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Hearing Impairment
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Parents & carers

Hearing impairment: a family overview

Understanding levels of deafness, causes, and what support is available from diagnosis onwards.

5 min read

Levels of hearing loss

Hearing loss is measured in decibels (dB). Your child's audiogram will show:

LevelRangeWhat it means
Mild20–40 dBMay miss quiet sounds, needs good seating in class
Moderate41–70 dBNeeds hearing aids, may struggle in noisy places
Severe71–95 dBRelies heavily on hearing aids or cochlear implants
Profound95+ dBVery little or no hearing even with aids

Types of hearing loss

  • Conductive – sound cannot pass through the outer or middle ear (often temporary, e.g. glue ear)
  • Sensorineural – inner ear or auditory nerve damage (usually permanent)
  • Mixed – a combination of both
  • Auditory Neuropathy Spectrum Disorder (ANSD) – the ear detects sound but the brain cannot process it properly

Causes in children

  • Genetic conditions
  • Infections during pregnancy (e.g. CMV, rubella)
  • Prematurity or low birth weight
  • Meningitis or other infections after birth
  • Glue ear (very common, usually temporary)

Newborn hearing screening

In the UK, almost all babies have a Newborn Hearing Screening Programme (NHSP) test shortly after birth. If your baby did not pass, you should be offered further tests.

Early diagnosis means early support — and better outcomes for speech, language, and learning.

What to ask at your audiology appointment

  • "What type and level of hearing loss does my child have?"
  • "Is it likely to change?"
  • "What hearing aids or implants are suitable?"
  • "When will we see the Teacher of the Deaf?"

Where to go next

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