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A hearing screening is the most important early way to tell if a baby's hearing is impaired, but parents and other caregivers also need to be alert for warning signs.
© Frédérik Astier / Science Source
Signs of hearing loss can be different for different babies, and the extent of hearing impairment can vary. On their own, the warning signs may not be cause for worry (maybe your baby is a very sound sleeper, for example, or has colic and won't calm to any voice or soothing sound, no matter what), but you'll still want to contact your baby's doctor right away if you notice any of these red flags:
Warning signs: Newborn to 3 months
- doesn't startle in response to a sudden loud sound
- doesn't respond to sounds, music, or voices
- isn't soothed by soft sounds
- doesn't move or wake up at the sound of voices or nearby noises when sleeping in a quiet room
- by 2 months, doesn't make vowel sounds like "ohh"
- by 2 months, doesn't become quiet at the sound of familiar voices
Warning signs: 4 to 8 months
- doesn't turn her head or eyes toward a sound she can't see
- doesn't change expressions at the sound of a voice or a loud noise when she's in a quiet setting
- doesn't seem to enjoy shaking a rattle, ringing bells, or squeezing noisemakers
- by 6 months, doesn't try to imitate sounds
- hasn't begun to babble to herself or back at others who speak to her
- doesn't respond to "no" and changes in tone of voice
- seems to hear some sounds but not others
- seems to pay attention to vibrating noises (those that can be felt) but not those that are only heard
Warning signs: 9 to 12 months
- doesn't turn quickly or directly toward a soft noisemaker or "shush"
- doesn't respond to his name
- doesn't vary his pitch when babbling
- doesn't make several different consonant sounds when babbling (m, p, b, g, etc.)
- doesn't respond to music by listening, bouncing, or singing along
- at 1 year, doesn't say single words, like "da-da" and ma-ma"
- at 1 year, doesn't pronounce many different consonant sounds at the beginning of words
- doesn't understand words for common items (like "shoe"), expressions (like "bye-bye"), or commands (like "come here")
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