Can the baby be cured if he fails the hearing screening?

As the saying goes, "nine out of ten are deaf and nine dumb", mainly because once the hearing is impaired, you can't hear or hear the sound of speech and can't learn to speak, and you become mute, so deafness and dumbness are often connected together. However, it has been proved that as long as hearing compensation and hearing language training are provided to children with hearing impairment as soon as possible, the vast majority of deaf children can get out of the silent world, and can speak, learn and move with able-bodied children. The key is "early", because before the age of four is the most important period for learning to speak.

In order to compensate for hearing early (with hearing aids) and train early, it is necessary to do early detection and early diagnosis.

In most cases, young children's hearing problems are discovered by their parents or other members of the family, but some parents lack the knowledge to do so. When the child reaches the age when he should speak, he will not be able to speak, some people think that he is "late to speak", and he has to wait, and some are unwilling to admit that his child is deaf, and even have illusions and expect a miracle to appear, so that they miss the best time to learn to speak.

A child with normal hearing responds to loud or sudden sounds, such as blinking, a few days after birth.

After a few weeks, a soft, pleasant sound will calm him.

At three months, the eyes turn to the light source.

At six months, the head turns to the source of the sound.

At the age of one, he is able to respond to simple words spoken by adults.

Babies with normal hearing begin to learn to speak at six months.

The first words begin to be pronounced at the age of two.

Eighteen months to two years old, can speak two-word short sentences.

Children with hearing impairment do not follow the above process, and the sound of a deaf baby at birth gradually decreases from 6 months onwards, and by the time he or she is 2 years old, he or she has become very quiet, so parents or adopters can judge the child's hearing condition if they observe carefully.

The following describes the method of hearing measurement for infants and young children suspected of having hearing impairment in a community family:

Newborn 3-month-old baby: When the baby is asleep, ring the bell or bowl next to him, light sleep can be lighter, and deep sleep should be louder to see if the baby will blink, shake his legs or arms or wake up.

3 6 months: Beat a drum, bell or use a sounding toy on the left or right side of your child's line of sight to see if his eyes turn to the source of the sound.

6 9 months: Have the mother hold the child and sit on her lap and tease her attention while the other person gives the sound in the above method to see if the child's head will turn to the source of the sound.

9 12 months: The same method is given below, and children with normal hearing should first look left and right for the source of the sound, and then look down.

12 15 months: If a voice is given above the child's line of sight, he will look upwards after he cannot find the source of the sound in other directions.

18 months: A child with normal hearing hears a sound and immediately turns his head to the source of the sound.

Different frequencies of sound can be used as the test sound source, such as the drum is low-frequency, the bell is high-frequency, and the test sound should be slightly louder when testing infants under 6 months.

If the above methods are used to estimate that the infant or child may have hearing impairment, the infant should immediately go to the hospital for further examination and a detailed hearing test to confirm the diagnosis.

After the birth of the newborn, it is generally necessary to carry out some routine physical examination items, mainly including heel blood collection, as well as hearing examinations, if there are other symptoms, corresponding examinations are also required, such as heart examinations and so on.

During the newborn hearing examination, there may be more hearing screening failures, which is generally not too worrying, because many children may have hearing failure in both ears or hearing in one ear. Many children will need follow-up tests in the future. After birth, if you do not pass the hearing screening, you can have a follow-up test at the time of the full moon or 42 days.

At this time, it is possible that many children can pass the hearing screening. However, there are still some children who do not pass, which does not mean that there is a problem, and the child can be re-examined again when he is two months old. At the same time, it is necessary to pay attention to the child's response to sounds when they are at home, because many children may be more sensitive to the sounds around them even if they fail to pass the cleaning screening.

