Purpose: This study was conducted to compare the prelinguistic communicative abilities of toddlers with hearing loss and without hearing loss during the 2nd year of life and shortly before the emergence of productive single-word lexicons. Method: The participants were 28 toddlers with hearing loss who participated in an early intervention program and 92 toddlers with normal hearing at similar language levels and close chronological ages. The assessment consisted of the Hebrew Parent Questionnaire-Communication and Early Language (HPQ-CEL; E. Dromi, H. Ben-Shahar-Treitel, E. Guralnik, & D. Ringwald-Frimerman, 1992) that guided parents' observations of their toddlers in 6 contexts at home. Parents reported on a range of prelinguistic communicative abilities. Results: Profile analysis indicated that the 2 groups used a remarkably similar overall profile of prelinguistic behaviors. Interrelationships among behaviors were noticeably similar, too. Two communication properties unique to toddlers with hearing loss were relatively lower spontaneous use of words and reduced involvement in triadic book reading interactions. In addition, the associations between use of words and gestures in toddlers with hearing loss were slightly different from the toddlers with normal hearing, and the range of innovative gestures that they produced was greater. Conclusion: The remarkable similarity between the 2 groups support the feasibility of adopting goals and principles known to hold true in typical development for fostering communication in toddlers with hearing loss.KEY WORDS: deafness, communication strategies, parents, linguistics, infants and toddlers t the outset of the second year of life and shortly before the emergence of conventional words, typically developing toddlers with normal hearing demonstrate impressive communicative abilities when interacting with adults. Extensive scientific research has endeavored to describe the richness of prelinguistic systems in hearing toddlers (see reviews in Dromi & Ringwald-Frimerman, 1996;Reddy, 1999).In hearing toddlers, nonverbal communication systems manifest themselves in various domains. In the visual domain, toddlers follow the gaze of others and can identify which external object is the focus of adults' attention (Butterworth & Jarrett, 1991;Carpenter, Nagell, & Tomasello, 1998). In the vocal domain, toddlers produce canonical babbling and long sequences of jargon babble that sound like adult speech (Dromi, 2002;Stoel-Gammon, 1998). Joint attention comprises the major developmental achievement that emerges toward the end of the first year of life and may be regarded as the crown of prelinguistic development. Adult-child visual interactions, which during the first 9 months of life involve either social transactions or physical manipulation of objects, now become integrated. The coordination ofsocial and object schemes represents a qualitative change in infants' cognition (Adamson, 1995;Adamson & Chance, 1998;Sugarman, 1978Sugarman, , 1983. Following this developmental achievement,...