NEWBORN HEARING SCREENING AND WHY IT S IMPORTANT

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1 NEWBORN HEARING SCREENING AND WHY IT S IMPORTANT -Department of ENT and Audiology HOSPITAL MANKHOOL ASTERHOSPITAL.COM

2 RELIABLE EASY FAST SAFE

3 (WHO) states that newborns in every 1000 births suffer from hearing impairment Hearing is a pre-requisite for developing communication skills Conducting the screening before discharge is crucial It is important for the baby to pass the screening in both ears It is important to track speech language and hearing milestones

4 Hearing is a pre-requisite for developing communication skills Understanding of complex auditory tasks easy with normal hearing of infant Hearing Is The Second Most Important Sense

5 Hearing impairment is far more difficult to correct once the child is no longer an infant. Thus, it is of paramount importance that it be corrected as early as possible so your baby can develop speech, language and communication skills without any difficultly. Major risk factors for Neonatal Sensorineural Hearing Loss (SNHL) include: Admission to a Neonatal Intensive Care Unit (NICU) for at least five days (e.g. premature birth) Very low birth weight (<1500gm) Syndromes associated with SNHL (e.g. Waardenburg syndrome or fetal alcohol spectrum disorder) Family history of hereditary childhood Sensorineural Hearing Loss Craniofacial anomalies (e.g. anomalies of the pinna or ear canal) Congenital infection (e.g. cytomegalovirus, toxoplasmosis, rubella, syphilis, herpes or bacterial meningitis) Severe hyperbilirubinemia History of perinatal asphyxia or problems during delivery (e.g. five-minute Apgar score <6) An infant's risk of having a hearing disability rises as the number of risk factors increase

6 Early diagnosis leads to early intervention Conducting the screening before discharge is crucial

7 The newborn hearing screening is conducted hours after birth, but before discharge. This helps early detection and diagnosis. What goes into the screening? The automated OTO-acoustic emission (AOEAE) test is carried out Sleep Recommended For Test Or Baby Should Be Calm A small soft tipped earpiece is placed in the baby s ear Gentle clicking sounds are played The response of the inner ear (cochlea) is picked up by the screening equipment The test lasts only for a few minutes

8 It is important for the baby to pass the screening in both ears

9 The results of the test can be either PASS or REFER. PASS The screening has shown satisfying results in both the baby s ears REFER The baby must be screened again in 15 days. This does not mean that the baby has hearing loss. He or she could have a temporary blockage in the ear canal or fluid present behind the ear drum The process is considered complete only once the baby has passed the test in the first or the second screening and has no risk factor for late onset or progressive hearing loss. If the second screening also gives a REFER result, the baby will be offered a diagnostic test(bera) to confirm the hearing problem at the age of 3 months None of the hearing tests will harm the baby in any way.

10 0-3 years called critical period for speech and language development

11 Normal speech language and hearing developement milestones from 0-24 months. Birth to 3 months - Startles to loud noise - Makes cooing sounds 4 to 6 months - Moves eyes in direction of sounds - Starts babbling ( baba, mama, gaga ) 7 to 9 months - Turns head towards sounds - Understands no-no or bye-bye 10 to 12 months - Uses one to two words - Points to favorite toy or object when asked 13 to 18 months - Uses more words meaningfully - Follows simple directions 18 to 24 months - Uses mostly words to communicate - Vocabulary will be 295 words or more. - Begins to use two word combinations

12 The Road To Recovery To Karama Mankhool Street To Satwa Manazel Sharaf DG Kuwait Street Caesar s Restaurant Mina Road Port & Customs Ramada Signal Khalid Bin Waleed Rd. Falcon Signal Maktoum Bridge From Shindagha Tunnel Reference: 1. Universal Newborn Hearing Screening: Summary of Evidence Diane C. Thompson, Heather M.C. Phillips, Robert L. Davis, Tracy A. Lieu, Charles J. Homer, Mark Helfand JAMA. 2001;286(16): doi: /jama Jump up^ "Universal Newborn Hearing Screening". Aafp.org. 3. Carney AE, Moeller MP. Treatment efficacy: hearing loss in children. J Speech Lang Hear Res.1998;41 :S61 S84 Accredited by Aster Hospital Kuwait Rd, Al Mankhool, PO Box Dubai - UAE For more information write to us on helpdesk@asterhospital.com For more information and appointment : Call: asterhospitalmankhool aster_hospital asterhospitals 4. Norton SJ, Gorga MP, Widen JE, et al. Identification of neonatal hearing impairment: evaluation of transient evoked otoacoustic emission, distortion product otoacoustic emission, and auditory brain stem response test performance. Ear Hear.2000;21 : Bielecki I, Horbulewicz A, Wolan T. Risk factors associated with hearing loss in infants: an analysis of 5282 referred neonates. Int J Pediatr Otorhinolaryngol 2011; 75: WHO-2009 ( 8