There are pregnancy related and child related red flags that should be taken into account and imply a hearing evaluation.
Common child-related indicators of the need for a hearing evaluation are:
- baby does not react to sudden loud sounds, no blinking or startle reflex
- no babbling or babbling that is very monotone
- a speech delay or poor pronounciation
- asking for repeat
- not interacting well with other children
- frequent or recurrent middle ear infections
- hearing loss associated syndromes for example Down Syndrome, Alport Syndrome and Crouzon Syndrome.
- infections that may cause hearing loss for example Meningitis, Cytomegalovirus or measles.
- diagnosis of a learning disability
Circumstances surrounding pregnancy and birth that should increase a parents alertness for a possible hearing loss includes
- Prematurity and/or low birth weight
- low Apgar scores
- Jaundice after birth
- Maternal illnesses for example German measles, Rubella, during pregnancy