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#1 of 27 Old 04-21-2011, 06:39 AM - Thread Starter
 
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For those of you that had homebirths, did you get a newborn hearing screen done? How soon after birth? Our ped is recommending it, thought I'd see what you all had done. Thanks!


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#2 of 27 Old 04-21-2011, 08:46 AM
 
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I didn't have a homebirth, but we don't stay in the hospital long enough after the birth to get all the stuff done.  We go in at 2 days pp to have the hearing screen and PKU test done.  I make sure to have them both on the same day!


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#3 of 27 Old 04-21-2011, 09:30 AM
 
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I did for my last HB, I didn't bother for my previous one. I don't know know I did honestly, I got a letter from the state (not that I usually follow all the standard guidelines) and for some reason I wanted to. By the time I managed to schedule it though, he wasn't a newborn anymore so we ended up doing a regular hearing test. It did turn out out to be very beneficial, he does have speech issues and receives therapy so that was always the first thing I was asked, if he had a hearing screen. I can't say I will do the same for this baby, just depends how I feel about it then. 


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#4 of 27 Old 04-21-2011, 09:37 AM
 
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OP- Congrats on your new baby and I LOVE her name!

 

I had a homebirth and didn't get it done. We took DD in for her one (and only) pedi appt at 2 months and it was offered and we declined.


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#5 of 27 Old 04-21-2011, 03:21 PM
 
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To clarify my previous post, it's not something I would feel comfortable skipping.  Leah of Signing Time fame went undiagnosed profoundly deaf to the age of 18months because she didn't get the screening.  That's only one example, but it's absolutely harmless except for the time it takes.  Both my kids slept straight through it.


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#6 of 27 Old 04-21-2011, 03:29 PM
 
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I've had 2 homebirths.  With DD1 (i had an NHS homebirth) it was done at the out-patients audiology clinic at the hospital my Ob worked at (i had MW care but Ob back-up, the UK called it obstetrician-supervised domino care at the time) when she was 4 weeks old.  It was no hassle, our appointment was on time, she nursed throughout the test and passed both ears.

 

With DD2 (i had an independent midwife but had also booked for Ob back-up at the same hospital JIC) i was referred by the Health Visitor (at my request) to the local children's hospital.  Unfortunately the referral took rather longer for some reason and i think she was more like 7 or 8 weeks old, but again, it came back pass on both ears and she nursed throughout, no distress or anything for anyone.

 

I would ask your MW/ped/GP about it and see how it's usually done.  Our PKU's were done on the 5th day, at home, by our midwives, and i would avoid doing the hearing test then purely because it's nice to be deciding when you want to first venture out with your newborn yourself, and not be pushed to do it for a medical thing which, though important, can certainly wait a few weeks safely.

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#7 of 27 Old 04-21-2011, 08:46 PM
 
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I haven't, and I'm not going to go out of my way to do it. he startles to noises and calms to my voice, so I'm not worried about his hearing. 


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#8 of 27 Old 04-21-2011, 09:27 PM
 
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I had it done and the PKU done about a month after birth. I got a letter and call from the state saying I needed it(really the PKU) done. I just made an appointment at the health department and it was quick and painless.

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#9 of 27 Old 04-23-2011, 04:39 PM
 
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I wouldn't skip the hearing test, even if baby seems to be hearing fine. My baby brother as a small child appeared to hear just fine. We didn't find out until he was nearly five, and had a heck of a time managing in preschool and kindy, that he had some subtle hearing loss, and it made it very difficult for him to function in a group environment. He went through six months of total bewilderment before somebody tuned in to the problem, and recommended that we have his hearing checked. Hearing loss can be subtle, and can cause language delays and delays in phonological awareness that can be difficult to overcome. And the test is free, and risk-free, and causes baby no discomfort. I can't imagine refusing it.

That said-- I don't think it needs to be done in the immediate post-partum period. If I was homebirthing, I'd probably shoot for within a month.

