Speech & Communication

Baby Not Turning to Sounds

Editorially reviewed | Sources: CDC, AAP, NIH|Updated June 2026

The short answer

Babies typically begin turning toward sounds around 4 to 6 months of age. If your baby isn't consistently looking toward voices or noises by 6 months, it's worth having their hearing checked. In many cases, something as simple as fluid in the ears can temporarily affect hearing, and early identification leads to the best outcomes.

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By Age

What to expect by age

0-3 months

In the first few months, babies respond to sounds by startling, quieting, or widening their eyes - but they may not turn their head toward the source yet. Newborns are still developing the neck strength and coordination needed to localize sound. If your baby startles at loud noises and seems to calm when they hear your voice, their hearing is likely working, even if they're not turning yet.

4-6 months

By 4 to 6 months, most babies start turning their head toward sounds, especially familiar voices and interesting noises. They may look toward a rattle, turn when you call from across the room, or respond to music. If your baby doesn't seem to notice sounds at all by 6 months - or has stopped reacting to them - talk to your pediatrician about a hearing screening.

6-9 months

At this age, sound localization should be well established. Your baby should reliably turn toward voices, respond when their name is called, and show interest in environmental sounds. If they consistently don't react to sounds, especially their name, a hearing evaluation is important. Ear infections or fluid buildup from colds can sometimes temporarily reduce hearing at this age.

9-12 months

By 9-12 months, babies should respond to their name, turn to look at sounds coming from different directions, and react to both loud and soft sounds. If your baby doesn't reliably turn to sounds or their name at this age, hearing should be tested as soon as possible. Early identification of hearing issues is critical because hearing is the foundation for speech and language development.

What Should You Do?

When to take action

Probably normal when...
  • Your baby is under 4 months and startles at loud sounds but doesn't yet turn their head - this is developmentally appropriate.
  • Your baby turns to sounds sometimes but not every single time - babies can be focused on something else or simply not interested in every noise.
  • Your baby recently had a cold or ear infection and seems temporarily less responsive to sounds - fluid can muffle hearing temporarily.
  • Your baby responds well to voices and music but ignores repetitive background noise - this is normal selective attention.
Mention at your next visit when...
  • Your baby is 6 months or older and doesn't consistently turn toward sounds or voices.
  • Your baby doesn't seem to notice or react when you speak to them from across the room.
  • Your baby passed their newborn hearing screening but seems less responsive to sounds now than they used to be.
Act now when...
  • Your baby doesn't startle or react to any loud sounds at any age - this could indicate significant hearing loss and needs urgent evaluation.
  • Your baby used to respond to sounds and has completely stopped - any loss of previously established responses should be evaluated right away.

Sources

Trust your instincts. If something feels wrong, reach out to your pediatrician.

Worrying about your baby means you care. That is a good thing.

Accent vs Speech Disorder in Bilingual Toddlers

When toddlers grow up hearing more than one language, they naturally blend sounds, patterns, and accents from both languages. This is normal and healthy, not a speech disorder. A bilingual child may pronounce some sounds differently than monolingual peers because they are learning the sound systems of two languages simultaneously. True speech disorders affect both languages equally, while accent influence appears only in specific sounds borrowed from one language to another.

Ear Fluid Affecting Baby's Speech Development

Chronic or recurrent middle ear fluid (otitis media with effusion) can temporarily reduce hearing by 15 to 40 decibels, which is like hearing through water. During critical periods of language learning, this muffled hearing can impact speech and language development. If your baby has frequent ear infections or persistent fluid, discuss the potential speech impact with your pediatrician.

Will Ear Tubes Help My Child's Speech?

Ear tubes (tympanostomy tubes) can restore normal hearing by draining persistent fluid from the middle ear. Many children show speech and language improvement within weeks to months after tube placement, particularly if hearing loss from fluid was contributing to their speech delay. However, ear tubes alone may not resolve all speech delays, and some children benefit from speech therapy alongside tube placement.

Baby Failed Newborn Hearing Screen - What Now?

Failing a newborn hearing screen does not necessarily mean your baby has hearing loss. Many babies who fail the initial screen pass on follow-up testing. However, it is critical to complete follow-up testing by 3 months of age. If hearing loss is confirmed, early intervention by 6 months of age leads to significantly better language outcomes.

Baby Using Jargon but No Real Words

Jargon babbling, which sounds like your baby is having a conversation in a made-up language, typically appears between 10 and 14 months and is a positive sign that your baby is learning the rhythm and melody of speech. Real words usually emerge from jargon over the following months. If no real words appear by 16 to 18 months, a speech evaluation may be helpful.

My Baby Is Losing Words or Skills

If your child was consistently using words and has truly stopped, this is something to act on promptly. Regression - the genuine loss of skills a child previously had - is different from a normal plateau or a toddler being too busy to talk, and it always warrants a conversation with your pediatrician sooner rather than later.