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Updated: Aug 24, 2026

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Published on: June 8, 2017
Neonatal hearing screening: to do or not to do
1Division of Pediatric Otolaryngology, Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, 9000 West Wisconsin Avenue, Milwaukee, WI 53226, USA. kersch@mcw.edu
Insights
Universal newborn hearing screening is now standard in North America, enabling early intervention for infant hearing loss. Continued research addresses screening controversies and future needs for improved infant diagnostics.
Area of Science:
- Pediatrics
- Audiology
- Public Health
Background:
- Infant hearing loss diagnosis and early intervention have been discussed for two decades.
- Identifying hearing-impaired infants is crucial for timely developmental support.
Purpose of the Study:
- To review the evolution of universal newborn hearing screening (UNHS) in North America.
- To examine current controversies and future directions in UNHS.
Main Methods:
- Literature review of developments in newborn hearing screening.
- Analysis of ongoing debates and future requirements for UNHS programs.
Main Results:
- Universal newborn hearing screening has become the standard of care in most of North America.
- The review highlights progress and persistent challenges in infant hearing screening.
Conclusions:
- UNHS programs facilitate early identification of hearing loss in infants.
- Addressing controversies and future needs will enhance the effectiveness of early intervention for hearing-impaired children.
Abstract:
Over the last two decades there has been a great deal of discussion concerning hearing loss in infants and the most appropriate diagnostic strategies to identify these children so that early intervention can be provided. This article reviews the developments that have transpired to allow universal newborn hearing screening programs to become the standard of care throughout most of North America. The article also examines ongoing controversies in universal newborn hearing screening and future needs to enhance universal newborn hearing screening, with the ultimate goal being early intervention for children identified with hearing loss through these programs.
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