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#10 of 27 Old 04-23-2011, 04:49 PM
 
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We had it done -- maybe a few weeks or a month after the homebirth? I can't remember exactly. It was super easy and painless, and it seemed to me that in a pro-con analysis, when there are almost no cons (time) and the pros can be so huge, it seemed well worth it.

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#11 of 27 Old 04-24-2011, 05:33 AM
 
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I think my DS was tested at 4 or 6 weeks. The midwife lugged the testing kit to my place to test him. Bless her!

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#12 of 27 Old 04-24-2011, 10:57 AM
 
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I wouldnt skip it for nothing....my  now 11yo did not have it done at birth and she has permanent hearing loss that we did not pick up until she was 5 yo and she has been in speech since kindergarten. She also wears hearing aids. It's a very important non invasive test! I would love to know if she was born with the hearing loss or she lost it during her baby years....she did have pneumonia 3 times one winter and were left not knowing when the loss accured.


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#13 of 27 Old 04-24-2011, 11:04 AM
 
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We had a homebirth and had DS's ears checked sometime in the latter part of his first month.  Our MW recommended it. 


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#14 of 27 Old 04-24-2011, 12:48 PM
 
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We did it with our first but it was a bit of a nightmare--treated rather like oddities at our local hospital (we had a HB but had a referral from a FP doctor to do the test), then miscoding the test so we had a runaround to have it paid by insurance.

I don't know if we'd do it with subsequent babies or not based on that experience; the test itself was quick and harmless, but I hated the process (not that that has anything to do with the test itself, of course!). I will certainly do my research on how helpful/accurate the test is next time, but we are also in a new state so I would have other hospital options for the test.

In summary--quick, painless, probably worth doing, but maybe not in the immediate postpartum time at a hospital that has no idea what to do with a homebirthed babe!

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#15 of 27 Old 04-25-2011, 01:13 PM
 
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Quote:
Originally Posted by trauerweidchen View Post

We did it with our first but it was a bit of a nightmare--treated rather like oddities at our local hospital (we had a HB but had a referral from a FP doctor to do the test), then miscoding the test so we had a runaround to have it paid by insurance.

In summary--quick, painless, probably worth doing, but maybe not in the immediate postpartum time at a hospital that has no idea what to do with a homebirthed babe!


Same here.  The audiologist was really sweet and waited for me to nurse DS until he was a bit more settled.  The staff was as you described in your experience.  I really don't care at all what others think in that regards.  I feel that they just do not get it, KWIM?

 


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#16 of 27 Old 04-25-2011, 01:21 PM
 
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Yes, I would just ask your Pediatrician about the testing. 

 

 

AND YES/Ditto to Twinklefae on the importance of having your infant's hearing checked. My girlfriend just had a baby in Feb. She failed the one in the hospital and they asked her to come back to retest. She felt it was probably not necessary because the baby startled at noises and obviously could hear their voices. BUT...they decided to go. Baby failed second test. So, Doc still felt that everything was fine, but had them go to specialist for a final test. It was then discovered that baby has hearing loss. She can't hear the lowest of sounds and that while she CAN hear noises, and voices, she will have problems with her speech because of her hearing  loss. Now that it has been detected so early, she has been given a wealth of resources, have access to early intervention, and most probably not have the speech difficulties she would have if it had gone undetected. 

 

 

Short story....it doesn't hurt the child to be tested, but can hurt the child if a hearing loss, no matter how slight, goes undetected. 

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#17 of 27 Old 04-28-2011, 11:57 AM
 
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I wasn't able to have a homebirth but without the newborn hearing test my daughter might have not been diagnosed with hearing loss for years.  Please consider getting it done.  It should be quick and painless, like 5 minutes.


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#18 of 27 Old 04-28-2011, 12:22 PM
 
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We homebirthed and had a hearing test done at our health department. Our midwives referred us to the screening program, so they called us to schedule the appointment. I think we went when DD was something like 2-3 weeks old.

