Te whakamātau i te rongo a te pēpi hou Universal hearing screening for newborns
Hearing screening test
The test shows how your baby's ears respond to sound. The test is simple and safe , and will not cause your pēpi any discomfort. It usually takes around 10 to 20 minutes.
The test picks up moderate to severe hearing loss. It is not designed to pick up mild hearing loss.
Your pēpi might have this test before leaving the hospital. For the best outcomes, we recommend that your pēpi completes their screening by the time they are 1 month old. But, babies can be screened up to 3 months of age.
How the test is done
While your pēpi sleeps, a trained hearing screener will place small sensors on your their forehead, as well as above and below the ear. They will put a cushion over 1 ear at a time and play a soft clicking sound.
The sensors will pick up the response from your baby's hearing nerve. The test measures whether:
- the ear is responding to sound
- the brain is responding to that sound.
A computer measures the response. In some cases, if the screener is not able to get a clear result, your pēpi may need a second screening test. This could be because:
- your pēpi was unsettled
- there was too much noise in the testing room
- there was fluid in your baby's middle ear
- your pēpi may have hearing loss.
In some cases, your pēpi may be referred to an audiologist (a hearing specialist) after their screen. This means that more investigations are needed to determine if your pēpi has a hearing loss.
- Your babies hearing screening — HealthEd (external link)
- Newborn hearing screening results — HealthEd (external link)
If you need to see an audiologist
If your pēpi needs to see an audiologist for diagnostic tests, we recommend that they have their first appointment by the time they are 3 months old. This will give a more thorough assessment of their hearing levels. If the audiologist diagnoses your pēpi with hearing loss, clinical and educational supports can start by the time they are 6 months old.
Where newborn hearing screening is offered
All districts offer screening to all babies, whether they are born in hospital or at home. Your LMC can refer you if you are not offered screening.
Hearing loss over time
You may be advised to bring your pēpi back to the audiologist for more testing when they are a little older. This is because there are some types of hearing loss that develop over time.
Some pēpi may be more at risk of developing hearing loss in later childhood. These include pēpi who:
- had a māmā with certain infections during pregnancy
- were born with certain congenital or inherited conditions
- had some types of infections
- needed certain medicines or treatments in their first few days
- were born with some congenital and inherited conditions
- had treatment in neonatal or special baby care for certain conditions.
If this is the case, you will be referred to an audiologist for follow up.
If your pēpi has hearing loss
You may have questions if you find out your pēpi has hearing loss. Finding out early means you can get advice and support right from the start.
Each baby's hearing loss will be different. Your audiologist will explain:
- the sounds your pēpi can hear
- which sounds may be difficult for them to hear.
They will talk to you about the services and support available, and how they can help you with your baby's extra needs.
Mild hearing loss
A factsheet for parents whose children have been diagnosed with mild hearing loss.
Mild hearing loss [PDF, 2.5 MB]internal link
Unilateral hearing loss
A factsheet for parents whose children have been diagnosed with unilateral hearing loss (hearing has been found to be different in each ear).
Unilateral hearing loss [PDF, 2.5 MB]internal link
Helping your pēpi
If your pēpi has hearing loss, the kind of support you and your pēpi will be offered depends on your baby's hearing levels. The audiology department will continue to provide you with ongoing support.
It might include:
- support and education about hearing loss and helping your tamariki
- information on devices such as hearing aids, cochlear implants, and other assistive listening technologies
- different ways of communicating, like sign language
- genetic counselling.
If you have any concerns
Even if your pēpi passed newborn hearing screening, they could still develop hearing loss later. Talk to your midwife, doctor, Well Child provider or early childhood teacher if you are worried about your baby’s hearing.
You can talk to them about your concerns at any time — they are there to help you and your pēpi.
Related websites
accesable external link
Management of the national funding for adult hearing aid subsidies and children’s hearing aids.
Deaf Children New Zealand external link
A parent-led, national organisation that supports members including Regional Parent Groups, and individual families who have a child or children, who are Deaf or Hard of Hearing, up to 21 years old.
National Foundation for the Deaf external link
Promotes the interests of nearly half a million deaf and hearing impaired New Zealanders.
Deaf Aotearoa New Zealand external link
Deaf Aotearoa of New Zealand is committed to providing quality services to all deaf people in New Zealand.
Parent to Parent New Zealand external link
A support and information network for parents of children with special needs. Support is provided voluntarily by trained support parents who have a child with the same or similar needs.
Sign Language Teachers external link
Promotes the teaching of New Zealand Sign Language to the general public and ensures the quality and standards of NZSL teaching.
New Zealand Audiological Society external link
New Zealand Audiological Society (NZAS) audiologists are the professionals able to provide advice and treatment for hearing problems.
Getting Started external link
Publication developed by the National Audiology Centre and Deaf Education Aotearoa New Zealand to offer information for parents of children who have been diagnosed with hearing loss.