Key points to remember about the heel prick test for newborn babies

• the heel prick test is available to all New Zealand babies
• the test involves collecting a sample of blood from your baby's heel 48 hours after their birth
• the test is part of the Newborn Metabolic Screening Programme which detects rare but life-threatening metabolic disorders
• early treatment of conditions can prevent potentially serious complications which can cause permanent damage or even death

Why does my newborn baby need a heel prick test?

[1]

The Newborn Metabolic Screening Programme detects rare but life-threatening metabolic disorders with a blood test (heel prick test) at 48 hours after your baby's birth. Since 1969, almost all babies in New Zealand have had this screening. Early diagnosis means that treatment can start quickly, before a baby becomes sick. Metabolic disorders are hard to find without screening. See the page about the heel prick test at the Newborn Metabolic Screening Programme website [2].

Check the Newborn Metabolic Screening Programme website for detailed information, including:

• about the Newborn Metabolic Screening Programme [3]
• how the process works [4]
• taking the blood sample [5]
• your baby's screening test results [6]
• about the test [7]
• personal stories [8]
• frequently asked questions [9]

What are the conditions newborn babies are screened for?

The current conditions screened for are:

• amino acid disorders (for example PKU and MSUD)
• fatty acid oxidation disorders (for example MCAD)
• congenital hypothyroidism (CH)
• cystic fibrosis (CF)
• congenital adrenal hyperplasia (CAH)
• galactosaemia
• biotinidase deficiency
• severe combined immune deficiency (SCID)

If your baby has one of these disorders, you will receive information about the disorder and how to treat it from a paediatrician.

What if my baby is diagnosed with a metabolic disorder?

If your baby is diagnosed with a metabolic disorder, coping is an ongoing process. Everybody copes in a different way.

See Coping when your child has a diagnosis of a chronic illness or disability [10] and Receiving a diagnosis for your child with special needs [11].

Where can I go for more information about metabolic disorders?

Rare Disorders New Zealand

The Rare Disorders New Zealand website is a useful source of information about resources available for patients and their families/​whānau living with a rare disorder in New Zealand.. See the section on patient services on the Rare Disorders New Zealand website [12].

Newborn Screening Information website (Hawaii)

Provides fact sheets on the metabolic disorders screened in the New Zealand Newborn Metabolic Screening Programme. It includes descriptions of each disorder and how they can be detected and treated. See the page on disorder fact sheets at the Newborn Screening Information website [13].