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Hearing and Speech Milestones

What is a developmental milestone?

Developmental milestones are a set of functional skills or age-specific tasks that most children can do at a certain age range. Your pediatrician or primary health care provider uses milestones to help check how your child is developing. Every child is unique. Therefore, although each milestone has an age level, when a developmental milestone is achieved varies from child to child.


Infant hearing and speech milestones?

Click on one of the pictures below to view the milestones of normal hearing and speech development for infants birth to 24 months of age. Use this Hearing Checklist as a tool to help you learn where your child’s hearing development is for his/her age.  Click on the picture below.
Milestones Hearing Checklist
Milestones of normal hearing and speech development for infant’s birth to 24 months of age Hearing Checklist
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High Risk Factors for Hearing Loss

If you have concerns about how your baby responds to sounds or your baby has risk factors for later-occurring or progressive hearing loss, discuss this with your baby's doctor.  If your baby was identified with one or more of the following high risk indicators, please call Guam EHDI at 735-2466 to assist in scheduling a FREE diagnostic audiology test through the Guam Early Intervention Services (GEIS), BEFORE your baby is 6 months old.  If any risk factor shows up later that was not present before, please call Guam EHDI at that time as well to assist with your baby scheduled for diagnostic audiology testing.

  • There is concern about your baby’s hearing, speech, language or development for any reason
  • Your family has a history of children with hearing loss
  • Spent more than 5 days in the NICU or had complications while in the NICU (Check with your health care professional)
  • Experienced a lack of oxygen after birth
  • Needed a machine to help him/her breathe
  • Was given medications that might hurt hearing (Ask your health care provider)
  • Needed special procedure (blood transfusion) to treat bad jaundice (hyperbilirubinemia)
  • Was exposed to infection that was present before birth
  • Has head, face or ears shaped or formed in a different way than usual
  • Has a condition (neurological disorder) that is associated with hearing loss (Check with your health care professional)
  • Had an infection around the brain and spinal cord called meningitis
  • Received a bad injury to the head especially if required a hospital stay
  • Was given medication for cancer chemotherapy

Please call Guam EHDI at 735-2466 to schedule a FREE follow-up hearing screening before your baby turns 6 months old.