Abstract

A commonly employed procedure for routine neonatal hearing screening is analyzed in terms of its rationale, method, and effectiveness. The procedure does not seem to accomplish its objectives adequately and actually creates some problems of its own. A particular weakness of the procedure is that it fails to screen many of the infants who were the main impetus for mass neonatal screening programs—children with deteriorating hearing, and those with mild-to-moderate hearing impairments present at birth. An alternative approach is offered which stresses more careful and objective evaluation of a limited number of children selected on the basis of a high-risk register. An economical and easily learned procedure is suggested to accomplish the evaluation. Stress is also placed on follow-up evaluations in well-baby clinics, in pediatricians' offices, and through mobile hearing testing units.

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