High-Risk Factors for Hearing Deficits in Neonates

Factor

Specifics

Birth weight

< 1500 g

Apgar score

7 at 5 minutes

Serum bilirubin

> 22 mg/dL (> 376 micromol/L) in neonate whose birth weight is > 2000 g

> 17 mg/dL (> 290 micromol/L) in neonate whose birth weight is < 2000 g

Disorders

Perinatal anoxia or hypoxia

Neonatal sepsis or meningitis

Craniofacial abnormalities

Seizures or apneic spells

Congenital infections

Rubella

Syphilis

Herpes simplex infection

Cytomegalovirus infection

Toxoplasmosis

Maternal medications

Aminoglycosides

Family history

Early hearing loss in a parent or close relative