Newborn Hearing Screening, Early Identification and Loss to Follow-Up
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- Clyde Barker
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1 Newbrn Hearing Screening, Early Identificatin and Lss t Fllw-Up Prgram in Audilgy and Cmmunicatin Sciences Pediatric Audilgy Specializatin The cntents f this presentatin were develped under a grant frm the US Department f Educatin, #H325K Hwever, thse cntents d nt necessarily represent the plicy f the US Department f Educatin, and yu shuld nt assume endrsement by the Federal Gvernment. Prject Officer, Maryann McDermtt
2 Outline Ear Anatmy Newbrn Hearing Screening tests Reasns a baby might nt pass Imprtance f Fllw-Up Hearing Checklist Timeline Next Steps
3 Ear Anatmy Ear Canal Inner Ear Eustachian Tube Eardrum Middle Ear Pinna With Permissin frm Plural Publishing (Valente, M. (2009). Pure-tne audimetry and masking. San Dieg, CA: Plural Publishing.)
4 What is Newbrn Hearing Screening? A quick test f the baby s hearing right after birth It des nt give specific infrmatin abut hearing lss Tests used t screen yur baby s hearing Otacustic Emissins (OAE) Auditry Brainstem Respnse (ABR)
5 Otacustic Emissins (OAE) A sund prduced by the inner ear in respnse t a signal Sft earbud is placed at the pening f ear canal A signal is presented t the baby s ear OAEs detect: blckage in the ear canal fluid r impairment in the middle ear functin f the inner ear Healthy ear respnds t the signal by prducing a sund
6 Auditry Brainstem Respnse (ABR) Tests the hearing system frm the ear t the brainstem Sunds are played thrugh sft earbuds t the baby s ears Sticker electrdes are placed n the baby s head t measure respnses Respnses represent hw sund travels frm the uter, middle, and inner ear t the brainstem
7 Why Might a Baby Nt Pass the Hearing Screening? If a baby des nt pass the screening, he r she may: have fluid in the ear be mving r crying during the test have hearing lss Althugh mst babies wh d nt pass the screening d nt have hearing lss, it is imprtant t fllw-up with a pediatric audilgist fr a cmplete hearing test.
8 Why is Fllw-Up Imprtant? Hearing lss is ne f the mst cmmn cnditins present at birth 1-3/1,000 babies are brn with hearing lss Fllw-up is necessary because Babies cannt tell us if they cannt hear Early diagnsis and treatment f hearing lss is imprtant fr speech and language develpment If a baby is diagnsed with hearing lss, there are many ptins available. (Finitz et al. 1998)
9 Hearing Checklist Timeline All babies shuld have their hearing screened by 1 mnth f age Babies that d nt pass the hearing screening shuld see an audilgist fr fllw-up testing by 3 mnths f age Babies diagnsed with hearing lss shuld receive early interventin services by 6 mnths f age
10 Types f Childhd Hearing Lsses Delayed Onset Hearing Lss Even if a baby passes the hearing screening, it is pssible t develp hearing lss later in childhd Prgressive Hearing Lss Sme hearing lsses can get wrse ver time It is imprtant t pay attentin t any changes in yur baby s reactin t sunds as they get lder
11 Next Steps If the baby des nt pass the hearing screening, cntact a pediatric audilgist fr a cmplete hearing test Early Interventin shuld begin as sn as a hearing lss is diagnsed Interventin may include hearing aids, speech and language therapy, and ther services The pediatric audilgist can guide yu thrugh this prcess and explain the many available ptins.
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