Children and Youth with Special Health Care Needs
Newborn Screening Program
Commonly Asked Questions
What is newborn screening?
Newborn screening is a special blood test for newborns. Newborn screening
helps parents find out if their baby has certain health problems. A newborn baby
can look healthy, but have a serious disorder that cannot be seen. If not
treated, these disorders can lead to slow growth, severe illness, brain damage,
or possibly death. Early treatment can help prevent these serious
Why must my baby be screened?
Most babies look healthy when they are born. We test all babies because a few
babies look healthy but may have a rare disorder that needs early treatment to
prevent serious health problems.
Wisconsin law (Wisconsin
Statutes Chapter 253.13) (exit DHS) requires that all
babies born in hospitals in Wisconsin have newborn screening before they leave
the hospital. Babies born at home must be tested within a week of birth.
As a parent, you may refuse newborn screening for your baby only if your
religious beliefs and practices do not allow this testing. If you refuse to have
the tests done, you may be asked to sign a paper stating that you refused to
have your baby tested for these very serious disorders.
How is the screening done?
Before your baby leaves the hospital a few drops of blood from your baby's
heel are put onto a special test paper and sent to the Wisconsin State Lab of
Hygiene to be tested. The test is simple and safe. Some babies cry when their
heel is pricked, but the discomfort lasts only a short time. There is a small
risk of infection when the heel is pricked. This risk is very low.
The newborn screen is most accurate if your baby’s blood is taken after the
first 24 hours of his or her life. If your baby's newborn screening heelstick
was done before 24 hours of age, your doctor may ask you to repeat the test when
your baby is 1 to 2 weeks old. However, if your baby was born prematurely or
needed special care after birth, the timing of repeat testing may be
What disorders are screened for in Wisconsin?
Learn more about the 44 disorders for which
the Wisconsin Newborn Screening Program currently screens.
Can my baby be screened for other disorders?
Early detection of hearing loss can lead to improved speech and language
skills. (Go to the Universal Newborn
Hearing Screening Program page for more information.) Many hospitals are
offering this screening for newborns. Ask if your baby will be screened for
No one test can detect all disorders in newborns. There may be other rare
disorders that can be detected in the newborn period that are not included in
the newborn screening test. For more information, talk with your baby’s
How will I get the results?
Your baby's doctor will receive a report with the test results. Make sure to
ask your baby's doctor about the results of your baby's newborn screen. You have
the right to ask your doctor or nurse to explain the screening process and to
provide the results to you.
What if my baby's test is abnormal?
An abnormal newborn screening result does not mean that your baby has a
disorder. This is a screening test that finds babies who may be at risk for a
disorder. If your baby’s newborn screen is abnormal, your doctor will talk
with you about the next steps to take. Your doctor may refer you to a specialist
for more testing and genetic counseling. Then, if your baby is diagnosed with a
disorder, treatment will be started to prevent possible problems.
How are the disorders treated?
Each disorder is different. Some are treated with a special diet and others
with medicine. If treated early, many babies grow up to lead a normal, healthy
life. In a few cases, the disorders may not be completely treatable. Early
diagnosis and treatment will allow your baby the best chance of normal growth
How can I help my baby?
Make sure your baby is tested before you leave the hospital.
Leave your correct address and phone number with the birth hospital and your
baby's doctor. If you do not have a phone, leave the number of a friend or
relative who can find you.
If your baby's doctor asks you to bring your baby back to repeat the newborn
screening test or for further testing, do so as soon as possible. It is
important that testing be done right away.
Back to Newborn Screening Home
April 16, 2014