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Updated: May 23, 2026

Infant Auditory Processing and Event-related Brain Oscillations
Published on: July 1, 2015
Auditory brain development in premature infants: the importance of early experience
Erin McMahon1, Pia Wintermark, Amir Lahav
1Department of Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Insights
Neonatal intensive care unit (NICU) noise harms preterm infants
Area of Science:
- Neonatal care
- Neurodevelopmental science
- Auditory system development
Background:
- Preterm infants in the NICU are vulnerable to excessive noise.
- The NICU environment poses risks to auditory, language, and cognitive development.
- Neonates' auditory systems are sensitive during critical neurodevelopmental periods.
Purpose of the Study:
- To discuss auditory system developmental milestones in preterm infants.
- To suggest methods for improving sound quality in the NICU.
- To highlight the importance of positive auditory experiences for brain maturation.
Main Methods:
- Literature review on auditory system development.
- Analysis of noise impact on preterm neonates.
- Discussion of strategies for optimizing NICU sound environments.
Main Results:
- Excessive NICU noise can disrupt infant growth and development.
- Preterm infants are particularly susceptible to noise-induced auditory and cognitive risks.
- Optimizing the auditory environment is crucial for neurodevelopment.
Conclusions:
- Positive auditory experiences are essential for preterm infant brain maturation.
- Further research is needed to create optimal NICU auditory environments.
- Enhancing the NICU soundscape can improve long-term health outcomes for preterm infants.
Abstract:
Preterm infants in the neonatal intensive care unit (NICU) often close their eyes in response to bright lights, but they cannot close their ears in response to loud sounds. The sudden transition from the womb to the overly noisy world of the NICU increases the vulnerability of these high-risk newborns. There is a growing concern that the excess noise typically experienced by NICU infants disrupts their growth and development, putting them at risk for hearing, language, and cognitive disabilities. Preterm neonates are especially sensitive to noise because their auditory system is at a critical period of neurodevelopment, and they are no longer shielded by maternal tissue. This paper discusses the developmental milestones of the auditory system and suggests ways to enhance the quality control and type of sounds delivered to NICU infants. We argue that positive auditory experience is essential for early brain maturation and may be a contributing factor for healthy neurodevelopment. Further research is needed to optimize the hospital environment for preterm newborns and to increase their potential to develop into healthy children.
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