• There is concern about your baby’s hearing, speech, language or development for any reason
• Family history of hearing loss
• Born before or during the 30th week of pregnancy
• Birth weight was less than 3 lbs
• Experienced a lack of oxygen after birth
• Needed a machine to help him/her breathe
• Spent 48 hours or more in the Neonatal Intensive Care Unit (NICU) or had complications while in the NICU
• Was given medications that might hurt hearing (Ask your health care provider)
• Was exposed to infection that was present before birth
• Has head, face or ears shaped or formed in a different way than usual
• Head injury
• Infection that was present at birth or shortly after birth (Cytomegalovirus, Syphilis, Rubella, etc.)
• Jaundice (hyperbilirubinemia) needing special procedure (exchange transfusion)
• Was given medication for cancer chemotherapy
• Has had an infection around the brain and spinal cord called meningitis
• Has a condition (neurological disorder) that is associated with hearing loss
• Frequent ear infections
• Syndrome (CHARGE, down, etc.)

If your baby was identified with one or more of the high risk indicators listed above, or if any of these risk factors show up later, please call Guam Early Intervention System (GEIS) at (671) 300-5776 to schedule a FREE hearing screening BEFORE your baby is 6 months old. You can also make an appointment with your baby’s doctor to share your concerns about your child’s hearing.