A baby’s ability to hear helps build the foundation for language and cognitive development starting right from birth. That’s why caring for your baby’s hearing is so important in those early months and years. This comprehensive guide outlines everything you need to know about your baby’s hearing milestones, how to protect their hearing, and what to watch for if you suspect hearing loss.
Hearing Milestones in Baby’s First Year
A baby’s hearing starts developing as early as the third trimester in the womb. Their auditory system continues maturing over the first year after birth. Paying attention to hearing milestones can help you ensure your little one is on track.
Newborn to 3 Months
Even as a newborn, your baby will respond to sounds in their environment. They may startle, stop moving, become alert, or change their facial expressions when hearing noises around them. Newborns recognize and prefer voices, especially mom and dad’s voices. They stop crying to listen when you speak nearby.
To nurture your baby’s budding listening skills during the first months:
- Talk, sing or read aloud to your baby as part of daily routines like diaper changes, feeding, bath time.
- Notice how your baby reacts to your voice and other sounds. Do they get quiet, make eye contact, move their bodies?
- Don’t worry if your baby looks away while you’re talking. This stimulates their learning. But do mention it to the doctor if your baby shows no response at all.
By 2 months, babies typically get quiet when they hear familiar voices like mom or dad’s. They make soft vowel sounds like “ah” or “ohh” and enjoy listening to themselves babble. Continue narrating your interactions and take turns making sounds back and forth. Babies learn by listening to language.
3 to 6 Months
Between 3 and 6 months, babies actively start seeking out the sources of sounds. Rattles, squeaky toys and music gain their interest. They try to imitate vowels or consonant-vowel combinations like “ba-ba”. Their speech-like babbling takes on the rhythm and intonation of your language.
- Sing simple songs and nursery rhymes which they’ll love listening and moving to.
-Vary the tone, volume and pitch of your voice to engage their attention. Whisper, talk excitedly, comfortingly.
-Notice if they respond to changes in how you speak. Alert your pediatrician if your baby shows no reaction.
6 to 12 Months
From 6 to 12 months, babies begin understanding more spoken words and sounds. They get excited hearing their name and will look around for familiar voices when called. They begin mimicking speech patterns in their babbling.
- Keep conversations going with your baby as part of everyday play and care. Respond to their coos and babbles.
-Point out and name objects around the house and outside. Talk about what you’re doing together.
-Read picture books and talk about the illustrations.
By 9 months, babies can understand “no” and recognize words like “mama”, “dada” or “bye-bye”. They respond to singing and music. If your baby isn’t meeting these responses by 12 months, discuss it with your pediatrician. Don’t wait, early intervention is key.
12 Months
By 1 year, your baby has gained major listening and language comprehension skills:
- They understand common words and simple phrases like “wave bye-bye” or “bring me the toy.”
- They can locate sounds with accuracy, quickly turning toward your voice across the room.
- They begin using single words like “mama”, “dada”, “up”, “bottle” and understand simple requests.
-They pay attention to short, simple stories, songs and rhymes.
While each baby develops at their own pace, talk to your doctor right away if your baby shows no response or interest in listening to you or other sounds by one year. The earlier hearing challenges are identified, the better the outcome.
Protecting Your Baby’s Hearing
While some hearing loss is unavoidable, you can take measures to keep your baby’s ears healthy and promote good hearing:
- Get a hearing screening. Most hospitals test newborns before discharge. If your baby fails, follow up quickly with diagnostic testing.
- Avoid sticking cotton swabs or other objects in your baby’s ears. Wipe outer ears clean with a washcloth.
- Protect from loud noises like power tools, sporting events or loud music. A good rule is noise should be low enough that you can easily talk over it. For unavoidable loud situations, use noise-reducing headphones designed for babies.
- Breastfeed if possible to reduce risk of ear infections. Otherwise, hold baby upright during bottle feeds.
- Don’t expose baby to cigarette smoke. Secondhand smoke increases ear infection risks.
- Get regular pediatrician checkups to monitor ear health and catch infections early.
How to Help Your Baby’s Hearing Development
You play a key role in helping your little one build listening, speech and language skills right from the start. Here are handy tips for boosting your baby’s auditory development naturally through everyday interactions:
Listen Together
Tune into the sounds surrounding you and your baby. Notice interesting noises like a helicopter flying overhead or a cat meowing. Name and talk about the sounds your baby hears to build their awareness.
