Newborn Hearing Screening in a Public Maternity Ward in Curitiba, Brazil: Determining Factors for Not Retesting

Abstract

Introduction Law 12.303/10 requires hearing screening in newborns before hospital discharge to detect possible hearing problems within the first three months after birth. If the newborn fails the test or presents signs of risk for hearing loss, it must undergo a retest and monitoring during the first year of life. In practice, this often does not happen.

Objective To identify, in a group of mothers of children with risk factors for hearing loss, the determining reasons for non-compliance with the auditory retest.

Method This is a cross-sectional quantitative study. For data collection, we handed a semi-structured questionnaire to 60 mothers of babies at risk for hearing loss who did not attend the hearing retest after hospital discharge. The questionnaire investigated their age, education, marital status, level of knowledge about the hearing screening, and reasons for non-compliance with the retest. We compared and analyzed data using the Chi-square test at a significance level of 0.05%.

Results Our study found that 63% of the respondents were unaware of the hearing screening and most did not receive guidance on testing during prenatal care; 30% of participants stated forgetting as the reason for not attending the retest. There was no significant relationship between age, education, and marital status regarding knowledge about the test and the non-compliance with the retest.

Conclusion Identified as the most significant determining factors for non-compliance with the newborn hearing screening retest were the surveyed mothers' forgetting the date, and their ignorance as to the importance of retesting.

Keywords

hearing - deafness - speech-language pathology - pediatric nursing

• References

• 1 Gaffney M, Green DR, Gaffney C. Newborn hearing screening and follow-up: are children receiving recommended services?. Public Health Rep 2010; 125 (2) 199-207
• 2 Lima MCMP, Marba ST, Santos MFC, Lima GML, Rossi TRF, Françozo MFC. Detecção de perdas auditivas em neonatos de um hospital público. Rev Soc Bras Fonoaudiologia. 2010; 15 (1) 1-6
• 3 American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics 2007; 120 (4) 898-921
• 4 Bevilacqua MC, Formigoni GMO. Audiologia educacional: uma opção terapêutica para a criança deficiente auditiva. 3. ed. Carapicuíba. Pro Fono 2012;
• 5 Presidência da República BL. Lei n° 12.303, de 2 de agosto de 2010. Dispõe sobre a obrigatoriedade de realização do exame denominado Emissões otoacústicas evocadas. Available at: www.planalto.gov.br/ccivil_03/_Ato2007-2010 /2010/Lei/L12303.htm . Accessed on April 20. 2014.
• 6 Frederico M. Adesão de mães de lactentes a um programa de monitoramento do desenvolvimento auditivo e de linguagem [Dissertation]. Campinas: Faculdade de Ciências Médicas; 2013: 98
• 7 Mello JM, Silva EC, Ribeiro VP, Moraes AMSM, Della-Rosa VA. Índice de retorno ao reteste em um programa de triagem auditiva neonatal. Rev Cefac. 2013; 15 (4) 764-772
• 8 Alvarenga KF, Gradet JM, Araújo ES, Bevilacqua MC. Triagem auditiva neonatal: motivos da evasão das famílias no processo de detecção precoce. Rev Soc Bras Fonoaudiol. 2012; 17 (3) 241-247
• 9 Françozo MFC, Masson GA, Rossi TRF, Lima MCMP, Santos MFC. Adesão a um programa de triagem auditiva neonatal. Saúde Soc. 2010; 19 (4) 910-918
• 10 Fernandes JC, Nozawa MR. Estudo da efetividade de um programa de triagem auditiva neonatal universal. Cien Saude Colet 2010; 15 (2) 353-361
• 11 Marziale MHP. Produção científica da enfermagem brasileira: a busca pelo impacto internacional. Rev Latino-am Enfermagem. 2005; 13 (3) 285-286
• 12 Conselho Regional de Enfermagem (COREN). Lei N° 7.498/86. Dispõe sobre a regulamentação do exercício da Enfermagem e dá outras providências. Available at: < http://www.abennacional.org.br/download/LeiPROFISSIONAL . Accessed on October 4 2014
• 13 Berni PS, Almeida EO, Amado BC, Almeida Filho N. Triagem auditiva neonatal universal: índice de efetividade no reteste de neonatos de um hospital da rede pública de Campinas. Rev CEFAC. 2010; 12 (1) 122-127
• 14 Liu CL, Farrell J, MacNeil JR, Stone S, Barfield W. Evaluating loss to follow-up in newborn hearing screening in Massachusetts. Pediatrics 2008; 121 (2) e335-e343
• 15 Kunst LR, Didoné DD, Moraes SC , et al. Fedosse, E. Perfil sóciodemográfico de mães atendidas em um serviço de triagem auditiva neonatal. Distúrb Comum. 2013; 25 (3) 328-335
• 16 Fernandes JC. Estudo da efetividade de um programa de Triagem Auditiva Neonatal Universal [Dissertação]. Campinas: Universidade Estadual de Campinas; 2005: 201
• 17 Cockfield CM, Garner GD, Borders JC. Follow-up after a failed newborn hearing screen: a quality improvement study. ORL Head Neck Nurs 2012; 30 (3) 9-13