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The Impact of Maternal Age and Educational Level on Developmental Dysplasia of the Hip Diagnosis and Screening: A
Moh'd S Dawod1, Mohammad N Alswerki2, Amr Z Abuqudiri3
1Mutah University-Faculty of Medicine, Al-Karak, Jordan.
Insights
Timely screening for developmental dysplasia of the hip (DDH) is crucial. Lower maternal education, younger maternal age, and firstborn status are linked to delayed DDH screening.
Area of Science:
- Pediatrics
- Orthopedic Surgery
- Public Health
Background:
- Developmental dysplasia of the hip (DDH) screening is vital for preventing long-term hip complications.
- Maternal and child-related factors influencing timely DDH screening require investigation.
Purpose of the Study:
- To identify maternal and child-related risk factors associated with delayed DDH screening.
- To understand the impact of demographic and clinical variables on the timing of DDH screening.
Main Methods:
- A cross-sectional descriptive study involving 175 infants and their mothers.
- Data collected included maternal demographics (age, education) and child-related variables (age at screening, birth order, family history).
- Statistical analysis (Chi-square) was used to assess associations between delayed screening and recorded variables.
Main Results:
- Delayed DDH screening was significantly associated with lower maternal education (P≤0.001), younger maternal age (P≤0.001), and being a firstborn infant (P≤0.001).
- A positive family history of DDH was found to be protective against delayed screening (P=0.032).
- 42.9% of infants missed the recommended 4-month screening age.
Conclusions:
- Lower maternal educational level, younger maternal age, and firstborn infants are identified as key risk factors for delayed DDH screening.
- These findings highlight specific demographic groups that may require targeted interventions to improve screening rates.
- Early identification and intervention for DDH are essential to prevent severe hip joint complications.
Background:
Early and proper screening for developmental dysplasia of the hip (DDH) is very critical to prevent catastrophic complication on the developing hip joint. Many factors (either maternal or child-related) that hinder timely DDH screening have been previously investigated.
Methods:
A cross-sectional descriptive study design was adopted. 175 babies presented for DDH screening coming with their mothers were investigated. Maternal age, age group, and educational level were recorded. In addition, multiple child-related variables such as age of screening, gender, positive family history, preterm delivery, and mode of delivery were recorded as well. Analysis for association between delayed vs. early screening was made against the maternal and the child-related variables.
Results:
A total number of 175 children with their mothers were investigated. The mean maternal age was 27.9 years, about one third of the mothers had a graduate level of education (36.3%), while 41.1% had high school education, and 22.3% had middle school education. On the other hand, 40.0% of the investigated babies were first born and two thirds of our sample babies were females (66.9%). Of the included babies, 100 (57.1%) were screened at the appropriate 4-month age, while 75 (42.9%) missed the 4-month screening. Chi-square analysis showed that delayed DDH screening was associated with a lower maternal educational level (P ≤ 0.001), younger maternal age (P ≤ 0.001), and first born baby (P ≤ 0.001). Positive family history was protective against delayed DDH screening (P = 0.032).
Conclusion:
The lower maternal educational level, younger maternal age group, and first born babies are risk factors for delayed DDH screening.
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