Perinatal Programs
Jeannie Clark, RN, ASN, BA, BSN, Director
Stephanie Thorn, BA, RFTS SCRIPT Coordinator
Merrial Richardson, MA, NHS/SIDS Coordinator
Donna Haas, Secretary
Perinatal Programs
West Virginia Department of Health and Human Resources
Bureau For Public Health
Office of Maternal Child and Family Health
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Right From The Start Program
Maternity Services
Birth Score Program
SCRIPT (Smoking Cessation/Reduction
in Pregnancy Treatment)
• Newborn Hearing Screening
Current Birth Laws for all West
Virginia Newborns
Chapter 16 of WV Code – “Public Health”
Maternal Risk Screening
• Uniform Maternal Screening Act – WV Code §16-4E-1 et seq
• Passed 2009, implemented January 2011
• Identifies risk conditions that may contribute to adverse pregnancy
outcomes
• All pregnant women who reside in WV must be screened using the
Prenatal Risk Screening Instrument (PRSI) at first prenatal visit
• Provider must notify the woman of any identified high-risk condition
and provide referrals as necessary
• Completed PRSI faxed to OMCFH by secure fax
• Any personally identifiable information on submitted PRSI forms will
remain confidential and will not be released/disclosed for any reason
other than data analysis of at-risk/high-risk pregnancies and planning
purposes by public health officials, as required by the legislation
• Legislation
http://www.legis.state.wv.us/WVCODE/Code.cfm?chap=16&art=4E
Birth Registration and
Acknowledgment of Paternity
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WV State Code 16-5-10 - Birth registration
“WV Birth Certificate Requirements for Newborns”
⁻ 1st official document obtained for a new baby
⁻ Filing must occur within 7 days after birth
Code includes more detailed info regarding Birth registration and
acknowledgment of paternity
⁻ If the newborn's mother was married "either at the time of conception or
birth," the law requires her husband's name to be listed on the birth
certificate as the baby's father; An exception can be granted if a court has
determined other paternity
⁻ If the mother was not married, a father will not be listed on the birth
certificate "without the written consent of the mother and of the person to
be named as the father“; if a court has established paternity, this rule does
not apply
Legislation
http://www.legis.state.wv.us/Bill_Text_HTML/2001_SESSIONS/RS/Bills/hb3233%
20intr.htm
Website http://www.wvdhhr.org/bph/hsc/vital/birthcert.asp
For more information: http://www.ehow.com/facts_5471206_west-birthcertificate-requirements-newborns.html
Newborn Metabolic Screening
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WV State Code 16 Article 22 - Detection and Control of Phenylketonuria,
Galactosemia, hypothyroidism, and certain other diseases in newborn children
WV routinely and universally screened for PKU, Hypothyroidism, Galactosemia,
and hemoglobinopathies which include Sickle Cell disease, and newborn hearing
Expanded 2/2/2009 to include testing for 29 diseases
Population based
No charge to family for screening, identification, tracking/reporting, diagnosis
and follow up
Partnership between the OMCFH and the Office of Laboratory Services
Legislation
http://www.legis.state.wv.us/WVCODE/16/code/WVC%2016%20%202022%20%20-%20%20%203%20%20.htm
Website
http://www.wvdhhr.org/nbms/
Birth Score
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WV State Code Article 22B. 16-22-B – 1-4
The purpose is to reduce the incidence of postneonatal mortality and disease by:
⁻ Identifying newborns at greatest risk for death or developmental delay between one month
and one year of age
⁻ Linking these infants with physicians for close follow-up during the first year of life.
Authorizes the division of health to establish and implement the Birth Score Program and
requires hospitals, birthing facilities, attending physicians, and other persons attending a birth, to
ensure a birth score is determined.
Unique to WV
Partnership between the OMCFH and WVU School of Medicine, Dept. of Pediatrics
Parents are informed and linked with a local primary pediatric provider for a recommended six
visits in the infant’s first six months; all WV Medicaid High Score infants are referred to the Right
From the Start Program, where RNs and LSWs visit the home and coordinate the health,
psychosocial and nutritional care until age one year; the remaining High Score infants are
referred to community based HealthCheck program staff who track the infant through two
pediatric visits or 60 days
Legislation
http://129.71.164.29/search?q=cache:3ndxnQQb8bI:http://www.legis.state.wv.us/WVCODE/16/
code/WVC%252016%2520%2520-%252022%2520B%2520%2520%25203%2520%2520.htm+birth+score&site=WV_Legislature&output=xml_no_dtd&
client=WV_Legislature&access=p&proxystylesheet=WV_Legislature
Website http://www.wvdhhr.org/birthscore/
Inflammation of the eyes prophylaxis
• WV State Code Chapter 16-3-10
• Requires every provider who delivers an infant ensures the
contents of a single-use tube of opthalmic antibiotic ointment is
instilled in the eyes of the newborn immediately following birth
• Legislation
http://www.legis.state.wv.us/WVCODE/16/code/WVC%2016%20
%20-%20%203%20%20-%20%2010%20%20.htm
Newborn Hearing Screening
• WV State Code Articles 16-22A
• Article 22A requires the testing of newborn infants for
hearing loss and requires that physicians or midwives
attending a live birth assure that a test for hearing loss is performed
• Goal is to identify congenital hearing loss in children before three
months of age and to assure enrollment in appropriate early
intervention services before six months of age
• Mandated by WV State Law in 2000
• Either Auditory Brainstem Response (ABR) or Otoacoustic Emissions
(OAEs), following the equipment manufacturer’s guidelines, by
personnel appropriately trained
• Screening must be performed in both ears and recorded in the medical
record and on the Birth Score Developmental Risk Screen
• Infants who refer (abnormal screen) or are not screened are provided
care coordination through the Right From The Start Program
• Website http://www.wvdhhr.org/nhs/
Reports of Fetal Death
• WV State Code 16-5-21
• Must be reported if 350 or more grams or
weight unknown, or 20 or more completed
weeks of gestation
• Must be reported within 5 days after
occurrence
• Provider in attendance at delivery must
complete and file report immediately after
delivery
Compulsory Immunizations
• WV State Code 16-3-4
• Required for all
children entering
school in WV
• Parent/legal guardian
must be provided an
official copy
West Virginia Department of Health and Human Resources
Bureau For Public Health
Office of Maternal Child and Family Health
Room 427, 350 Capitol Street
Charleston, WV 25301
Jeannie Clark, RN, BA, BSN
Director, Perinatal Programs
1-800-642-8522
304-558-5388
Fax 304-558-7164
Email: jeannie.m.clark@wv.gov
Website: www.wvdhhr.org/rfts