Newborn Hearing Screening Update For Midwifery Practice

Journal of Midwifery and Women's Health - Tập 45 - Trang 368-377 - 2000
Deborah Narrigan1
1Philadelphia University’s Distance Education Masters in Midwifery Program, Philadelphia, Pennsylvania, USA

Tóm tắt

ABSTRACTNeonatal identification of congenital hearing impairment allows interventions during the first 3 years, the critical period for language and speech development. Two recently developed biophysical testing methods offer simple, accurate, and relatively inexpensive means to identify the one to three in 1,000 healthy newborns with hearing loss. Universal screening for auditory system integrity is advocated, because almost half of all newborns with hearing impairment have no risk factors associated with this impairment. Critics of universal screening cite the high rate of false positive tests (up to 7%), which increases program costs from follow‐up and re‐testing large numbers of infants to ensure identifying the few affected infants. As of early 2000, 24 states had introduced some type of auditory screening program, and the U.S. Congress had passed legislation with appropriations mandating state‐based auditory screening for all newborns. Midwives practicing in states already mandating biophysical screening need to comply with their local requirements; those in other states may voluntarily incorporate new auditory test methods into practice.

Tài liệu tham khảo

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Journal of Midwifery and Women's Health

Tập 45

368-377

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