Hearing Screening Outcomes in Infants of Pregestational Diabetic Mothers Purpose: Hearing screening results for newborns of diabetic mothers were compared with those of nondiabetic controls. Method: This study was a retrospective chart review of mothers with pregestational diabetes mellitus and their neonates (n=73) who received newborn hearing screening between January 1, 2000, and May 1, 2002. A group of ... Research Article
Research Article  |   June 01, 2005
Hearing Screening Outcomes in Infants of Pregestational Diabetic Mothers
 
Author Affiliations & Notes
  • Susan G. Stanton
    University of Cincinnati, Cincinnati, OH
    Communication Sciences and Disorders, 344 French E Bldg., CAHS, 202 Goodman Avenue, Cincinnati, OH 45267-0379
  • Elizabeth Ryerson
    University of Cincinnati, Cincinnati, OH
  • Shana L. Moore
    University of Cincinnati, Cincinnati, OH
  • Maureen Sullivan-Mahoney
    Good Samaritan Hospital, Cincinnati, OH
  • Sarah C. Couch
    University of Cincinnati, Cincinnati, OH
  • Corresponding author: e-mail: susan.stanton@uc.edu
Article Information
Hearing Disorders / Special Populations / Early Identification & Intervention / Research and Technology / Research Articles
Research Article   |   June 01, 2005
Hearing Screening Outcomes in Infants of Pregestational Diabetic Mothers
American Journal of Audiology, June 2005, Vol. 14, 86-93. doi:10.1044/1059-0889(2005/008)
History: Received November 14, 2004 , Accepted May 2, 2005
 
American Journal of Audiology, June 2005, Vol. 14, 86-93. doi:10.1044/1059-0889(2005/008)
History: Received November 14, 2004; Accepted May 2, 2005

Purpose: Hearing screening results for newborns of diabetic mothers were compared with those of nondiabetic controls.

Method: This study was a retrospective chart review of mothers with pregestational diabetes mellitus and their neonates (n=73) who received newborn hearing screening between January 1, 2000, and May 1, 2002. A group of nondiabetic mothers and their infants (n=73), with birth dates that matched the diabetic group, served as controls. A 2-tiered hearing screening protocol, employing distortion product otoacoustic emission (DPOAE) and automated auditory brainstem response (A-ABR) screening techniques, was used.

Results: The DPOAE screening failure rate was 5.5% (4/73) for babies in the nondiabetic control group and 11.0% (8/73) for infants of diabetic mothers; this difference was not statistically significant. The A-ABR failure rate was 9.1% (1/11) for the diabetic group compared with 0% (0/4) for the controls, but the A-ABR was measured for only a small number of participants in each group. The frequency of premature birth and abnormal birth weight was significantly greater for the infants of diabetic mothers compared with controls.

Conclusions: Given the greater frequency of prematurity and abnormal birth weight in the population of neonates born to diabetics, additional research using A-ABR is recommended.

Acknowledgments
The authors thank B. Sutherland and L. Markesbury for assistance with data collection.
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