Neonatal Screening for Prevalence of Hearing Impairment in Rural Areas

Sapna R Parab1, Mubarak M Khan1, Sneha Kulkarni1

  • 1Department of Otorhinolaryngology, M.I.M.E.R. Medical College, Talegaon-D, Pune, 410507 India.

Insights

Neonatal hearing loss affects 3.54 per 1000 live births in rural India. Early screening and intervention are crucial for speech development and quality of life in infants with hearing impairment.

Area of Science:

  • Audiology
  • Neonatal Medicine
  • Public Health

Background:

  • Hearing loss in neonates can significantly delay speech and language development.
  • Early identification and intervention are critical for improving developmental outcomes and quality of life.
  • Neonatal hearing impairment prevalence data from rural India is limited.

Purpose of the Study:

  • To determine the prevalence of hearing loss in neonates in the Maval taluka of Pune, Maharashtra, India.
  • To compare hearing loss prevalence between high-risk and well-baby neonates.
  • To identify specific risk factors associated with neonatal hearing impairment.

Main Methods:

  • Prospective non-randomized clinical study conducted from April 2012 to April 2015.
  • Screened 8192 neonates in the Maval area, categorizing them into high-risk (1683) and well-baby (6509) groups.
  • Calculated prevalence rates per 1000 live births for overall, well-baby, and high-risk populations.

Main Results:

  • Overall neonatal hearing loss prevalence was 3.54 per 1000 live births.
  • Prevalence was 1.689 per 1000 in well babies and 10.69 per 1000 in high-risk babies.
  • Hearing impairment prevalence linked to low birth weight (5.9/1000), hyperbilirubinemia (3.56/1000), and craniofacial abnormalities (1.18/1000) in high-risk neonates.

Conclusions:

  • Neonatal hearing loss is a significant concern in rural Indian populations.
  • Universal neonatal hearing screening is recommended for early detection and timely rehabilitation.
  • Targeted screening for high-risk infants can identify a greater proportion of affected neonates.

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