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All states now include screening for congenital hearing loss as part of newborn screening.Because early infancy intervention is essential for babies with CCHD, adding CCHD to newborn screening is an important strategy to assure that all newborns are screened.

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The program began in the 1960s as a way to detect metabolic disorders using dried-blood spots.

Today, nearly all newborn babies have a blood spot taken and sent to a centralized laboratory for evaluation.

Waiting until 24 hours of life will decrease the false-positive results.

The screening should occur in the right hand and either foot.

To improve the early detection of CCHD, the Secretary of Health and Human Services (HHS) recommended that CCHD screening be added to the uniform newborn screening panel.

The following guidance, in question and answer format, was developed by a technical advisory panel comprised of experts representing various AAP entities with a broad range of CCHD expertise.​​ About three percent of all babies are born with a birth defect.

As with any other screening test, CCHD screening is not perfect.

Screening can sometimes miss cases or identify babies who do not have serious medical problems.

However, CCHD is not always detected prenatally or upon exam in the nursery.

As a result, some infants with CCHD are discharged from the nursery to home, where they quickly decompensate.

However, work conducted by the Centers for Disease Control and Prevention have found that well-conducted, comprehensive, and coordinated CCHD screening programs have comparable cost-effectiveness to other recommended preventive services​ because of the ability to reduce morbidity and mortality​.

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