Am J Perinatol 2022; 39(05): 501-512
DOI: 10.1055/s-0040-1717071
Review Article

Change to Hearing Loss–Related Risks and Screening in Preterm Infants

Xiaodan Zhu
1   Division of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
2   Department of Perinatology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
3   Sichuan Clinical Research Center for Birth Defects, Luzhou, Sichuan, China
,
Xiaoping Lei
1   Division of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
2   Department of Perinatology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
3   Sichuan Clinical Research Center for Birth Defects, Luzhou, Sichuan, China
,
Wenbin Dong
1   Division of Neonatology, Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
2   Department of Perinatology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
3   Sichuan Clinical Research Center for Birth Defects, Luzhou, Sichuan, China
› Author Affiliations

Abstract

Hearing loss is one of the most common congenital defects in infancy; it increases speech and language delays and adversely affects academic achievement and socialemotional development. The risk of hearing loss in premature infants is higher than that in normal newborns, and because of the fragility of the auditory nervous system, it is more vulnerable to different risk factors. The hearing screening guidelines in current use were proposed by the American Academy of Pediatrics and updated in 2007, but there are no uniform guidelines for hearing screening in preterm infants. This review focuses on the risk factors related to hearing loss in premature infants, hearing screening strategies, and reasons for failure. The aim is to provide a more comprehensive understanding of hearing development in preterm infants to achieve early detection and early intervention. At the same time, attention should be paid to delayed auditory maturation in preterm infants to avoid excessive intervention.

Key Points

  • Hearing loss is very common in infancy, especially in premature infants.

  • Genetic factors, infection, hyperbilirubinemia, drugs, and noise are the main causes.

  • We should pay attention to the delayed hearing maturity of premature infants and avoid excessive intervention.

Authors' Contributions

The manuscript was conceived by X.L, designed and written by X.Z., and corrected by W.D.




Publication History

Received: 30 July 2020

Accepted: 14 August 2020

Article published online:
29 September 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
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