If you don't pass the test at 2 months, you need to consider taking the test again at 3 months. If you fail the ordinary hearing screening at the age of three months, you need to perform a more detailed cleaning examination, including a multi-frequency steady-state hearing test, which is more accurate and can measure the frequency range of hearing. Multi-frequency steady-state audiometry is a more accurate way to check the range of hearing, if the hearing frequency is higher than 40 decibels, there may be heavy hearing, and if it is higher, there may be deafness.

Hearing screening, as the name suggests, is simply a screening program for hearing. Many children may have more amniotic fluid or more secretions in the ear canal at birth, which affects the results of hearing screening, so it is more normal to fail a hearing screening, and it can be retested later. If there is a problem with the hearing examination after three months, you can consider going to the hospital for a targeted examination, as well as consider the future plan, including wearing hearing aids, or wearing cochlear implants, etc., which need to be analyzed and judged according to the frequency range of the child's hearing.

1. Amniotic fluid and vernix factors: because when the baby is born, there will be amniotic fluid and vernix in the ear, which interferes with the examination of hearing screening, so that the hearing screening cannot be passed;

2. External factors: the instrument and equipment are in an unstable state, or the hearing screening environment is noisy, or it may be that the baby is crying, moving more, and not cooperating with the state, which will also lead to the failure of the baby's hearing screening;

3. Self-factors: The baby's hearing does have problems, resulting in the failure of the hearing screening.

Therefore, parents should not worry too much about the situation that the baby's hearing screening fails, and it is usually recommended to recheck the baby's hearing screening when the baby is full moon or 42 days old, and if necessary, brainstem hearing evoked potentials can also be done, which can more accurately and objectively reflect the baby's hearing condition.

Is it a big question to ask.

The 42-day re-examination was also not passed.

It is recommended that you don't get too nervous, relax your mind, and your baby will have no problems.

If the initial screening fails, it is recommended to re-screen within 42 days, and it is better to pass, and most of the re-examinations will pass. If it still does not pass, it is generally necessary to do a hearing diagnosis at three months to see what degree of hearing loss the child belongs to, and to cooperate with the actual situation of the child and the doctor's advice or intervention, so as to be deaf but not dumb in the real sense.

Recheck after the full moon. If the recheck is okay, it's fine. If you still don't pass the re-examination, you should go to the doctor.

Then wait until 3 months to re-examine again, the birth may be due to the amniotic fluid is not absorbed, wait to see the examination, if 3 months have not passed, after the diagnosis, you will have to intervene.

Newborns will be screened 3-5 days after birth, that is, screening otoacoustic emissions, hospitals with conditions will carry out automatic brainstem evoked potentials (AABR), children who fail to pass the screening will be rescreened 42 days after birth (the method is the same as the primary screening), and those who fail the re-screening will be diagnosed with otoacoustic emissions, ABR, multi-frequency steady state (ASSR), and acoustic impedance examination at the age of 3 months. Hearing intervention is required at 4 months for children with severe or profound deafness, and a second diagnostic examination is performed at 6 months of age for children with mild or moderate deafness.

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.

I'm glad to answer for you, judging from your description, the baby's situation should be normal, and you don't have to worry too much. My baby is like this too, and it's completely fine. It is recommended that you still take good care of your baby.

Take appropriate measures for different reasons, such as foreign bodies in the external ear canal, cerurum, etc., as long as they can be cleaned up, the child's hearing will return to normal. There is also a part of the external auditory canal deformity, bony atresia, oyoral atresia, which can be improved by surgery, and there is otitis media, we can also improve hearing to a normal state through drugs and surgery, which are called medical intervention.

: This is a very common phenomenon, generally not because the baby's hearing is a problem, basically because the baby's ears have amniotic fluid or something like that, you can wait for a month or two before going to the test. On the 3rd and 42nd days of birth, I didn't have any hearing, and I rechecked it two months later, and both ears passed.

If the baby is still young, you can recheck it later, and usually interact with the baby more to see if it is sensitive to sound!

If you just don't pass the initial screening, go for a re-examination later, and you'll generally be fine.