Otoacoustic emissions in neonates exposed to smoke during pregnancy

Durante, Alessandra Spada; Nascimento, Cristina Moraes do; Lopes, C. F.

doi:10.1016/j.bjorl.2019.08.001

Cited by 3 publications

(4 citation statements)

References 22 publications

(32 reference statements)

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“…In the era of coronavirus disease 2019 (COVID-19), the maternal-fetal transmission of severe acute respiratory syndrome coronavirus 2 could occur and harm the fetal ear[ 41 ]. Maternal smoking may have a deleterious effect on the inner ear of the fetus[ 42 ]. A pregnant woman with cardiovascular diseases, diabetes mellitus, ototoxic drugs such as aminoglycoside antibiotics, loop diuretics, and immunosuppressive drugs, and other conditions might have teratogenic effects on the well-being of the developing fetus including development of the ear[ 43 ].…”

Section: Causesmentioning

confidence: 99%

Various aspects of hearing loss in newborns: A narrative review

Al-Ani¹

2023

World J Clin Pediatr

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Hearing loss is considered the most common birth defect. The estimated prevalence of moderate and severe hearing loss in a normal newborn is 0.1%-0.3%, while the prevalence is 2%-4% in newborns admitted to the newborn intensive care unit. Neonatal hearing loss can be congenital (syndromic or non-syndromic) or acquired such as ototoxicity. In addition, the types of hearing loss can be conductive, sensorineural, or mixed. Hearing is vital for the acquisition of language and learning. Therefore, early detection and prompt treatment are of utmost importance in preventing the unwanted sequel of hearing loss. The hearing screening program is mandatory in many nations, especially for high-risk newborns. An automated auditory brainstem response test is used as a screening tool in newborns admitted to the newborn intensive care unit. Moreover, genetic testing and screening for cytomegalovirus in newborns are essential in identifying the cause of hearing loss, particularly, mild and delayed onset types of hearing loss. We aimed to update the knowledge on the various aspects of hearing loss in newborns with regard to the epidemiology, risk factors, causes, screening program, investigations, and different modalities of treatment.

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Section: Causesmentioning

confidence: 99%

Various aspects of hearing loss in newborns: A narrative review

Al-Ani¹

2023

World J Clin Pediatr

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“…Binaural TEOAEs were smaller for the PTE group, but TEOAE levels did not change with smoking group. Durante et al [37] compared neonates of nonsmoking mothers to infants of mothers who smoked >5 cigarettes per day. The infants with PTE demonstrated reduced amplitude TEOAEs relative to controls in the right ear only.…”

Section: Introductionmentioning

confidence: 99%

“…Kable et al [34], when evaluating PTE effects on ABR, also found that alcohol use was related to ABR latency. Unfortunately, other evaluations of auditory system outcomes either eliminated maternal subjects with a history of the other exposure [35, 37] or did not include the other substance use in maternal assessments [36, 54, 55, 58]. Therefore, little is known about how interactions of these prenatal exposures may influence auditory system outcome.…”

Section: Introductionmentioning

confidence: 99%

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Prenatal Exposure to Tobacco and Alcohol Alters Development of the Neonatal Auditory System

et al. 2021

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Prenatal exposures to alcohol (PAE) and tobacco (PTE) are known to produce adverse neonatal and childhood outcomes including damage to the developing auditory system. Knowledge of the timing, extent, and combinations of these exposures on effects on the developing system is limited. As part of the physiological measurements from the Safe Passage Study, Auditory Brainstem Responses (ABRs) and Transient Otoacoustic Emissions (TEOAEs) were acquired on infants at birth and one-month of age. Research sites were in South Africa and the Northern Plains of the U.S. Prenatal information on alcohol and tobacco exposure was gathered prospectively on mother/infant dyads. Cluster analysis was used to characterize three levels of PAE and three levels of PTE. Repeated-measures ANOVAs were conducted for newborn and one-month-old infants for ABR peak latencies and amplitudes and TEOAE levels and signal-to-noise ratios. Analyses controlled for hours of life at test, gestational age at birth, sex, site, and other exposure. Significant main effects of PTE included reduced newborn ABR latencies from both ears. PTE also resulted in a significant reduction of ABR peak amplitudes elicited in infants at 1-month of age. PAE led to a reduction of TEOAE amplitude for 1-month-old infants but only in the left ear. Results indicate that PAE and PTE lead to early disruption of peripheral, brainstem, and cortical development and neuronal pathways of the auditory system, including the olivocochlear pathway.

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Effects of ambient air pollution, fresh fruit and vegetable intakes as well as maternal psychosocial stress on the outcome of newborn otoacoustic emission hearing screening

Chen

Duan

et al. 2022

BMC Pediatr

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Background Newborn hearing screening results indicated that more than 40% of the detected infants had no recognized risk factors. To determine whether maternal exposure to ambient air pollutants and experience of stressful life event, as well as lack of fresh fruit and vegetable during pregnancy are associated with the abnormal hearing development among newborns. Methods A total of 1193 newborns and their mothers were recruited in this study. Personal information and covariates were collected by face to face interview. Medical examination results of newborns and their mothers were extracted from medical record. We estimated personal air pollutant exposure level through inverse distance weighted method based on data from air quality monitoring stations and assessed the auditory development of newborns via distortion product otoacoustic emission (DPOAE). Unconditional logistic regression model was used to estimate the relationship between DPOAE screening result and the potential influential factors as well as the combined effect. Results The results indicated that PM10 exposure during the second trimester and stressful life event during the third trimester could increase the risk of not passing DPOAE test among newborns. However, frequent intakes of fruit and vegetable significantly reduced the risk. There was a synergetic interaction between PM10 exposure and stressful life event on neonatal hearing development. Conclusions To alleviate abnormal auditory development among fetus, pregnant woman should decrease the exposures to ambient air pollutant and negative life event and at the same time, intake sufficient fresh fruit and vegetable.

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Otoacoustic emissions in neonates exposed to smoke during pregnancy

Cited by 3 publications

References 22 publications

Various aspects of hearing loss in newborns: A narrative review

Various aspects of hearing loss in newborns: A narrative review

Prenatal Exposure to Tobacco and Alcohol Alters Development of the Neonatal Auditory System

Effects of ambient air pollution, fresh fruit and vegetable intakes as well as maternal psychosocial stress on the outcome of newborn otoacoustic emission hearing screening

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