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Tests are not reliable and cause too many infants to be referred to specialists. Referral rates are as low as 5-7%. There is no rush to identify a hearing loss. The loss does not need to be identified until a child is aged 2-3 years.
A babys hearing can be screened using Automated Auditory Brainstem Response (AABR), Otoacoustic Emissions (OAE), or both. Babies usually have their hearing screened while still in the hospital, either in the nursery or in their mothers room.
Keep your baby in a sitting position; in a place where you can clap your hands behind his / her head. A loud clap coming from outside of the babys view will definitely startle him. If he reacts with a small jump or cry when you clap loudly, it means that his hearing is fine.
If your newborn fails the hearing screening, arrange for follow-up testing as soon as possible. If your baby has hearing loss, having them tested and treated right away will likely produce better outcomes for your baby. Your baby will receive ABR and OAE testing at their follow-up evaluation at CHOP.
Otoacoustic emissions (OAE) tests whether some parts of the ear respond to sound. During this test, a soft earphone is inserted into your babys ear canal. It plays sounds and measures an echo response that occurs in ears with normal hearing. If there is no echo, your baby might have hearing loss.
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About 1 or 2 in every 100 babies will not pass the initial hearing screening at birth and will need tests with an audiologist who has experience working with babies. This testing should include a more thorough hearing and medical evaluation.

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