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Cora’s Story
The Need for Heart Defect Screening
          Kristine Brite McCormick

            www.corasstory.org
Cora’s Story: Full of Hope, But Sad
Easter Sunday, 2009
Easter bunny brings a huge surprise!
Pregnancy with Cora
• Prenatal care started right away. Took
  prenatal vitamins.
• Ultrasound and any prenatal
  screening/tests were all normal.
Baby Shower, Fall 2009
From Day One, Cora Was Loved
Cora’s Birthday
• Nines on both Apgar’s.
• Born vaginally about 22 hours
  after water broke.
• Seemed healthy.
Shortly After Birth
Cora’s nurse was the lead nurse of the unit. Cora received
excellent care.
Cora Was Asymptomatic
Seemed Healthy, Autopsy Reports a Murmur
            Present at Birth
Cora’s Last Night
That Night


 Cora dies suddenly.
Diagnosis: Congenital Heart Disease
• I’d never heard the phrase. Didn’t know what
  it was.
• Studied, researched. Learned about pulse
  oximetry screening within a month after
  Cora’s death.
• First baby screened because of Cora, 3 weeks
  after her death.
Researching Pulse Ox
• Talked to other parent advocates.
• The Swedish study and UK study were
  compelling.
• Followed national advocacy efforts;
  September 2011 pulse ox added to federal
  recommended uniform newborn panel.
How Pulse Ox Might Have Saved Cora
• Cora seems to have one of the 7 CHDs listed
  as CCHD (we know she had issue with
  pulmonary veins).
• After 24 hours, her defect might have caused
  low sats, and further testing.
• Early intervention might have saved her life.
Pulse Ox Concerns from a Parent Perspective
• That parents will think a pass means no heart
  defect.
• That clinicians will ignore symptoms if sats are
  high.
• Opportunity for education will be missed. CHD
  affects 1 in 100, pulse ox screening great to
  educate parents.
Fall 2010
• Communicated with my legislator about the
  compelling pulse ox findings.
• Shared message that it was inexpensive,
  quick, painless and low-false positive
  findings.
• Jan. 2011; Indiana’s pulse ox bill
  introduced.
Indiana Pulse Ox Legislation
• Passed through committee. I testify.
• Politics get in the way.
• Bill passes into legislation as part of an
  omnibus bill.
• Indiana first to pass legislation, second to
  start screening (Jan. 2012).
Pulse Ox Advocacy
• Parents have driven heart defect screening
  in newborn advocacy.
• Started www.pulseoxadvocacy.com as a
  place for advocates to find information.
Nurses and Pulse Ox Advocacy
• National Association of Neonatal Nurses
• http://www.nann.org/advocacy/agenda/univ
  ersal-newborn-screening-for-congenital-
  heart-disease.html
• Suggest partnering with parent advocates;
  write to legislators
More Information
Cora’s Story: www.corasstory.org

Pulse Ox Advocacy:
www.pulseoxadvocacy.com

Kristine’s Email: kristine@corasstory.org
Questions?
Don’t be shy. I love talking about Cora!

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Cora's Story: Hope, Love, and the Need for Congenital Heart Disease Screening

  • 1. Cora’s Story The Need for Heart Defect Screening Kristine Brite McCormick www.corasstory.org
  • 2. Cora’s Story: Full of Hope, But Sad
  • 3. Easter Sunday, 2009 Easter bunny brings a huge surprise!
  • 4. Pregnancy with Cora • Prenatal care started right away. Took prenatal vitamins. • Ultrasound and any prenatal screening/tests were all normal.
  • 6. From Day One, Cora Was Loved
  • 7. Cora’s Birthday • Nines on both Apgar’s. • Born vaginally about 22 hours after water broke. • Seemed healthy.
  • 8. Shortly After Birth Cora’s nurse was the lead nurse of the unit. Cora received excellent care.
  • 10. Seemed Healthy, Autopsy Reports a Murmur Present at Birth
  • 12. That Night Cora dies suddenly.
  • 13. Diagnosis: Congenital Heart Disease • I’d never heard the phrase. Didn’t know what it was. • Studied, researched. Learned about pulse oximetry screening within a month after Cora’s death. • First baby screened because of Cora, 3 weeks after her death.
  • 14. Researching Pulse Ox • Talked to other parent advocates. • The Swedish study and UK study were compelling. • Followed national advocacy efforts; September 2011 pulse ox added to federal recommended uniform newborn panel.
  • 15. How Pulse Ox Might Have Saved Cora • Cora seems to have one of the 7 CHDs listed as CCHD (we know she had issue with pulmonary veins). • After 24 hours, her defect might have caused low sats, and further testing. • Early intervention might have saved her life.
  • 16. Pulse Ox Concerns from a Parent Perspective • That parents will think a pass means no heart defect. • That clinicians will ignore symptoms if sats are high. • Opportunity for education will be missed. CHD affects 1 in 100, pulse ox screening great to educate parents.
  • 17. Fall 2010 • Communicated with my legislator about the compelling pulse ox findings. • Shared message that it was inexpensive, quick, painless and low-false positive findings. • Jan. 2011; Indiana’s pulse ox bill introduced.
  • 18. Indiana Pulse Ox Legislation • Passed through committee. I testify. • Politics get in the way. • Bill passes into legislation as part of an omnibus bill. • Indiana first to pass legislation, second to start screening (Jan. 2012).
  • 19. Pulse Ox Advocacy • Parents have driven heart defect screening in newborn advocacy. • Started www.pulseoxadvocacy.com as a place for advocates to find information.
  • 20. Nurses and Pulse Ox Advocacy • National Association of Neonatal Nurses • http://www.nann.org/advocacy/agenda/univ ersal-newborn-screening-for-congenital- heart-disease.html • Suggest partnering with parent advocates; write to legislators
  • 21. More Information Cora’s Story: www.corasstory.org Pulse Ox Advocacy: www.pulseoxadvocacy.com Kristine’s Email: kristine@corasstory.org
  • 22. Questions? Don’t be shy. I love talking about Cora!