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A Sound Start for Every Baby

by Lindsay B. Robinson, HIA Program Manager

March 18, 2026

 

A couple of weeks ago, I got to visit my brand-new nephew in the hospital. At just over a day old, he was undergoing some very important health checkups to ensure he would have the best start in life and to inform his parents of any follow-up needs after leaving the hospital. A few minutes after I arrived, a technician came in to test his hearing. It was a fascinating, completely non-invasive test that could potentially have a huge impact on my nephew’s immediate learning development.

 

Why Early Detection Matters

Each year, more than 6,000 infants in the U.S. are identified with permanent hearing loss (CDC). This represents roughly 1–2 per 1,000 newborns screened (CDC). Without early identification of hearing loss, a child’s ability to develop speech, language, and social skills can be significantly impacted. Because of this, all 50 states and D.C. have screening programs, and more than 98% of U.S. newborns have their hearing screened.

 

Universal screening enables a widely recognized timeline known as “1-3-6”:

  • Screening by 1 month
  • Diagnosis by 3 months
  • Intervention by 6 months (CDC)

 

This early window is critical. When hearing loss is identified and addressed promptly, children are far more likely to develop communication skills equivalent to their peers.

 

How Does Newborn Hearing Screening Work?

Newborn hearing screening is quick, safe, and noninvasive, typically best performed while a baby is asleep. In my nephew’s case, he was vocally done with being handed around, so the hearing tech cuddled with him until he fell asleep and could allow for more accurate results.

 

Two common methods are used to screen newborn hearing:

  • Otoacoustic Emissions (OAE): A tiny probe placed in the ear measures sound waves produced by the inner ear in response to clicks or tones.

 

  • Automated Auditory Brainstem Response (AABR): Small sensors placed on the baby’s head measure how the auditory nerve responds to sound. (CDC) This is how the test was conducted for my nephew as seen in the corresponding picture. Slightly sticky “earmuffs” were placed over his ears and sensors were placed at several location on the head including one behind both the right and left ears to detect hearing stimulation. The sounds produced into the earmuffs are at low levels, not even affecting my nephew’s sleep, but loud enough to stimulate his auditory system to elicit a response. Once the baby falls asleep (which sometimes is the longest part of the process!), the test only takes about five minutes.

 

As the technician explained to me, a baby not passing the initial screening does not necessarily mean hearing loss. Fluid in the ear or movement during the test can affect results. If he were not to pass, she would return the next day and test again. If a second test is failed, the child is referred for further hearing testing. Luckily, he passed the first time! 

 

Supporting Children Diagnosed with Hearing Loss

If the screening showed hearing loss, I knew that my nephew would still have every chance to thrive with today’s technology and resources. As I’ve learned from my work in the hearing industry and from experience with family friends who have children with hearing loss, young children can greatly benefit from:

 

  • Advanced technology in hearing aids and cochlear implants
  • Early intervention programs focused on speech and language development
  • Family-centered care and educational resources
  • Telehealth and digital tools that expand access to specialists

 

Combined with early detection, these innovations have dramatically improved outcomes. Children who are identified early and receive appropriate support can thrive academically, socially, and emotionally.

 

A Sound Investment in the Future

Universal newborn hearing screening represents a powerful example of what early detection can achieve. By identifying hearing loss within the first days of life, we give children access to the tools and support they need to develop language, connect with others, and reach their full potential. If you have or know of a child with hearing loss, check out these educational resources within our For Kids section!

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