The Effect of Mode of Delivery on Newborn Hearing Screening Results


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GÜVEN S. G.

Turkish archives of otorhinolaryngology , cilt.57, sa.1, ss.19-23, 2019 (TRDizin) identifier identifier identifier

Özet

Objective: Congenital hearing loss is one of the mostimportant public health problems with a frequencyof about 1-6 per 1000 live births all over the world.Although neonatal hearing screening tests are important for the timely detection and rehabilitation ofhearing loss, determining the factors that may affectthe screening results will contribute greatly to the development of screening programs. In this study, theeffects of the modes of delivery on the results of testsin the screening program was investigated.Methods: In this study, the results of 10.575 newborns who were screened according to the NationalNeonatal Hearing Screening Protocol between January 2013 and May 2017 were evaluated. The screening test results of 2.653 newborns were examinedretrospectively according to the type of delivery aftercandidates were excluded according to the exclusioncriteria and risk factors for hearing loss. Of thesenewborns, 1.571 (59.2%) were born by normal delivery and 1.082 (40.8%) by cesarean section. Screeningtest results were analyzed using Pearson's Chi-squaretest.Results: No statistically significant difference wasobserved among the 2.653 neonatal hearing screening test results in terms of mode of delivery (p>0.05).In both delivery modes, the rate of false positive wasfound to be high (81.9%) in the first hearing screening test of newborns, and this rate decreased in thesecond screening test (14.5%).Conclusion: The mode of delivery has no significanteffect on the neonatal hearing screening results; however, the observation that neonates had been moresuccessful in the second screening test in both groupssuggests that the test protocol should be re-evaluatedin terms of timing.