Approx. 30% of infants with hearing loss are linked to other associated medical problems that are part of a syndrome, as more than 400 syndromes are known to include hearing loss (e.g., Usher, neurofibromatosis type 2, Waardenburg syndrome, branchio-oto-renal syndrome, Robin sequence, trisomy 21). Data was collected using a standard proforma on admission. After collecting basic information based on predesigned proforma screening for hearing loss was first performed at the time of discharge from NICU with the OAE measurement. For babies who failed to pass the initial screening, another OAE test was performed on the day of first immunization visit i.e.,6weeks(45days), and those failing to pass 2nd time were referred to a pediatric otologist for comprehensive audiological assessments at 3months. Among 320 neonates, 197 (61.6%) neonates developed hyperbilirubinemia. Out of 197 neonates with hyperbilirubinemia, 24.4% (48) received phototherapy for less than 24 hours,65.46% (127) received for 25-48hours and remaining 11.34% (22) received for more than 48 hours.