Outcomes and Efficacy of Newborn Hearing Screening: Strengths and Weaknesses (Success or Failure?)

Abstract

Derived from the present study: 1) repeated testing of "failed" newborns in the maternity hospital and before discharge leads to an acceptable referral rate of 2%; 2) the 1-month follow-up of "failed" newborns further limits the false positive results but leads to high rate of newborns lost to follow-up; 3) a dedicated secretariat system should be implemented to follow-up each "failed" newborn and remind parents about their follow-up appointments; and 4) additional measures such as detailed educational material and parental friendly approach should also be implemented.

Universal newborn hearing screening, a revolutionary diagnosis of deafness: real benefits and limitations

“…For example, phenylketonuria (PKU), an autosomal recessive genetic disorder characterized by a deficiency in the enzyme hepatic phenylalanine hydroxylase occurs approximately once in every 14,000 births [2]. Therefore, early identification of hearing impairment is of paramount importance [5]. When early identification and intervention occurs, hearing-impaired children are likely to make dramatic progress, be more successful in school, and become more productive in their future social life [5].…”

“…Therefore, early identification of hearing impairment is of paramount importance [5]. When early identification and intervention occurs, hearing-impaired children are likely to make dramatic progress, be more successful in school, and become more productive in their future social life [5]. Yoshinaga Itano reported that by the 26th month of age, infants with hearing loss, which were identified before the age of 6 months, had better mean scores in expressive language and receptive language in comparison with those identified after the age of 6 months [6][7][8][9].…”

“…An undiagnosed or delayed diagnosed hearing impairment may have serious effects on a child's language, social, emotional, cognitive, academic, and vocational development, significantly affecting the child's quality of life [1][2][3][4][5]. This fact becomes more important in health systems when we take into account the high incidence of hearing impairment among newborns: current Universal Newborn Hearing Screening (UNHS) statistics indicate an overall hearing loss rate of 1-3/1,000 live births and 2-4/100 in neonatal intensive care units [6][7][8][9].…”

Evaluation and Importance of Our Newborn Hearing Screening Results

“…According to the Joint Committee on Infant Hearing, it is stated that these protocols give very good results (42). Newborns with hearing loss should be recognized by performing hearing screening for newborns and it is important to ensure the normal development by directing them to early treatment, to appropriate amplification or cochlear implantation if necessary.…”

Sigaranın Yenidoğan İşitme Fonksiyonu Üzerine Etkisi

“…Genel olarak yenidoğan işitme taramasında kalma oranı ise % 2-7 arasında verilmektedir. [21][22][23] Bizim çalışmamızda bu oran %0,9 olarak saptanmıştır. Bulgularımızın daha düşük olmasının nedeni yenidoğan işitme kaybı için yüksek risk faktörü olan gebelerin çalışma dışı bırakılması ve hastanemizde yenidoğan ünitesinin bulunmaması dolayısı ile önceden riskli olduğu tespit edilen gebelerin başka merkezlerde doğum yapması olabilir.…”