Download How Is It Done?

How is it done?
The test is called the automated otoacoustic emission (AOAE) test. It takes just a few
minutes. A small soft-tipped earpiece is placed in your baby's ear and gentle clicking
sounds are played. When an ear receives sound, the inner part (called the cochlea)
responds. This can be picked up by the screening equipment.
It's not always possible to get clear responses from the first test. This happens with a lot
of babies, and does not always mean your baby has a permanent hearing loss. It could
mean:
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your baby was unsettled when the test was done
there was background noise
your baby has fluid or a temporary blockage in their ear
However it is important to remember there may be a hearing loss and so in these cases
your baby will be offered a second test. This may be the same as the first test, or
another type called the automated auditory brainstem response (AABR) test.
The AABR test involves placing three small sensors on your baby's head and neck. Soft
headphones are placed over your baby's ears and gentle clicking sounds are played. This
test takes between 15 and 30 minutes.
These tests will not harm your baby in any way.
What does it mean if my baby is referred to a hearing
specialist?
If the screening test results do not show a clear response from one or both of your baby's
ears, an appointment will be made with a hearing specialist at an audiology clinic. Even if
this happens, it doesn't necessarily mean your baby has a permanent hearing loss.
A hearing specialist should see you within four weeks of your baby's hearing test. It's
very important that you attend the appointment in case your baby does have permanent
hearing loss.
The appointment will usually take 2 to 3 hours. This includes time to settle your baby. If
possible, feed your baby shortly before the hearing test. Make sure you have the things
you may need to keep them comfortable and happy.
The tests will not hurt or be uncomfortable for your baby, and you will be able to stay
with your baby while the tests are done. You may want to take your partner or a friend or
relative with you to the appointment.
The tests look similar to those used for your baby's screening tests, but give more detailed
information about your baby's hearing.
Your audiologist will usually be able to explain the results at the end of the appointment.
They will explain what the results mean for your baby's hearing and whether any further
tests are necessary.
What happens if your baby is diagnosed with a permanent
hearing loss?
A multidisciplinary team will provide care to ensure all your baby’s needs are met and an
opportunity to meet with other parents and children will be offered. The Advisory
Teaching Service provides Early Years Sensory Groups and support and a specialist
Paediatrician will ensure all medical tests and treatments are performed and any necessary
referrals to other services will be made e.g. Speech and language therapy.