Hospitals and birth centers perform hearing screenings on newborns before discharge. If a newborn does not pass the hearing screening, a follow-up screening is performed before discharge or as an outpatient. It is the responsibility of the hospital, birth center or midwife to have a hearing screening performed on newborns and a follow-up screening performed on newborns that do not pass the initial hearing screening no later than one month of age.
Since the incidence of sensory, as well as neural hearing loss is approximately ten-times higher in the NICU versus well-baby nursery, A-ABR is the recommended screening technology for use in the NICU population (JCIH 2007).
If a newborn does not pass the screening, it is acceptable to repeat the screening one time during the same session using the same technology, especially in those cases when the recording conditions were not optimal either due to timing, noise conditions, or state of the newborn.
An infant that does not complete an initial hearing screening for any reason should be scheduled for an appointment to return to the birth facility for completion of the hearing screening.
The person performing the hearing screening should give parents the following information in clear, non-technical terms and in the native language of the family:
Hospitals, birth centers and midwives are to notify the PA Department of Health of the hearing screening results of every newborn.
The primary care provider is to be notified of the results of the newborn hearing screening.
Here is a list of the Joint Committee on Infant Hearing (JCIH) 2007 Risk Indicators for Permanent Early Onset and Late Progressive Hearing Loss in Childhood:
Read the EHDI Best Practices for Newborn Hearing Screening and Follow Up in Birth Facilities: