Abstract
OBJETIVO: investigar o nível de consciência dos pais em relação à importância da triagem auditiva neonatal, bem como verificar os motivos do não comparecimento ao retorno agendado após a primeira avaliação. MÉTODO: a casuística foi constituída por 31 mães e/ou responsáveis dos recém-nascidos da unidade neonatal do Hospital Universitário de Maringá, os quais não compareceram ao reteste agendado após a alta hospitalar. RESULTADOS: os motivos apresentados pelas mães e/ou responsáveis para o não comparecimento ao retorno agendado envolveram atitudes que puderam sinalizar pouca importância atribuída às questões relacionadas à audição e a Triagem Auditiva Neonatal, pois sugiram motivos irrelevantes como o esquecimento do retorno, mãe pensou que o bebê não deixaria ser submetido ao exame e a perda de horário para nova avaliação. Tal fato, provavelmente reflete a falta de conscientização por parte das mães dos recém-nascidos quanto à importância da Triagem Auditiva Neonatal. CONCLUSÃO: existe a necessidade de aumentar a conscientização geral em relação à Triagem Auditiva Neonatal, por parte dos familiares e dos profissionais que atuam diretamente com os recém-nascidos, os quais contribuirão para a agilidade do processo diagnóstico, garantindo melhores perspectiva ao futuro de crianças portadoras de deficiência auditiva.
Highlights
The incidence and prevalence of hearing loss in newborns (HL) is higher than other diseases which are evaluated in the maternity hospital, since any (NB) may submit hearing problem at birth or buy it in the first years of life, even when there is no case of DA in the family and/or risk factors for the HL1
In an attempt to minimize the negative consequences of the HL development of language, speech, sociability, education level, it is necessary to diagnose HL early, justifying the need for a newborn hearing screening program (NAS) by means of a procedure widely used as the evoked otoacoustic emissions (EOA), for being a technical non-invasive, fast and with low cost 2,3
In the first stage of the study was performed a retrospective review of medical records of the NBS, which had result of failure in the examination of otoacoustic emission evoked by transient stimulus (EOA-T) uni- or bilateral and/or in the research of the cochleopalpebral reflex (CPR) In the first assessment, and that were summoned to the retest, usually 30 days after the first test
Summary
The incidence and prevalence of hearing loss in newborns (HL) is higher than other diseases which are evaluated in the maternity hospital, since any (NB) may submit hearing problem at birth or buy it in the first years of life, even when there is no case of DA in the family and/or risk factors for the HL1.In an attempt to minimize the negative consequences of the HL development of language, speech, sociability, education level, it is necessary to diagnose HL early, justifying the need for a newborn hearing screening program (NAS) by means of a procedure widely used as the evoked otoacoustic emissions (EOA), for being a technical non-invasive, fast and with low cost 2,3 .The (EOA) method consists in recording the sound energy generated by the cells of the cochlea765 Retest in neonatal hearing screening in response to the sounds emitted in the external acoustic meatus, allowing study of the mechanical aspects of the cochlear function of objectively before hospital discharge[4].In programs of neonatal auditory screening, the quantity of infants with normal hearing who present EOA absent, when tested in 48 hours after birth, is a complex issue, and is being discussed by health professionals. Being necessary a retest in order to say with accuracy if the EOA missed due to the existence of HL or because of the existence of factors that compromise the first assessment in maternity as presence of vernix, change in OM, presence of noise during the examination, non-cooperation of the NB among others, generally performed 30 days after birth. This way, children who do not attend to the retest may have hearing problems not confirmed, implying future consequences
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