Earlier Is Better to Catch Hearing Loss
When should your child's hearing be tested? Sooner than you think.
All states have laws or voluntary compliance programs requiring hearing tests in newborns. These are often done before babies leave the hospital. Every year, about 2 or 3 out of 100 babies are born with hearing problems in the U.S.
For years, routine hearing tests took place only when children entered school. But hearing loss can cause serious problems much earlier. And hearing problems affect language and speech development.
During the first 6 months, babies begin to recognize the spoken sounds that are critical for developing language. Poor hearing can slow down that progress for both speaking and reading.
Which child is at risk?
Think about having your child tested for hearing loss, especially if he or she has any of these risk factors:
Born early (premature birth)
Spent more than 5 days in neonatal intensive care
History of severe yellowing of eyes and skin (jaundice) needing a blood transfusion
Mother or newborn infections
Meningitis or history of brain injury that needed a hospital stay
Family history of childhood hearing loss
Family history of certain hereditary or congenital syndromes such as neurofibromatosis, Down syndrome, osteopetrosis, and Usher syndrome
Even if your baby has no risk factors, you should be alert to hearing problems. You may notice the following signs of hearing loss in your baby:
Does not notice loud noises
After 6 months, does not turn toward sounds
By 12 months, does not say single words
Does not turn head when called by name
In your young child, you may notice delayed speech development or unclear speech.
Repeated ear infections, which are common in young children, can also delay language development. A newborn can pass a hearing test and still have hearing problems later in childhood. So even if your baby had normal hearing exams, be alert for the above symptoms. If you notice them, contact your child's healthcare provider right away.
Hearing tests in babies
Your baby is likely to have one of these painless, quick, and sensitive tests:
Auditory brainstem responses. Sound is introduced to the baby's ears through tiny earphones while the baby is sleeping. Using sensors attached to the baby's head, the test records electrical activity made by the auditory nerve and brainstem when it's stimulated by this sound.
Otoacoustic emissions (OAE). The normal ear makes faint acoustic signals. These are sometimes called inner-ear echoes. People can't hear their own sounds from their inner ear. But tiny, sensitive microphones placed in the ear canal during the screening can measure the sounds. Babies who can't hear don't make any emissions.
Hearing tests in children
Your child's healthcare provider may check your child's hearing with a simple device called a tuning fork. Or your child may have tests from a hearing specialist (audiologist). Tests include the 2 discussed above and:
Other hearing evaluation tests may include: