The effects of mode of delivery on neonatal screening evaluated by automated auditory brainstem response

dc.authoridKerem Doğa Seçkin /0000-0002-9668-2063
dc.authoridNura Fitnat Topbaş Selçuki /0000-0002-5749-9987
dc.authoridZübeyde Aytufan /0000-0002-4015-865X
dc.authoridCihan Kaya /0000-0003-4175-7694
dc.authoridElif Ganime Aygün /0000-0003-3737-7250
dc.authoridPınar Kadiroğulları /0000-0002-3268-4940
dc.authorscopusidKerem Doğa Seçkin /55681124800
dc.authorwosidKerem Doğa Seçkin /M-5653-2019
dc.contributor.authorSeçkin, Kerem Doğa
dc.contributor.authorSelçuki , Nura Fitnat Topbaş
dc.contributor.authorAytufan, Zübeyde
dc.contributor.authorKaya, Cihan
dc.contributor.authorAygün, Elif Ganime
dc.contributor.authorKadiroğulları, Pınar
dc.date.accessioned2025-04-17T06:37:58Z
dc.date.available2025-04-17T06:37:58Z
dc.date.issued10 Temmuz 2023
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground/Purpose: Neonatal hearing screening results are affected by several perinatal and neonatal factors. It is known that false positivity (FP) in the failure of newborn hearing screening increases parental concern and anxiety and has a negative impact on healthcare costs. There are conflicting reports on the effect of the mode of delivery on hearing screening results. This study aimed to investigate the role of mode of delivery on neonatal hearing by comparing the automated auditory brainstem (ABR) results of newborns born with vaginal delivery (VD) or cesarean section (CS) and to identify perinatal and neonatal factors associated with failure of the first neonatal hearing screening test results. Methods: This retrospective case-control study was conducted at our obstetrics clinic between December 2018 and June 2019. Following the exclusion of newborns with incomplete data, with congenital and chromosomal anomalies, with CMV infection, with anatomical deformities involving the face and the ears, and who received their hearing screening <12 hours postpartum and also the exclusion of pregnancies with maternal infections, recurrent pregnancy loss, maternal smoking, and alcohol abuse, a total of 300 newborns, 176 of which were born with VD and 124 were born with CS were included in this study. The neonatal hearing screening was performed with automated ABR. Results: A total of 181 newborns (60.3%) did not have hearing loss whereas in 39.7% hearing loss was detected. When the VD and the CS groups were compared, the mean gravidity and parity were reported to be similar. However, the mean weeks of gestation at birth (p=0.02), 1 min. Apgar score (p=0.007) and 5 min. Apgar score (p=0.005) were significantly lower in the CS group. A 57.4% hearing loss was reported in the VD group and a 64.5% hearing loss was detected in the CS group. The difference between the groups was not significant (p=0.13). The groups were also statistically similar in terms of family history of hearing loss, NICU stay, maternal morbidity and pregnancy complications, p values being 0.58, 0.09, and 0.14, respectively. Conclusion: National Hearing Screening Programs are essential in detecting a hearing failure in newborns in time for a prompt diagnosis and appropriate management of the newborns. However, it is also essential to understand which factors affect newborn hearing and also it is important to minimize FP rates to report accurate results. Our results indicate that mode of delivery does not significantly affect newborn hearing. However, further studies are needed to address the conflicting results in the literature.
dc.identifier.citationSelçuki, N. F. T., Aytufan, Z., Kaya, C., Aygün, E. G., Seçkin, K. D., & Kadiroğulları, P. (2023). The Effects of Mode of Delivery on Neonatal Screening Evaluated by Automated Auditory Brainstem Response. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 14(3), 371-376.
dc.identifier.doi10.31067/acusaglik.1246263
dc.identifier.endpage376
dc.identifier.issn1309-470X
dc.identifier.issue3
dc.identifier.startpage371
dc.identifier.urihttps://doi.org/10.31067/acusaglik.1246263
dc.identifier.urihttp://journal.acibadem.edu.tr/en/pub/issue/77795/1246263
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6094
dc.identifier.volume14
dc.institutionauthorSeçkin, Kerem Doğa
dc.institutionauthoridKerem Doğa Seçkin /0000-0002-9668-2063
dc.language.isoen
dc.publisherAcıbadem Mehmet Ali Aydınlar Üniversitesi
dc.relation.ispartofAcıbadem Üniversitesi Sağlık Bilimleri Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNeonatal Hearing
dc.subjectMode of Delivery
dc.subjectAuditory Brainstem Response
dc.subjectCesarean Section
dc.subjectVaginal Delivery
dc.titleThe effects of mode of delivery on neonatal screening evaluated by automated auditory brainstem response
dc.typeArticle

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