RT Journal Article
SR Electronic
T1 Developmental dysplasia of the hip in preterm breech infants
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 556
OP 558
DO 10.1136/archdischild-2019-317658
VO 105
IS 5
A1 Deeparaj Hegde
A1 Neil Powers
A1 Elizabeth A Nathan
A1 Abhijeet Anant Rakshasbhuvankar
YR 2020
UL http://fn.bmj.com/content/105/5/556.abstract
AB Background Whether preterm infants born with breech presentation are at similar risk of developmental dysplasia of the hip (DDH) as the term breech infants is not known. The information will be vital for DDH screening guidelines.Methods A retrospective audit of infants born in the breech position was performed to compare the incidence of DDH in the following gestational age groups: 23–27, 28–31, 32–36 and ≥37 weeks.Results A total of 1144 neonates were included in the study. The incidence of DDH did not differ between the groups (11.6%, 9.4%, 13.6% and 11.5%, in 23–27, 28–31, 32–36 and ≥37 weeks, respectively, p=0.40). Sixty infants required intervention for DDH. Multiple logistic regression after correcting for potential confounders showed that gestational age group did not influence the risk of DDH, and requirement of therapy.Conclusion Preterm infants born with breech presentation appear to have a similar incidence of DDH to term breech infants.