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Related Experiment Videos

The Milan Project: a newborn hearing screening programme.

Giancarlo Pastorino1, Paola Sergi, Massimo Mastrangelo

  • 1U.O. Neurologia-Neurofisiopatologia, ICP, Milano, Italy.

Acta Paediatrica (Oslo, Norway : 1992)
|August 12, 2005
PubMed
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The Milan Project

Area of Science:

  • Neonatal care
  • Audiology
  • Public health

Background:

  • A universal newborn hearing screening program, the Milan Project, has been active since 1997.
  • It serves both at-risk and no-risk infants for hearing impairment.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of a hospital-based universal newborn hearing screening program.
  • To determine the prevalence of hearing impairment in newborns.

Main Methods:

  • Screening involved transient click-evoked otoacoustic emissions (TEOAE) and auditory brainstem responses (ABR).
  • The protocol included multi-stage testing for no-risk infants and ABR for at-risk infants.
  • A total of 19,777 infants were screened.

Main Results:

Related Experiment Videos

  • Hearing impairment was identified in 0.32% of newborns (63 infants).
  • Bilateral hearing impairment (BHI) occurred in 0.17% of infants (33 infants).
  • 30.3% of infants with BHI had no identifiable risk factors.

Conclusions:

  • The universal newborn hearing screening program is feasible and effective.
  • Program effectiveness improved over time, with reduced referral rates.
  • Repeating TEOAE measurements before discharge enhances program effectiveness.