When your baby has completed all the audiological examinations and the doctor analyzes the results comprehensively and informs you that your baby has a hearing impairment, most parents have a hard time accepting it and show it as either thinking the diagnosis is incorrect, or getting angry, or sad, or confused, which is a very normal reaction. However, I urge the baby’s mom and dad that if you have doubts about the diagnosis, you must find a doctor who is more proficient in pediatric audiology to explain the results of the test. Numerous reports have shown that when a baby has relatively mild hearing loss or monaural hearing loss, it can be difficult to detect by subjective observation. It is not advisable for parents to not bring their child for regular follow-up examinations if they themselves believe that the child’s hearing is fine, or not to implement any interventions for the child even if hearing loss is identified. Having two diagnostic hearing test results will mostly determine if a baby has a hearing loss. If a hearing loss is diagnosed, the first step is for the mother, father and family to calm down and accept the fact that the child is “hearing impaired” and then consider what to do instead of running around and taking the child to different hospitals for repeated hearing examinations, some parents spend a year for examination and observation, which not only delays the child but also It’s a waste of money. Secondly, after learning that your baby has “hearing impairment”, your baby’s parents and family members need to learn about audiology, you need to understand the degree of hearing loss (mild, moderate, severe, very severe), nature (conductive, sensorineural, mixed) and location (outer ear, middle ear, inner ear and auditory nerve); finally, you need to understand the treatment, intervention and rehabilitation methods for hearing impairment. Only when the baby’s mother, father and family can accept the facts can the foundation for early intervention and rehabilitation be laid. The treatment and intervention for hearing impairment is no more than medication, surgery, hearing aids and cochlear implants, which are mainly used to get the baby’s hearing improved and get sound amplification. Which method is more appropriate and what exactly to do needs to be chosen according to the degree and nature of the hearing loss. For conductive hearing loss, those who belong to middle ear effusion, first observe until the second examination (within 6 months after birth), and if it is determined that the effusion is not well absorbed or excluded, consider using medication to promote the absorption or exclusion of the effusion and continue observation. During the observation period, avoid not to let the baby catch a cold and avoid the baby choking on milk. In cases of conductive hearing loss, those with external middle ear malformation (external canal atresia, middle ear hearing small bone malformation), if they are monaural, they need to review their hearing every year to ensure that the hearing in the healthy ear is normal, which usually does not affect the child’s ability to learn to speak, and they can choose external middle ear reconstruction surgery to improve the child’s hearing when they are about 10 years old. In case of bilateral external atresia, it is recommended to wear a bone-conduction hearing aid BAHA within 6 months to help the baby improve his hearing and learn to speak, and the age of surgery is usually more appropriate after 5-6 years old. For sensorineural hearing loss, which is severe or very severe, it is recommended to start wearing hearing aids at 3 months of age to develop their auditory perception and sensory abilities. After about 1.5 to 2 months of training, pediatric behavioral audiometry is performed, hearing aid commissioning is performed, and rehabilitation training of hearing energy and speech continues after commissioning. Diagnosed with moderate hearing loss, hearing aids need to be started at 6 months, and after about 1 to 1.5 months of training, hearing aids are commissioned after pediatric behavioral audiometry, and training continues after commissioning. Mild hearing loss, with follow-up until about 8 months, when permanent hearing loss is determined, hearing aids are recommended. For mixed hearing loss, severe or very severe combined with middle ear effusion, hearing aids are recommended for 6 months, with active treatment of middle ear effusion, regular hearing review and hearing aid commissioning. For moderate hearing loss combined with middle ear effusion, if the middle ear effusion is absorbed and permanent hearing loss is determined, it is recommended that hearing aids be worn within 1 year of age. For those with mixed hearing loss combined with external middle ear deformity, hearing aids are recommended within 6 months of age and reconstructive surgery on the external middle ear is recommended at an optional date. Hearing aids are generally recommended to be reviewed at least every 3 months. For children with severe or very severe deaf sensorineural hearing loss who have poor rehabilitation results, cochlear implantation is recommended around 10 months of age, with continued auditory-verbal rehabilitation after surgery. For children with mild hearing loss, parents are advised to use speech amplification during the follow-up period to try their best to enable the child to hear speech, which can also have some acoustic amplification effect. Children who are part of the diagnosed vestibular aqueduct enlargement syndrome should be seen promptly when hearing loss is detected, and some can be helped by medication to improve their hearing.