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[Obstetric and perinatal risk factors for congenital dislocation of the hip]
A Fuentes Díaz1, L Sánchez Navas, R Andreu Viladrich
1Servicio de Cirugía Ortopédica y Traumatología, Hospital General Universitario de Elche, Alicante.
Insights
Female newborns with breech presentation, difficult delivery, or born in November are at higher risk for congenital dislocation of the hip (CDH). Early detection and monitoring are crucial for these infants.
Area of Science:
- Orthopedics
- Pediatrics
- Epidemiology
Background:
- Congenital dislocation of the hip (CDH) is a significant developmental abnormality.
- Identifying epidemiological risk factors is crucial for early diagnosis and intervention.
Purpose of the Study:
- To analyze epidemiological factors associated with congenital dislocation of the hip (CDH).
- To identify specific risk factors in newborns that may indicate a higher likelihood of CDH.
Main Methods:
- A comparative study analyzed 72 newborns with CDH against 973 healthy controls.
- Obstetrical and perinatal factors including sex, birth weight, fetal posture, delivery type, family history, and birth season were evaluated.
- Statistical analysis used Pearson Chi-square and Mann-Whitney U tests.
Main Results:
- Significant risk factors for CDH included female sex, breech fetal posture, difficult delivery, firstborn status, and month of birth (p < 0.05).
- Approximately 68% of newborns with CDH presented with two or more identified risk factors.
- Specific associations were found with female gender, breech presentation, difficult delivery, primiparity, and November birth month.
Conclusions:
- Female newborns with breech presentation, difficult delivery, born to a first-time mother, and in November require thorough examination for CDH.
- Increased vigilance and follow-up are recommended for newborns exhibiting multiple identified risk factors to rule out CDH.
Objective:
The object of this paper was to analyze the epidemiological factors that contribute to congenital dislocation of the hip (CDH) in our setting.
Patients And Methods:
A comparative study of the obstetrical and perinatal risk factors of a series of 72 newborns with CDH was carried out. These newborns were compared with a sample of 973 healthy newborns. The following factors were analyzed: sex, birth weight, fetal posture, type of delivery, duration of the pushing stage of labor, family history, single or multiple birth, age of parents, firstborn status and season of birth using the Pearson Chi-square test for the qualitative variables and the Mann-Whitney U for the quantitative variables.
Results:
A statistically significant values (p < 0.05) was found for: sex, fetal posture, type of delivery, firstborn status and month of birth. Forty-nine (68%) of the newborns with CDH had two or more of these risk factors.
Conclusions:
When encountering a female newborn, with a breech posture or distocic delivery, from a primipara mother and born in November, a more rigorous examination and follow-up of that newborn should be carried out in order to rule out this pathology.