Chat with Your Baby
Talk, sing or babble back and forth with your baby as part of daily routines like diaper changes, feeding or bath time. Describe what you’re doing step-by-step. Hearing language supports their brain development.
Read Aloud Every Day
Reading and singing foster close bonding while exposing your baby to the rhythms, tones and sounds of language. Try reading for a few minutes several times during the day. Use funny voices and make it interactive.
Respond to Your Baby’s Sounds
Pay attention when your baby coos, babbles or squeals with delight. Respond with similar sounds and facial expressions, taking turns listening and speaking. This back-and-forth play helps develop speech.
Limit Screen Time
Apps and videos can’t replace real-life listening experiences. Prioritize talking, singing, reading and play time over screens to build your baby’s auditory processing brainpower.
Warning Signs of Hearing Loss in Babies
While hearing issues aren’t common, they are possible. Hearing loss is one of the most prevalent birth defects, affecting 2-3 of every 1,000 babies born. Doctors aren’t always sure of the cause. Sometimes seemingly healthy babies are simply born without full hearing.
Hearing loss or deafness can also develop later, through damage or illness. In fact, ear infections are a leading cause of acquired hearing loss. That’s why paying attention to possible symptoms is so important.
Some red flags to look out for:
- No startle reaction to loud noises by newborn age
- No response to your voice or other sounds by 3-6 months
- Not babbling by 6 months
- Not saying single words like “mama” or “dada” by 10-12 months
- Not responding to their name being called by 12 months
- Delayed or poor language development
- Speech that doesn’t seem clear
- Not responding to directions or requests
- Doesn’t enjoy music, singing or reading together
- Often says “huh?” or wants words repeated
If you have any concerns about your baby’s hearing or development, discuss them right away with your pediatrician. Early screening is vital. If hearing loss is detected early, intervention can make a big difference.
Causes of Hearing Loss in Babies
Hearing loss has multiple potential causes depending on the type and whether present at birth or developing later.
Common causes of congenital (present at birth) hearing loss include:
- Genetic mutations – Especially common cause. Sometimes runs in families.
- Prematurity. More common in babies born very premature.
- Prenatal infections like cytomegalovirus (CMV), herpes, rubella, or toxoplasmosis.
- Birth defects affecting the ears or related structures.
- Complications at birth leading to oxygen deprivation.
Later onset hearing loss in babies or toddlers often stems from:
- Ear infections. Fluid accumulation in the middle ear is a major cause.
- Damage to the inner ear or nerves, often from infections like meningitis.
- Injury causing trauma to the head or ears.
- Exposure to loud noises like a concert or explosion.
- Medications or chemotherapy drugs that are toxic to hearing.
Types of Hearing Loss in Babies
Not all hearing loss is the same. There are different types and degrees of impairment. Knowing the specifics of your baby’s hearing challenges guides appropriate treatment.
- Conductive hearing loss – Difficulty conducting sound waves, often due to earwax buildup, infection or eardrum/middle ear damage. May be temporary or permanent. Often milder loss.
- Sensorineural hearing loss – Caused by inner ear or nerve pathway damage. Typically permanent although hearing aids or implants may help. Tends to be more severe.
- Mixed hearing loss – Combination of conductive and sensorineural loss.
- Unilateral vs bilateral – One ear (unilateral) versus both ears (bilateral) affected.
- Slight/mild, moderate, severe or profound – Refers to degree of hearing loss. Severe and profound = near or total deafness.
Diagnosing Hearing Loss in Babies
The first step is newborn hearing screening typically performed at the hospital after birth before discharge. The simple, painless screen measures the baby’s response to sound. If they fail to pass, it indicates possible hearing impairment and the need for urgent follow-up.
Diagnostic testing is then done, ideally before one month of age. These tests are more precise at pinpointing degree and type of hearing loss. They may include:
- Auditory brainstem response (ABR) – Earphones play clicks and beeps while sensors monitor the brain’s response. Screens each ear separately. Can test infants as well as older babies/children.
- Otoacoustic emissions (OAEs) – A tiny probe in the ear canal transmits sounds and measures the inner ear’s echo in response. Screens for sensorineural loss.
- Tympanometry- Tests the middle ear’s ability to conduct sound by changing air pressure in the ear canal. Helpful for diagnosing conductive loss.
