Our Babies are the Future of North Dakota

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Early Hearing Detection Intervention
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FactsNewborn Hearing and Screening

• The average age that children with hearing loss
  are identified in the U.S. is 12 to 25 months.
• Every day in the U.S. approximately 33 babies are
  born with significant hearing loss
• In 1999, less than 20 of U.S. babies were born
  in hospitals with Early Hearing Detection and
  Intervention (EHDI) programs.

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FactsNewborn Hearing and Screening

• In addition to the 3 per 1,000 babies born with
  significant hearing loss
• An additional 3 per 1,000 babies are born with
  moderate hearing loss each year.
• Hearing loss is the most common congenital
  disorder in newborns.
• 20 times more prevalent than PKU, which is a
  condition for which all newborns are currently
  screened.

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Facts Newborn Hearing Loss and Screening

• In North Dakota
• 2000 Childrens Special Health Services
  conducted a survey of the status of UNHS and
  found only 3,397 of the 8,879 births in 1999
  (38) received hearing screening before hospital
  discharge.
• Only 3 of the 32 birthing hospitals offer
  universal newborn hearing screenings.

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Healthy People 2010

• Increase to 100 percent of newborns to be
  screened for hearing loss by 1 month of age.
• Provide follow-up by 3 months of age.
• Enroll infant in appropriate intervention
  services by six months of age.

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National Institutes of Health

• Consensus Panel Recommends
• The best opportunity to achieve this goal would
  be in developing newborn hearing screening
  programs in hospital nurseries.
• Hearing screening should be performed prior to
  hospital discharge.

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Goals for First Sounds

• 90 of newborns screened prior to discharge.

• Provide equipment to birthing hospitals

• Provide Training and Support

• Identify at least 4 facilities who offer full
  pediatric audiology diagnostic services

• Webpage and source for data dissemination

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Benefit of EHDI

• Infants identified with hearing loss by
• 4 weeks of age.
• 6 months
• Language and Cognitive and Social Development

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Two Screening Methods

• Otoacoustic Emissions Testing (OAE)

• Auditory Brainstem Response Testing (ABR)

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Protocol

• Intervention process is necessary once hearing
  loss is confirmed.
• Referrals made to
• Medical Home
• Early Intervention Services
• Infant Development
• Parent-Infant Program for the Deaf and Hard of
  Hearing
• Family Support Services
• Family to Family Network
• Families Helping Families

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Referral CentersMust Have
Electrophysiological ABR OAE
Assessment of Middle Ear Function
Tympanometry Acoustic Reflex
Measurement of Infants Behavioral
Responses using age appropriate methods
Specific Fitting Formula design for
children (DSL I/O)
Real Ear Probe Microphone measurement Capability.

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Advisory Board
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Audiology Task Force
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Participating Hospitals2nd Draft Presentation
2000-2001
2001-2002
2002-2003
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For more information, contact First Sounds Minot
State University 500 University Ave W Minot, ND
58707 [phone] www.ndcpd.org/1stsounds