Otoacoustic emissions are clinically important because they are the basis of a simple, non-invasive test for hearing defects in newborn babies and in children who are too young to cooperate in conventional hearing tests. Many western countries now have national programmes for the universal hearing screening of newborn babies. Periodic early childhood hearing screenings program are also utilizing OAE technology. One excellent example has been demonstrated by the Early Childhood Hearing Outreach Initiative at the National Center for Hearing Assessment and Management (NCHAM) at Utah State University, which has helped hundreds of Early Head Start programs across the United States implement OAE screening and follow-up practices in those early childhood educational settings. The primary screening tool is a test for the presence of a click-evoked OAE. Otoacoustic emissions also assist in differential diagnosis of cochlear and higher level hearing losses (e.g., auditory neuropathy).
I am a caregiver and excited to open my home for your child. I have three children of my own, one in college, one in elementary school and a toddler, so I am very experienced with all age groups. We follow a routine that includes preschool age appropriate activities in the morning. I enjoy reading time at the library and highly encourage supervised outdoor play in my fenced backyard. I lead an active healthy lifestyle. That includes a balanced diet for the children I care for. I am a mature, patient caregiver.
Some of the child rearing advice was unexpected: p. 203 "no parents can really play with their children" because they have "too much responsibility, too many disappointments, too much school learning to play" and "Don't play with your children, just do your stuff-laundry, cooking, gardening, mowing the lawn, bird watching." Perhaps the authors began writing the section to stress the importance of letting children have creative play rather than structuring all playtime with activities and parental narration, but they composed a message of 'do your chores and leave your child to do his own thing.' Again, there were no references in this brief section, though there are plenty of sources the authors could have drawn from if they had done some research.
- An apparent misunderstanding about baby-led weaning. The book says that baby-led weaning is to be resisted and that baby's parents should be squarely in charge of what baby eats from the beginning. I did a combination of purees and baby-led weaning with both my children, and I was always squarely in charge of what they ate and what they were offered. Part of my role as a mother is to prepare nourishing foods for my children. Whether they pick at it and hand-feed themselves or whether I offered it mushed up on a spoon is irrelevant. The book fails to recognise that a child can only choose food from that which they have been offered or is available. If only nourishing food is offered and available, then that is what the child will choose.