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Infants and Children

The accurate diagnosis of hearing loss in infants and children along with the appropriate fitting of hearing aids and FM systems requires special training and expertise. Children are our future. By giving them access to the wealth of sounds that enrich today’s world, we can help them to develop the auditory skills they need to build their future. In Ontario only Audiologists and Physicians are allowed to diagnose hearing loss in children and prescribe hearing aids for infants and children.


Does your child have a hearing loss?

If your child was born after April 2002 in Ontario they
were likely screened at birth in the hospital under the
Ontario Infant Hearing Program.

Infants and children learn language by listening to those around them. When a child has a
hearing loss there “listening bubble” is quite a bit smaller making it harder for them to develop
language. School age children with even a mild hearing loss can be at a disadvantage

The Ontario Infant Hearing Program

The Ontario Infant Hearing Program was implemented in 2002 by the Ministry of Children and Youth Services. All babies born in Ontario hospitals are offered a hearing screening test at birth for hearing loss, prior to leaving for home. A baby who receives a “refer” result on the initial screening is either sent for further screening or to a Ministry approved Audiologist for advanced diagnostic testing. The implementation of this world renowned program put Ontario on the map internationally and is viewed by the international community as a model program for identifying babies with hearing loss. Researchers have established that early identification of hearing loss is an important factor in the development of normal speech and language and future success in school. Prior to implementation of the Program children with hearing loss were often not identified until they were over two years of age and at times not until they entered school. Research statistics show that 3-4 in 1,000 babies are born with a permanent hearing impairment. While some of these babies have risk factors associated with hearing loss, there are others with no risk factors who, in the past, would most likely have been identified late, putting those infants at an even greater disadvantage in developing normal speech and language.

To operate the Infant Hearing Program, the province is divided into geographical regions with a select group of Audiologists approved by the Ministry to perform the advanced diagnostic services.

In the Wellington Region, Wellington Hearing Care has been awarded the contract. “This is why I opened my practice in Guelph” says Lynne. “Families of children requiring diagnostic services through the infant hearing program have had to drive to neighboring communities like Brampton or Kitchener….I thought its time to bring these services to Guelph”.

The Ministry’s goal is to identify all babies with permanent hearing loss and where selected by their parents, fit them with hearing aids by 6 months of age. The successful achievement of this goal should have a profoundly positive outcome in the lives of those infants affected by hearing impairment.


I am delighted and honoured as an audiologist to be able to say I am part of this program
making a difference in the lives of children in the Wellington region.

Hearing Milestones to Look For

Listed below are some of the milestones that mark the progress of young children as they learn to communicate in spoken language (from Infant Hearing Program government publication 7710-6139310) – Services for children who are deaf or hard of hearing.

By 6 Months

  • Turns to source of sounds
  • Startles in response to sudden, loud noises
  • Watches your face as you talk
  • Smiles and laughs in response to your smiles and laughs

By 9 Months

  • Responds to his/her name
  • Responds to telephone ringing or a knock at the door
  • Plays social games e.g.,  “Peek-a-boo”
  • Babbles and repeats sounds – “babababa, duhduhduhduh”

By 12 Months

  • Follows simple one-step directions, e.g., “sit down”
  • Consistently uses 3 – 5 words
  • Uses gestures to communicate – waves “bye bye”, shakes head “no”
  • Combines lots of sounds as though talking –” abada baduh abee”

By 18 Months

  • Points to several body parts when asked
  • Uses at least 20 words consistently
  • Responds with words or gestures to simple questions – “Where’s teddy?”
  • Makes at least four different consonant sounds – “p, b, m, n, d, g, w, h”

By 2 Years

  • Follows two step directions – “Go find your teddy bear and show it to grandma”
  • Uses 100 – 150 words
  • Uses at least 2 pronouns – “you”, “me”, “mine”,
  • Consistently combines two to four words in short phrases – “Daddy hat”, “truck go down”
  • People can understand his/her words 50 to 60% of the time

By 2.5 Years

  • Understand the concepts of size (big/little) and quantity (a little, a lot, more)
  • Uses some adult grammar – “two cookies”, “bird flying”, “I  jump”
  • Uses more than 350 words
  • Uses action words – run, spill, fall
  • Produces words with two or more syllables or beats “ba-na-na”, “com-pu-ter”
  • Remembers and understands familiar stories

The above milestones are based on a child’s hearing age – the length of time the child has been consistently wearing hearing aids and/or a cochlear implant. Based on hearing aid and other variables, children may pass through the same stages of listening, speech, language and cognitive development as children with typical hearing.

Office Hours

Mon. Tues. Thurs. 9am - 5pm
Wed. 9am - 6pm
Fri. 9am - 4pm
Weekend appointments available upon request


Wellington Hearing Care

160 Kortright Road West
Guelph, Ontario
N1G 4W2
Phone: 519.766.HEAR (4327)
Fax: 519.766.4348