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Children's Health Children's Health Basics

How Can I Tell if My Child Has a Problem Hearing?


Author:

Amie Gordon-Langbein, DO

Frankford Hospital - Jefferson Health Care System

Medically Reviewed On: April 16, 2001

Have you ever wondered about your child's hearing? Parents or other family members are most often the first to recognize a child's hearing difficulties. Since hearing is the primary modality in which young children acquire new information, any suspicion of a hearing loss in your child warrants attention.

The first four years of your child's life are critical in terms of developing speech and language skills that will last a lifetime. Any degree of hearing impairment can be handicapping since hearing loss can negatively impact the acquisition and perception of speech and language, academic achievement, social and emotional development, and self-esteem. Therefore, it is essential to diagnose and treat childhood hearing problems as early as possible.

Are There Speech and Language Milestones in Young Children?

All children develop at their own pace, however there are a few milestones that are helpful when considering whether or not your child might have a hearing problem. They are not steadfast rules but rather guidelines that are helpful in assisting parents and doctors in evaluating your child for a hearing loss. Ask yourself these questions based on your child's age; if your child is having difficulty in any of these areas, it is important for you to bring this to the attention of your child's doctor. It does not necessarily mean that your child has a hearing loss, but it does indicate the need for further evaluation. Unfortunately, hearing loss is invisible, so it is especially important for you to trust your instincts! If you are concerned about a hearing problem in your child, have your child's hearing assessed.

The following are some guidelines to use as a gauge of your child's hearing:

Birth to Three Months:

  • Most babies are startled by loud unexpected sounds
  • Most children at this age begin to make sounds such as gurgling, babbling, or cooing.
  • Most children recognize the sound of their mother's (or primary caregiver's) voice and begin to turn toward the sound of his or her voice at around three or four months. The sound of the primary caregiver's voice will often calm a crying baby, even for a moment.

Three Months to Six Months:

  • Babies usually begin to turn their heads toward sources of sounds that originate outside their immediate range of view.
  • Infants begin to notice and enjoy musical toys such as bells and rattles.
  • At around six months, babies begin babbling in response to someone speaking to them.

Six Months to Nine Months:

  • Children begin to respond to their name and understand the concept of the word "No."
  • Children make sounds other than cooing and gurgling.

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