Introduction: The hearing loss in Brazil has been diagnosed in the second or third year of age. Until there, the child loses auditory information and disrupts the communication circuit. It is recommend more than one evaluation auditory method. The staff must be finding the best detection and intervention way for the early diagnostic in children born in small cities. The high-risk pregnancy may have some hearing loss risk indicator. Study design: Clinical prospective randomized. Casuistic and method: This prospective work has been to study the results of distortion product otoacoustic emissions and the auditory behavior in 174 neonates. The neonates have been examined on the same day, as the neonates were to be discharged from the hospital and at the adjusted age of 37 weeks or older. Results: There was 23% Refer in the first step. This, 66,8% obtained Pass result and 4,6% was find middle and/or external ear alteration, 30 days before discharged from the hospital. There was no difference of otoacoustic emission amplitude, signal/noise ration and auditory behavior. Conclusion: The otoacoustic emissions should have been done after examining and cleaning the ear canal and that the behavioral assessment had not detected alterations of the middle ear. The concomitant use of otoacoustic emissions and assessment of auditory behavior during neonatal period has provided important information about peripheral auditory system and central auditory pathways. The high-risk pregnancy has not affected otoacoustic emission measurements or auditory behavior after instrumental sound stimulation.
hearing loss; auditory behavioral; otoacoustic emission
