Abstract: Objective To learn the current situation of newborn hearing screening in midwifery institutions in Haidian District in2018. Method The hearing screening data reported by obstetric department and neonatal intensive care unit(UICU) in midwifery institutions in Haidian District in 2018 was statistically analyzed. Result The total number of live births in Haidian District in 2018 was 35,432, and 34,710 newborn received the hearing screening. The hearing primary screening rate was 97.96%. The failure rate of primary screening was 7.25%. The secondary rate was 82. 64%, the failure rate of secondary was 18. 74%. The utilization rate of OAE and AABR was 51.76%. The pass rate of screening in the NICU group was 70.67%, and that in the normal neonatal group was92.75%. The difference was statistically significant(P< 0. 05). 398 newborns who failed to pass the secondary were examined by auditory brainstem evoked potential(ABEP) and acoustic immittance(EI) in Beijing Audiological Diagnostic Center. Among them,202 newborns were finally diagnosed as hearing impairment. The incidence of hearing impairment was 5.08‰ and 4.03% in normal neonatal group and NICU group, respectively. Conclusion The primary screening rate and secondary rate of neonatal hearing screening reached the goal of our district, but need to be further improved. Midwifery institutions should be actively promoted to carry out AABR combined with OAE screening. Through the compliance of return clinic visit should be improved by strengthening health education and nursing intervention. It is necessary to strengthen the early diagnosis, intervent and follow-up the newborns with high risk factors of hearing loss.