Your child's hearing is very important and should be watched carefully.  If detected early, hearing loss or problems in children can be prevented from developing into something more serious as they grow.  The following is a list of hearing milestones your child should reach.  If they do not reach these, a hearing test is recommended.

  •  At birth, babies awake and/or startle to loud sounds.  They make pleasurable sounds and respond or hush to a  caregiver's voice.

  •  By three months, babies will watch a speaking parent's face, smile when spoken to, and repeat cooing sounds.

  •  From 4 to 6 months, infants will respond to changes in a parent's tone of voice, look for the source of sounds like dogs  barking or doorbells ringing, and babble or use simple sounds.

  •  From 7 to 12 months, toddlers will begin to recognize words for common items, enjoy games like peek-a-boo, and  begin to make speech sounds and use one or two words.

  •  From 1 to 2 years, a child will point to objects by name, follow simple commands like "roll the ball", begin to ask  simple questions and use more words each month.

  •  From 2 to 3 years, children understand differences like "in and out", follow two-part requests like "get the ball and  put it on the table," can name most objects and use short sentences.

In addition to watching for these milestones, it is also important to be aware of the risk factors for hearing loss in children:

  • Parent or guardian concern about hearing, speech or language development
  • Family history of childhood hearing loss
  • Infections the mother had during pregnancy, such as syphilis, herpes and rubella
  • Bacterial meningitis
  • Misshapen ears, and ear "tags" or "pits", or cleft palate
  • Serious infection or illness needing treatment in a neonatal intensive care unit
  • Head injury with a skull fracture or loss of consciousness
  • Repeated or long-term presence of fluid in the eardrum for at least three months

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© 2004 Cleveland Hearing and Balance Center