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1. Initial screening: Hearing screening is carried out within 72 hours after the birth of the baby. For babies who do not pass, they can be re-examined once before discharge.
2. Re-screening: For babies who fail to pass the initial screening, go to the hospital for re-examination on 42 days; 3. Diagnosis (within 3 months): For infants who have not passed the re-screening, a comprehensive audiological diagnosis will be carried out within 3 months, including acoustic impedance, otoacoustic emissions, auditory brainstem evoked potentials, behavioral audiometry and other related examinations, and the diagnosis will be given.
4. Intervention (within 6 months): 1. Corresponding drugs and surgeries for otitis media, sudden deafness, middle ear deformity, etc.
2. For children with sensorineural deafness, choose and use hearing aids within 6 months. Children with severe or profound deafness who do not respond to hearing aids are given cochlear implants around 1 year of age. 3. **Training:
After wearing hearing aids or implanting cochlear implants, corresponding hearing-language training and family guidance should be carried out to promote the development of hearing and language in deaf children. 5. Follow-up and follow-up: Neonates with high-risk factors for hearing loss should be followed up at least once every 6 months for 3 years, even if they pass hearing screening.
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Hello, it is recommended that you re-examine in three months, and if you do not pass, it is recommended that you do a hearing diagnosis.
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There is a re-examination every two to three months.
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Don't worry, the baby's hearing is not passed, not all of them are unable, to find out first, in time.
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It's time to consider wearing hearing aids. The sooner you wear it, the better.
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Three days after the birth of the newborn, the hospital will do a hearing screening, and if it does not pass, it will do another hearing screening at the forty-second day.
Due to the sensitivity of hearing screening equipment, the following factors can affect the screening results:
Changes in ambient noise at screening.
How quiet your baby is (e.g., body movements).
Your baby's external auditory canal (e.g., residual amniotic fluid).
There is discharge from the middle ear.
Blocked nose, difficulty breathing, etc.
Domestic and international data show that about 10% of people fail the initial hearing screening (from the third day after birth to before discharge). The chance of failing the initial screening and being diagnosed with hearing problems is only 1% to 3%. Most babies who have "failed the hearing screening" do not have a clear hearing loss problem after a diagnostic hearing test, because there is a discharge from the external auditory canal or middle ear such as residual amniotic fluid, and the hearing will return to normal after the discharge is absorbed or discharged.
2. What should I do if I haven't passed the initial screening?
Those who have not passed the initial hearing screening must go for a hearing re-screening within 42 days.
If the re-screening is passed, congratulations, it is generally considered that the child's hearing is normal. No further testing is required at this time. However, as children grow up, parents are expected to pay attention to their children's response to sounds, or whether they are speaking at the same age as the children around them.
If your child speaks at a different age than his or her peers, he or she will need to go to the hospital to rule out hearing problems.
If you fail the 42-day hearing screening, don't be too alarmed. Even if you fail the re-screening, you have only a 10% chance of being diagnosed with hearing problems.
Babies of different ages will react differently to sounds, such as small babies will make shocks, blink, turn their heads and other reactions. A preliminary judgment can be made by observing some of his usual performances.
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It is understandable that parents are anxious and anxious, and if they fail to pass the 42-day screening, their children will have hearing problems. There are some false positives in hearing screening. There are a few things that can lead to hearing screening
There is residual amniotic fluid in the ear, which prevents sound from entering, so the inner ear does not respond.
Fluid in the middle ear, caused by a middle ear infection.
Your baby is moving or there is noise in the surrounding environment during the test.
Observe your child's response to sound at home, and you can compare the child's reaction at the corresponding stage below. You can go to the hospital or relevant hearing examination institutions for a comprehensive and detailed examination in three months, and generally observe the results of the examination in three months, and confirm the diagnosis in six months and start intervention.
0 March: Sound can stop the child's irregular activities; Respond to sounds or speech with surprised expressions or changes in movement; gaze gaze at the speaker's face; Make eye contact with people with a constant gaze.
3 June: can turn to the direction of the speaker or the voice; Can respond differently to angry and happy voices.
9 December: Reacts to the word "let go" and terminates when hearing "don't move". You can wave or shake your hand when prompted verbally, turn to a familiar toy when you hear the name of the toy, and respond to simple questions with your eyes and your fingers.
12 18 months: Identifies an object when it hears its name. When you hear "Give me something", you can hand the object to the person who speaks.
Able to act on instructions from simple words consisting of 2 or 3 words, and can point out a certain part of the body. When hearing the name of an object, it can be identified from 3 options.
2 years old: Able to understand more complex sentences, such as "We took the bus to the park", and can understand 120 175 words.
3 years old; Able to recognize common signs and symbols, point out 3 colors, and understand 800 1000 words.
4 years old: Understands 1400 words.
6 years old: Able to read your own name.
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It is recommended to check and confirm the diagnosis in time and intervene in time. So as not to miss the period of speech development.
If necessary, it is recommended to listen to the doctor's advice to go back for a follow-up.
Some babies after birth, hearing screening did not pass, please don't worry, this is just a screening, not a diagnosis, it may be because of the machine, there may be something in the ear canal, wait until 30 days or 42 days of re-screening, most of them will pass, if 42 days do not pass, do not be discouraged, this is just a re-screening, the result is not accurate, are not the final diagnosis. Although the baby can't hear during this period, but it has not reached the normal level, it may recover during this period, the baby's hearing is generally 3 months before it is finalized, 3 months will be diagnosed once, do auditory brainstem screening ABR, if it is not enough to enter the next step, it is the auditory brainstem test ABR rating, that is, to see how loud the baby can hear (how many decibels).
Some babies after birth, hearing screening did not pass, please don't worry, this is just a screening, not a diagnosis, it may be because of the machine, there may be something in the ear canal, wait until 30 days or 42 days of re-screening, most of them will pass, if 42 days do not pass, do not be discouraged, this is just a re-screening, the result is not accurate, are not the final diagnosis. Although the baby can't hear during this period, but it has not reached the normal level, it may recover during this period, the baby's hearing is generally 3 months before it is finalized, 3 months will be diagnosed once, do auditory brainstem screening ABR, if it is not enough to enter the next step, it is the auditory brainstem test ABR rating, that is, to see how loud the baby can hear (how many decibels).
This is not necessarily, if the screening is not passed at 42 days of birth, it is necessary to pay attention to this aspect later, due to the low degree of cooperation of the baby, so the screening results can not be very accurate, or to combine their own observations, 6 months to do a comprehensive assessment.
If Baoyu's hearing screening fails, after excluding factors such as cerumen and polyhydramnios, fetal fat and bloody residues in the external ear canal, and fluid accumulation in the middle ear cavity, the baby's hearing screening still fails to pass, we need to pay attention to it. We should conduct a special ear nerve examination for the baby in time to check whether the baby's ear nerve is normalIf there is indeed a problem of ear nerve failure, then we need to activate the baby's ear. >>>More