 

The test took, like, 3 minutes. DD slept through the entire thing. The biggest hassle about the whole thing for us was the fact that I had to pay for 2 hours minimum parking in the parking lot at the audiology clinic's building for a 10 minute total visit. I know that the newborn screening is the fastest and easiest way to gain access to any resources that you might need in case of a hearing loss, and for that reason alone, we did it, despite being pretty darned sure that DD could hear us fine. 

 

I honestly don't see why whether or not you homebirthed should even come up at all, aside from possible billing/insurance purposes. 

 

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#19 of 27 Old 04-28-2011, 01:24 PM
 
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After reading this thread DH and I decided to have our 13 month old DS have his hearing tested. (fyi - He did not have a newborn screening as I had a home birth and we just didn't do it then.) We just had the appt this morning. The test for us was not quick and easy - not sure why we're having a different experience than others, but that's how it was for us. The whole thing was a battery of tests (like 4 different ones) and took about 45 minutes. Because they were sticking things in his ears, which he was not happy about, he cried a lot, lost it and would not cooperate. Hence we need to go back next week. Which we are going to do. From what they could tell, his hearing within normal ranges is fine. But beyond that it was too much for him and any further testing would have been inconclusive. I should also add that we needed a prescription from our doctor to do this as the appointment was with an audiologist who specializes in this kind of thing. 

 

So all this to say i'm not sure why our experience was so different from everyone else here - maybe b/c he's older? though the audiologist said not necessarily as newborns can be just as difficult. maybe this is a more extensive test? I really don't know. headscratch.gif

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#20 of 27 Old 04-28-2011, 01:35 PM
 
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Quote:
Originally Posted by MamaofLiam View Post

So all this to say i'm not sure why our experience was so different from everyone else here - maybe b/c he's older? though the audiologist said not necessarily as newborns can be just as difficult. maybe this is a more extensive test? I really don't know. headscratch.gif


When my kids had it done, as newborns, I was asked to nurse them into a deep sleep. Then they did it, and the whole thing only took a few minutes. Could it be, perhaps, that they did a more thorough screen than they would have during the routine newborn check? My DD1 had a detailed repeat hearing exam by an audiologist, when she was nine months old, and it was long and involved. (We had it because she wasn't reaching normal milestones for things like babbling.) I think the newborn screen is simpler.

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#21 of 27 Old 04-28-2011, 01:47 PM
 
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Quote:
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After reading this thread DH and I decided to have our 13 month old DS have his hearing tested. (fyi - He did not have a newborn screening as I had a home birth and we just didn't do it then.) We just had the appt this morning. The test for us was not quick and easy - not sure why we're having a different experience than others, but that's how it was for us. The whole thing was a battery of tests (like 4 different ones) and took about 45 minutes. Because they were sticking things in his ears, which he was not happy about, he cried a lot, lost it and would not cooperate. Hence we need to go back next week. Which we are going to do. From what they could tell, his hearing within normal ranges is fine. But beyond that it was too much for him and any further testing would have been inconclusive. I should also add that we needed a prescription from our doctor to do this as the appointment was with an audiologist who specializes in this kind of thing. 

 

So all this to say i'm not sure why our experience was so different from everyone else here - maybe b/c he's older? though the audiologist said not necessarily as newborns can be just as difficult. maybe this is a more extensive test? I really don't know. headscratch.gif

 

Gosh, that sounds like a good reason to do it when they're a newborn.

 

The newborn screen is just a probe placed in each ear in turn for a few seconds. It's done and dusted in a couple of minutes, can be done while they are sleeping or nursing, and they give you the results straight away.