Treatment Options for Hearing Loss in Babies
Treating hearing loss right away, preferably by 6 months old, makes a major difference minimizing delays in speech, language, learning and social skills. Options include:
Hearing Aids – Small electronic devices worn in or behind the ears. Amplify and improve sound quality. Can benefit slight to profound loss. Custom fitted for each baby. As hearing changes, adjustments needed.
Cochlear Implants – For severe/profound sensorineural loss. Surgically implanted device with internal and external parts that stimulate the auditory nerve directly. Requires intensive therapy to learn to interpret signals. Age one criteria for implanting approved by FDA.
Medications – May be prescribed for conductive loss like otitis media with effusion to reduce fluid and swelling.
Surgery – For structural defects in the ear. Also implants.
Therapy – Essential for working with hearing aids or implants and developing speech/language. Parents and family actively participate.
Cognitive, language and speech therapy helps kids with hearing loss continue achieving age-appropriate developmental milestones and build communication skills. Early intervention services are available through public school systems based on formal evaluation.
Creating a Hearing Friendly Home Environment
You play a key role in helping maximize your baby’s residual hearing and promoting natural speech development:
- Keep background noise low, turn off TV and music when reading or talking to your baby.
- Face baby and speak clearly in a normal voice without shouting. Exaggerated lip movements can aid speech reading.
- Respond promptly when baby makes sounds to encourage back-and-forth “conversations.”
- supplementary hand signs and gestures help reinforce verbal communication.
- -Read together each day and sound out words to model speech.
- -Avoid excessive screen time which can interfere with natural learning interactions.
- -Check hearing aids daily and make sure baby keeps them in (toddler age). Alert audiologist if issues arise.
- -Advocate for your child’s needs. Seek deaf/hard of hearing support services and specialized interventions. Don’t wait.
Hearing Loss Resources
Seeking out information and connecting with other families facing hearing loss empowers you to obtain the help your child needs to thrive. Here are trusted organizations offering support services nationwide:
- Early Hearing Detection & Intervention (EHDI) – Federal information and resources on newborn hearing screening/follow-up. Links to state programs.
- Hands & Voices – Nonprofit supporting families of kids with deafness/hearing loss. Offers playgroups, guides, workshops.
- AG Bell – Advocacy and financial aid for hearing loss. Has chapters across the U.S.
- Boys Town National Research Hospital – Services and info on pediatric hearing healthcare. A leading authority.
- American Society for Deaf Children – Promotes wellbeing of children with hearing loss through education, support, access.
Frequently Asked Questions
These common questions provide crucial perspective on caring for your baby’s precious gift of hearing.
When should a baby’s hearing be tested?
The goal is newborn testing at the hospital before initial discharge, or no later than one month old. Diagnostic testing follows quickly if they fail the screening. Delays can impact language development.
What problems can untreated hearing loss cause?
Ongoing hearing impairment limits a child’s exposure to sounds and speech necessary to learn language. This can lead to delays in vocabulary, comprehension, pronouncing words and sentences. Social skills may also be affected.
Can hearing loss be corrected?
Mild to profound sensorineural hearing loss cannot be medically corrected but hearing aids and implants can significantly improve hearing and function. Conductive loss may be temporary and reversed through resolving ear fluid or infection. Removing earwax or foreign objects also helps. Surgery can fix some birth defects.
How can you tell if your newborn is hearing properly?
Newborns respond to sound by startling, stopping movement or getting alert. But many hearing deficits aren’t readily apparent. Formal screening is the only reliable way to identify issues in newborns before language delays appear.
What speech problems may indicate hearing loss?
Look for signs like limited or no babbling by 6-8 months, not saying single words like “dada” by 12 months, not understanding words/requests or not speaking clearly. Regression in speech could indicate progressive loss. Discuss concerns with your pediatrician.
Does hearing loss run in families?
Yes, about 50% of congenital hearing loss stems from genetic causes, according to the National Institute on Deafness and Other Communication Disorders. If you have a family history, alert your pediatrician who can provide close monitoring.
Your Baby’s Hearing: A Lifelong Gift
From the womb through the wonder of your baby’s first year, hearing unlocks the world around them, forging neural connections critical to development. Attuning to your baby’s responses, safeguarding their ears from harm and promptly addressing any delays grants your child the lifelong gift of communication. Trust your parenting instincts, lean on your pediatrician’s expertise and access supportive resources to ensure your baby has every opportunity to hear, listen and speak.