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THE USE OF PRAMS TO ASSESS NEWBORN HEARING SCREENING, OREGON, 2000

This study evaluates the implementation of Universal Newborn Hearing Screening (UNHS) in Oregon, mandated by law for hospitals with over 200 live births per year starting July 1, 2000. Utilizing data from the Pregnancy Risk Assessment Monitoring System (PRAMS), the project aimed to understand the prevalence of hearing screenings conducted in hospitals. Findings indicate a significant increase in screenings following the law's enactment, highlighting the effectiveness of legislation in establishing screening as a standard practice for newborns. This research provides valuable insights into maternal healthcare and newborn screening processes.

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THE USE OF PRAMS TO ASSESS NEWBORN HEARING SCREENING, OREGON, 2000

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  1. THE USE OF PRAMS TO ASSESS NEWBORN HEARING SCREENING, OREGON, 2000 Kenneth D. Rosenberg, MD, MPHAlfredo P. Sandoval, MS, MBATina Kent Department of Human ServicesOffice of Family Health Portland, OregonSeventh Annual MCH Epidemiology ConferenceDecember 12, 2001 Clearwater Beach, Florida

  2. Background • Universal Newborn Hearing Screening (UNHS) • Oregon law mandating UNHS for all babies born in hospitals with more than 200 live births per year: July 1, 2000.

  3. Methods • PRAMS: Pregnancy Risk Assessment Monitoring System • Began asking about NHS: May 2000 • Question in mailed surveys: “In the hospital or birthing center, after your baby was born, did your baby get a hearing screening?” • Unweighted data

  4. Law Results

  5. Discussion-1 • Roster Method derived from Karl White of Utah State University • Oregon roster, autumn 1999: • 12 hospitals with universal NHS • 2 more hospitals did NHS on NICU babies • Sum = 37% of newborns getting NHS • 3/00 PRAMS (baseline): over 60%

  6. Discussion-2 • Biases • 1. Weighted sampling; unweighted analysis • 2. Mothers who did not know whether their babies were tested • 3. Recall bias • Trend over time is robust

  7. Discussion-3 • Law mandating UNHS by hospitals increases NHS. • NHS increased in the month before the law took effect. • Almost all newborns were getting NHS after the law took effect. • UNHS: standard of practice in Oregon.

  8. Conclusions • PRAMS: infrastructure permits flexibility • MCHB Title V Performance Measure on Newborn Hearing Screening

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