 


 

 

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#22 of 27 Old 04-28-2011, 01:50 PM
 
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Quote:
Originally Posted by Llyra View Post



Quote:
Originally Posted by MamaofLiam View Post

So all this to say i'm not sure why our experience was so different from everyone else here - maybe b/c he's older? though the audiologist said not necessarily as newborns can be just as difficult. maybe this is a more extensive test? I really don't know. headscratch.gif




When my kids had it done, as newborns, I was asked to nurse them into a deep sleep. Then they did it, and the whole thing only took a few minutes. Could it be, perhaps, that they did a more thorough screen than they would have during the routine newborn check? My DD1 had a detailed repeat hearing exam by an audiologist, when she was nine months old, and it was long and involved. (We had it because she wasn't reaching normal milestones for things like babbling.) I think the newborn screen is simpler.


I think that could be it and that you're right. B/c the tests my DS had this morning were pretty involved and not what I would call simple. One of the tests had him in a sound proof room with speakers on all sides with different sounds coming out of different speakers at different times. The idea there being that he would turn his head toward the sound he heard. The whole thing just freaked him out. If I had it to do over again, and the newborn test is really simple, I would do the newborn screening instead of this. 

 

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#23 of 27 Old 04-28-2011, 01:57 PM
 
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What you're describing, with the room and the speakers, is what they did with my nine-month-old, too. They wanted to do it that way, because to do something like the newborn screen would mean she'd have to be deeply asleep, which for a baby that age might mean chloral hydrate, and they didn't want to do that if they didn't have a clear and indisputable medical reason, which of course we didn't have. I agreed.

I guess maybe the advantage of the newborn screen is how deeply newborns can sleep, in those first few days, so that the screen can be done with the ear probes, and can be over in a few seconds.

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#24 of 27 Old 04-28-2011, 02:31 PM
 
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There are definitely different screens and I believe older kids are going to get more extensive ones. Sharing our experience in case anyone else has a similar experience: after DS was born, it took us a while to figure out where to get the screen done because the hospital our birth center refers to is out of our insurance network. We were willing to pay out of pocket for the birth, but not the hearing screen! So we had a lot of legwork to do to find out how to schedule the screen at somewhere that was covered for us.

The first place we got in touch with was a children's hospital. We scheduled an appointment and then they called with all the info: no eating before the test, test will last 4 hours. . . it didn't sound right! We cancelled and found another place to schedule, and realized afterwards that the children's hospital didn't actually do the basic screens and was automatically scheduling us for the more extensive tests. We ended up going to a hospital that does a lot of births and the test was, as others have mentioned, quick and painless. The nurse doing the test was a bit startled to see a 12-pound 5-week-old instead of the newborns she usually sees, though!

So we learned that if it sounds like the test is too complicated, you're probably right-- the newborn screen should be super quick and easy. This time we know where to go and will just take this new baby back to the same hospital after he is born. I'm thinking we'll probably take him at 2 - 3 weeks old if I feel ready to get out and about then.
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#25 of 27 Old 04-29-2011, 01:24 PM
 
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My daughter has a hearing loss and the tests are harder between 1 month and 2 years unless your child likes random people putting weird things in their ears.  The newborn test is a breeze compared to the ones as the get older.  She is now 7.5 and is an old pro!  I would say get it done as a newborn.


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#26 of 27 Old 05-03-2011, 09:54 PM
 
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I had a homebirth 4 weeks ago and I keep forgetting to schedule it, but I plan to get her tested in the next week. Pedi advised to get it within the first month, midwife said within three months.


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#27 of 27 Old 05-08-2011, 07:17 PM
 
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A child can startle to noise and respond but still have a significant hearing loss. Hearing loss is NOT all or nothing! Please ladies, get your child tested. There is absolutely no reason not to. It takes 10 minutes but can be the difference between language and no language, literacy and illiteracy, communication and isolation for your child, and not just in childhood, FOR LIFE. Kids who are id'ed, enrolled in early intervention and fitted with appropriate technology do great, but without newborn screens the average age of identification is 50 months!!!!!!!!!

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