{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:35:21Z","timestamp":1780731321936,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,2,12]],"date-time":"2013-02-12T00:00:00Z","timestamp":1360627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2013,5]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>Caesarean delivery (CD<\/jats:styled-content>) was associated with a 3.2\u2010fold higher failure on 1st otoacoustic emissions (OAE<\/jats:styled-content>) hearing test. We aimed to verify whether postponing 1st OAE<\/jats:styled-content> beyond 48\u00a0h in CD<\/jats:styled-content> infants decreases hearing screening failure.<\/jats:p><\/jats:sec>Methods<\/jats:title>We compared two groups of CD<\/jats:styled-content> infants as to failure on 1st OAE<\/jats:styled-content> test: early\u20101st OAE<\/jats:styled-content> (n\u00a0=\u00a0560): 1st OAE<\/jats:styled-content> at 12\u2010 to 48\u2010h\u2010olds and late\u20101st OAE<\/jats:styled-content> (n\u00a0=\u00a0566): 1st OAE<\/jats:styled-content> at 48\u2010 to 132\u2010h\u2010olds.<\/jats:p><\/jats:sec>Results<\/jats:title>Compared with early\u20101st OAE<\/jats:styled-content> group, the failure rate among late\u20101st OAE<\/jats:styled-content> infants was significantly sixfold lower (20.5% vs. 3.4%), with sixfold lower need for repeated tests: 205 vs. 34 tests\/1000 CD<\/jats:styled-content> neonates (p\u00a0<\u00a00.001). The failure rate decreased with increasing age in both groups (p\u00a0<\u00a00.001). Univariate analysis: timing of 1st OAE<\/jats:styled-content> (late vs. early) was significantly associated with failure on 1st OAE<\/jats:styled-content>. Multivariable analysis: late (48\u2013132\u00a0h) 1st OAE<\/jats:styled-content> test was associated with a 7.7\u2010fold lower risk for failure of 1st OAE<\/jats:styled-content>, OR<\/jats:styled-content> (95% CI<\/jats:styled-content>): 0.13 (0.08\u20130.21).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Among CD<\/jats:styled-content> infants, the risk for failure in late\u20101st OAE<\/jats:styled-content> group (>48\u00a0h) was 7.7\u2010fold lower, with a sixfold lower need for repeated hearing tests. Delaying 1st OAE<\/jats:styled-content> in CD<\/jats:styled-content> infants beyond 48\u00a0h of age (preferably between 48 and 132\u00a0h) decreases neonatal OAE<\/jats:styled-content> screening failure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12175","type":"journal-article","created":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T12:52:21Z","timestamp":1359550341000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Delayed first otoacoustic emissions test decreases failure on neonatal hearing screening after caesarean delivery"],"prefix":"10.1111","volume":"102","author":[{"given":"Tatiana","family":"Smolkin","sequence":"first","affiliation":[{"name":"Department of Neonatology \u2013 Meyer Children's Hospital Rambam Health Care Campus Haifa Israel"},{"name":"Rappaport Faculty of Medicine Technion \u2013 Israel Institute of Technology Haifa 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