Exploration on the Optimal Initial Screen Time in Newborns with Different Modles ofDelivery Using AABR
10.3969/J.ISSN.1006-7299.2017.05.007
- VernacularTitle:不同分娩方式新生儿自动听性脑干反应听力初筛的最佳时间探讨
- Author:
Peipei FEI
;
Rui ZHOU
;
Rui YANG
;
Yan GENG
;
Yuhe LIU
- Keywords:
Neonatal hearing screening;
Screening time;
Automatic auditory brainstem response
- From:
Journal of Audiology and Speech Pathology
2017;25(5):468-471
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore optimal initial the best screening time for newborns with different delivery methods using AABR.Methods A total of 550 newborns who were born from August 1, 2016 to October 31, 2016 at our hospital participated in the study.AABR was used to accomplish the initial hearing screening.The newborns were divided into 2 groups according to the delivery methods.There were each 100 neonates born in vaginal during <24 h, 24~48 h and 48~72 h after birth, respectively.The numbers of neonates delivered by cesarean section during the 3 separate periods were 50, 100 and 100, respectively.The newborns who failed the preliminary hearing screening proceeded to the re-screening and diagnostic procedures.Results There were 300 newborns were born in vaginal, and the pass rate in 24~48 h after birth group was significantly higher than that in 24 h group (93.00% vs 83.00%,x2=4.735,P=0.03<0.05), but it was not significantly different from that of 48~72 h group (95.00% vs 93.00%,x2=0.355,P=0.56>0.05).There were 250 newborns in cesarean section, the pass rate of 24~48 h after birth group was significantly higher than that in 24 h group (83.00% vs 68.00%,x2=4.437, P=0.04<0.05), and significantly lower than that of 48~72 h group (94.00% vs 83.00%,x2=5.944, P=0.02<0.05).Conclusion Taking into account of hospitalization time, the screening time for the vaginal delivery newborn hearing screening can be advanced to 24~48 h after birth with the application of AABR, but not for the cesarean section group.
