a typical baby with a critical congenital heart will look physically fine when he is born
Jakarta (ANTARA) – The Indonesian Pediatrician Association (IDAI) has called for the importance of early detection of congenital heart disease in infants to prevent the risk of death during childbirth.
“80 percent of infant mortality cases die in the first six days. Congenital abnormalities are abnormalities that are acquired from birth and account for about 7 percent of infant deaths. Among the most common congenital abnormalities are congenital heart disease,” said IDAI Chairman Basarah Yanuarso in the Media Briefing agenda. “Early Detection of Congenital Heart Disease in Newborns” followed by Zoom in Jakarta, Monday.
He said a typical baby with a critical heart condition would look physically fine when he was born, but a few hours later it deteriorated and died. After being investigated, one of them is critical congenital heart.
IDAI reports that one in 100 babies are born with congenital heart disease. Another 25 percent have critical congenital heart disease. Estimates of babies born with congenital heart disease in the period January-June 2021 in Indonesia are 3,766 people.
In the same event, Head of IDAI’s Naonatology Coordination Work Unit, Risma Kaban, said infant deaths due to congenital abnormalities such as congenital heart disease are the second leading cause of death in the world after premature cases.
Babies who die from congenital disorders, said Risma, usually occur a week after birth or between 8 to 28 days.
A number of conditions that affect infant mortality due to congenital abnormalities include asphyxia or a condition when oxygen levels in the body decrease which are characterized by symptoms of shortness of breath, blue skin, and irregular breathing. This condition can lead to loss of consciousness and even death.
However, Risma confirmed that asphyxia is different from congenital heart disease experienced by babies. “Because not all asphyxia disease is caused by heart disorders,” he said.
For this reason, Risma suggested the importance of screening the health of pregnant women in the first week so that abnormalities in the baby’s disease can be detected early.
“Ultrasonography (USG) is not 100 percent able to detect. The recommendation is to screen infants in the neonatal intensive care unit (NICU) facility,” he said.
NICU officers will diagnose the condition of the baby from oxygen levels. “If the oxygen level is above 95 percent, okay, there’s no problem. If the pulse is not palpable, then we have emergency screening, even though the oxygen is 95 percent, we have to see if the baby’s response is fit or not, there is a similar family history or not, it’s not allowed back first,” he said.
Recommendations for checking the condition of the baby in the NICU facility when he is still 24-48 hours after birth, except for those who have echocardiography (Heart Ultrasound). “Infants taking supplemental oxygen at initial screening should be repeated 24-48 hours after taking oxygen off,” he said.
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Reporter: Andi Firdaus
Editor: Ganet Aerospace
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