counselors, lactation consultants, and educational materials to help you get a good start and proper latch – a key to preventing pain. There’s a number of organizations in South Carolina (such as hospitals, lactation centers, and the WIC Program) that offers assistance with breastfeeding through lactation counselors, lactation consultants, peer counselors, and educational materials to help you get a good start and proper latch – a key to preventing pain.

Myth: If I breastfeed, the baby will want only me, or be spoiled.

Just because you breastfeed does not mean that your baby will only want you or be spoiled. While there is a joyful closeness and bonding that occurs during breastfeeding there are also many things others can do, especially dad. He can do things such as playing with the baby, holding baby skin to skin, changing diapers, and more. When dad holds baby skin-to-skin, he can also develop a special bond with the baby. For those worried about spoiling their babies, research shows that breastfed children grow up to be confident and self-sufficient when parents work to meet their other emotional needs.

Challenges of Breastfeeding

Breastfeeding can be challenging, especially in the early days but you are not alone. Lactation consultants can help you find ways to make breastfeeding work for you and your baby. Some women face challenges while breastfeeding, while others do not. Additionally, some women may have certain problems with one baby that they may not have with others. Click here to learn more tackling breastfeeding challenges.

Human milk is the best milk

It is important for moms to know that any amount of breastmilk you give to your baby will be of great benefit because every ounce counts! Human breast milk has been the normal, natural milk to nourish babies since the very beginning of our existence. Breastfeeding promotes a joyful closeness with your baby and a special lifelong bond. It’s a gift only you can give your baby!

For more general information about breastfeeding, click here. For information about how WIC can help with breastfeeding, please click here.

South Carolina’s infant mortality rate at all-time low

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By Jamie Shuster

Every year wmom and babiee release new data on infant mortality in South Carolina to give our partners and health care providers a benchmark of how the state is doing in our efforts to reduce infant deaths. This year, I’m pleased to announce that the data shows South Carolina is making great strides in keeping babies healthy and safe.

The newly released 2013 data shows that the infant mortality rate in South Carolina has hit a record low. Between 2005 and 2013, our state’s infant mortality rate dropped by over 25%, from 9.5 deaths per 1,000 live births in 2005 to 6.9 in 2013.

One of the sharpest declines in infant deaths was among African-American babies, with rates dropping from 12.5 in 2012 to 10 in 2013. While disparities in infant mortality rates persist by race, South Carolina’s racial disparity in infant mortality rates between African-Americans and Whites has fallen below the national average for the first time ever. We’re also encouraged by a 41% decrease in accidental sleep-related deaths between 2012 and 2013, which suggests that our state’s safe sleep educational efforts are also making a difference. Continue reading →

Text4Baby Challenge

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By Jamie Shuster

Providing health education to our clients and the communities that we serve is one of our top priorities at DHEC. With the rise in popularity of smart phones and texting, our outreach efforts are evolving to better serve our clients and connect more South Carolinians to health education resources by reaching out to them directly via text messages.

Starting August 1, DHEC’s regional public health teams will be launching a twelve-week challenge to enroll clients in Text4Baby, which is a free cell phone text messaging service for pregnant women and new moms. Text messages are sent three times a week with information on how to have a healthy pregnancy and a healthy baby. The text messages are timed to the pregnant woman’s due date or the baby’s date of birth. Continue reading →