Newborn Hearing Screening Guidelines for Hospitals and Birthing - health state tn 2025

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Between 2 and 10 percent of all babies across the United States do not pass their first hearing screen, but very few of these babies have permanent hearing loss. Babies can fail the newborn hearing screening due to vernix in the ear canal, fluid in the middle ear, or because of movement or crying during the test.
Recommended Early Hearing Detection and Intervention (EHDI) benchmarks include screening for hearing loss before 1 month of age, diagnostic evaluation before 3 months of age, and enrollment in early intervention before 6 months of age, known as the 1-3-6 benchmarks.
The AAP recommends that all kids have hearing tests at ages 4, 5, 6, 8 and 10 years, with additional screenings between ages 11-14, 15-17 and 18-21. These screenings can diagnose hearing changes at the earliest possible stage, when interventions can have the greatest positive impact.
The AABR test involves placing 3 small sensors on your babys head and neck. Soft headphones are placed over your babys ears and gentle clicking sounds are played. This test takes between 5 and 15 minutes. These tests will not harm your baby in any way.
Babies with confirmed congenital cytomegalovirus (cCMV) or programmable ventriculo-peritoneal shunts should be excluded from screening and referred directly to audiology.
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Now all 50 states and the District of Columbia have newborn screening laws or voluntary compliance programs, and over 98% of infants are tested; before 1993, fewer than 1 in 10 newborns in the U.S. were screened.
When will my babys hearing be screened? Your babys hearing should be screened before he or she leaves the hospital or birthing center. If not, make sure the baby is tested during the first month of life.

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