Newborn Screening Tests
In Israel, as in most other Western countries, a national newborn screening program has been in place for many years. Newborn screening tests identify relatively rare conditions that may cause severe damage to body organs, a cognitive developmental delay, or even death. These conditions have no apparent clinical symptoms in the baby’s early days, but they can be detected through a simple blood test.
Early diagnosis allows healthcare professionals to provide effective preventive or life-enhancing therapies to newborns with certain diseases, which can significantly improve their quality of life and life expectancy. It can also help prevent severe complications, including intellectual disability.
How are the screening tests performed
Screening tests are performed in the hospital at least 36 hours after birth and before discharge. Four blood drops are taken from the newborn’s heel and sent to the central laboratory of the Ministry of Health. The service is free of charge.
The diseases examined in the screening tests
The advisory committee to the Ministry of Health recommends which diseases should be tested for in newborn screening tests based on data existing in Israel and throughout the world.
The diseases examined in the newborn screening tests
You should know
- These diseases can be treated, and early diagnosis and treatment can help reduce or even prevent the serious consequences of the illness. In most cases, treatment can be commenced within two weeks of birth, thanks to newborn screening tests.
- Some diseases can only be identified through blood tests once the baby starts eating. Therefore, these tests can only be performed after at least 36 hours have passed since birth, using a blood sample taken from the baby’s heel.
- If you and your baby were discharged from the hospital early, it is important to contact Tipat Halav (family health center) in your area of residence to schedule the test as soon as possible.
- Even in the case of a home birth, it is essential to have an experienced doctor or nurse perform the test. Home midwives who are appropriately registered are familiar with the procedure. If necessary, you can also reach out to Tipat Halav or the maternity ward of a hospital to arrange for the test.
How do you get the test results
The test results are available on the Ministry of Health website several days after birth.
- Normal results are posted 14 days after the birth.
- If the results are abnormal, you will be contacted by the lab using the contact information you provided at the hospital.
Test results
To see your baby's screening test results, log onto the system on the Ministry of Health website (Hebrew), and enter your details.
Why were you summoned for a recheck
If the lab finds an abnormal test result, they will contact the parents and schedule a recheck for the baby. The recheck can be done at Tipat Halav in the parents' area of residence or at the maternity ward where the baby was born. It is important to provide the lab with an accurate address and phone number so that they can reach you if necessary.
Note: being called in for a recheck does not necessarily indicate that your baby is ill. Sometimes, the quality or quantity of the blood sample collected may not be sufficient to make a definitive diagnosis. In other cases, the test results may suggest a mild medical condition that can be diagnosed with a recheck.
What happens to the samples after the test is completed
The blood samples are stored for five years for quality control and to provide information about the baby's health, subject to the parents’ consent.
Where can the test be carried out, and to what age is it applicable
If your baby has not had the screening tests because of early discharge from the hospital, delivery abroad, or adoption, they should be done at Tipat Halav as soon as possible. The screening tests are performed on babies up to four months old. If no tests have been done, it is recommended that a pediatrician check the baby's development.
- It is essential to perform the test as close to birth as possible. Some diseases can start to appear as early as two weeks after birth.
- Bring your vaccination record, as well as the discharge letter, to the screening test at Tipat Halav.
If we decide against performing the test
Blood tests for newborns have been conducted throughout most of the world since 1963. It is logical to assume that you, the parents, also underwent these tests when you were infants. The test itself involves a swift needle prick on the baby's heel and the collection of four blood drops on absorbent paper, a procedure regarded as entirely safe. The test’s results can lead to early treatment and, consequently, prevent intellectual disability or irreversible neurological damage.
Nevertheless, in Israel, parents have the right to refuse to perform the test after receiving an explanation for its necessity from a qualified party (a doctor or nurse) and signing a refusal form.
You should know: the screening test is a lab test that examines blood components and does not include a molecular genetic profile, so there is no concern about performing a genetic profile on the newborn.