Critical Congenital Heart Disease (CCHD) Screening

This screening guideline details the process and management of critical congenital heart disease (CCHD ) screening by the University of Utah Hospital postpartum care team. The guideline originated in 2013 in collaboration with the Utah Department of Health Newborn Screening Program, Intermountain Healthcare, and University of Utah’s General Pediatrics and Pediatric Cardiology.

Key Points

When to screen
Infants should be screened for CCHD using pulse oximetry, usually around 24-48 hours after delivery (when most infants have undergone closure of the ductus arteriosus).

Delayed screening
Screening for unstable infants, those on oxygen, or those who need an echocardiogram for other reasons may be delayed or deferred.

Follow-up care is determined based on screening results. An echocardiogram and consultation with Pediatric Cardiology may be indicated. Critical Congenital Heart Disease (CCHD) has guidance for immediate care after a positive newborn screen.

Pulse Oximetry Screening for Critical Congenital Heart Disease

Flowchart of pulse oximetry screening steps for CCHD
University of Utah Healthcare
Pulse Oximetry CCHD Screening Pass/Fail Results
University of Utah Healthcare


Information & Support

Related Portal Content

For Professionals

Critical Congenital Heart Screening (UDOH)
Screening for Critical Congenital Heart Disease (CCHD) by pulse oximetry is mandatory for all Utah newborns effective October 1, 2014. This page has contact information for the Utah CCHD Screening Program and a link to screening results reporting form; Utah Department of Health.

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Authors & Reviewers

Initial publication: February 2023; last update/revision: October 2023
Current Authors and Reviewers:
Authors: Julie Shakib, DO, MS, MPH
Nelangi M. Pinto, MD
Paul Wirkus, MD
Reviewers: Jennifer Goldman, MD, MRP, FAAP
Elizabeth R Smith, MD
Joni A. Hemond, MD, FAAP
Meghan M. O'Connor, MD
Karen F Buchi, MD, FAAP