Hearing that your baby did not pass a hearing screen can be worrying. Here is what it usually means and what to do next.
A screen is not a diagnosis
Newborn hearing screens are quick checks designed to flag babies who need a closer look. A result of “refer” or “did not pass” in one ear means a more detailed test is needed. Many babies who do not pass a screen have normal hearing on follow-up, for example when fluid or debris in the ear canal affected the result.
Keep the follow-up appointment
Your hospital or pediatrician will arrange follow-up testing, usually with a pediatric audiologist. Try to attend as scheduled, since early answers help if any support is needed.
Where outer ear shape fits in
A folded or prominent outer ear does not usually affect a hearing screen. If part of the outer ear is missing or the ear canal looks narrow, mention it to your pediatrician, as it may be relevant. Hearing and ear development.
If your baby also has an ear shape difference
Hearing follow-up and an ear shape evaluation can happen in parallel. If you have noticed a fold, point or prominence, you can call us for an evaluation while you complete hearing follow-up.
Questions about newborn hearing screens
Does not passing the screen in one ear mean my baby has hearing loss?
Not necessarily. It means a more detailed follow-up test is needed. Many babies have normal hearing on follow-up.
Who does the follow-up test?
Usually a pediatric audiologist, arranged by your hospital or pediatrician.
Can ear shape affect the hearing screen?
A folded or prominent outer ear usually does not. A narrow or closed ear canal can, so mention it to your pediatrician.
Can I still have my baby’s ear shape evaluated?
Yes. Ear shape evaluation and hearing follow-up can happen at the same time. Call 214-540-1428.
