Infant Hearing Program

The Infant Hearing Program is an initiative of the Government of Ontario’s Ministry of Children and Youth Services.  Its objective is to identify infants who are deaf or at risk of developing hearing loss in early childhood and provide related support and communication development services to families.

Pinecrest-Queensway Community Health Centre coordinates services for Eastern Ontario, which includes the city of Ottawa, Renfrew County and the counties of Prescott-Russell and Stormont, Dundas and Glengarry.  Program services are provided in partnership with local hospitals (see resources sidebar), CHEO Audiology, Centre Jules Leger, Sir James Whitney and American Sign Language (ASL) consultants.   All Infant Hearing programs and services are provided in both official languages, as well as ASL and Langue des signes québécoise (LSQ).

Can your baby hear?

Even before a baby is born, he or she can hear sounds from the world outside the womb.  From the moment of birth, a baby begins to use sounds, combined with body movement and facial expressions to make sense of the world. When babies hear people talking, they learn to put meaning to these sounds and they begin to learn language and how to communicate.  But a very small number of babies (about 4 in 1,000 Ontario babies) are born deaf or hard of hearing.  This makes it difficult for these babies to make sense of their world and learn language. Help is available for those babies, so it is very important to find them as early as possible.  That is why the Government of Ontario has implemented the Infant Hearing Program to screen every newborn baby for a hearing loss.

How will you know if your baby can hear?

In Ontario, all newborn babies can have their hearing screened.  There is no charge for the screening, and it is a simple, fast, reliable process that does not hurt the baby in any way.

How can you get your baby’s hearing screened?

Infant Hearing Screening needs to be completed shortly after birth – ideally before baby is one month of age and no later than 3 months of age.  Appointment spots fill up quickly so it is important that these appointments are booked as soon as possible. Services are offered at many community locations across our region, including Ottawa, Cornwall, Hawkesbury, Winchester, Renfrew and Pembroke.  We receive families’ contact information directly from birthing hospitals and midwives and aim to reach all families within 2 business days.  If your baby is more than 4 days old and you have not yet heard from us, please call 613-688-3979 extension 3453 or toll-free 1-866-HEAR-IHP (1-866-432-7447) to schedule an appointment at a location and time that works for you.

How is a baby’s hearing screened?

There are two ways to screen a baby’s hearing.  From the baby’s point of view, they are both very simple.  While the baby is sleeping, a small eartip is placed in the baby’s ear.  Soft sounds are played through the eartip. The baby’s ear responds to the sounds, and the screening machine automatically measures and interprets the ear’s response. It takes only a few minutes, and you will be given the results right away.  The results will tell you either that your baby has passed the screening or that he or she should have a second screening that works in a similar way but measures the brain’s response to the sounds.

If your baby is referred for a second screen or test, try not to worry.  Most babies who do not pass the first screening are found to have normal hearing.  There are many reasons why a baby may not pass the first screening other than hearing loss.  For example, your baby might have a slight cold or may have been moving too much during the screening.  However, it is very important that you have the second screening, or a hearing test, just to make sure.

If your baby passes the screening, it means that his or her hearing is normal at the time of screening.  It is important to continue to pay attention to your baby’s hearing and to help speech and language skills develop.

Expanded hearing screening:

In the Spring of 2018, the Province of Ontario introduced the Expanded hearing screen.  At this time, only infants who do not pass their first screens and who need follow up with an audiologist are eligible for this expanded option.  Parent(s)/legal guardian(s) would be asked to give special permission to go ahead with this test.  This extra test uses the blood sample that was already collected for the baby’s newborn screen (the “heel prick” that was taken in hospital or by the midwife shortly after baby was born).  This means no extra blood is needed from the baby.  The test looks for cytomegalovirus or CMV.  Most babies with CMV do not have signs or symptoms, however, some can have hearing loss either at birth, or later in childhood.

Why is early screening so important?

It’s important to find out if your baby has hearing loss.  Undetected hearing loss can cause delays in your baby’s language development which can lead to behavioural and emotional problems and, later on, to problems in school.  The sooner hearing loss is identified, the better.  There are many services available to help children with hearing loss. Finding out early means that they can get the help they need right away, and this gives them the same chance to develop language skills as hearing children.

What if my baby does have a permanent hearing loss?

If your baby is identified with a permanent hearing loss, the Eastern Ontario Infant Hearing Program will provide audiology assessment, assistive technology and communication development services.  A Family Support Worker is also available to help support your family by answering questions, providing information and counseling, and connecting you to appropriate community services.

Click here to learn more about baby’s hearing

Click here for more about how babies learn language

What if my baby passed the hearing screenings at birth but I now have concerns about whether he can hear?

From birth to 3 months of age: Infants are screened as early as possible by the Infant Hearing Program (IHP) of Eastern Ontario. Parents or legal guardians of a child under 3 months of age who was not screened can call (613) 688-3979 ext. 3453/ toll free 1-866-432-7447 to book an appointment and have their infant screened at a local community clinic. The same goes for families of a baby (aged under 3 months) who received a first screening test and got a “refer” result.

Over 3 months of age: If hearing concerns develop for a child over 3 months of age, please see the child’s physician for follow up. Primary Care Providers with specific concerns will need to submit a referral using the Audiology Referral Form (PDF available at under AUDIOLOGY).