Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version.
BJOG
; 120(5): 607-12, 2013 Apr.
Article
em En
| MEDLINE
| ID: mdl-23145903
ABSTRACT
OBJECTIVE:
To evaluate the effect of successful external cephalic version on the incidence of developmental dysplasia of the hip (DDH) requiring treatment in singleton breech presentation at term.DESIGN:
Observational cohort study.SETTING:
Three large teaching hospitals in the Netherlands. POPULATION Women with a singleton breech presentation of 34 weeks of gestation or more, who underwent an external cephalic version attempt.METHODS:
We made a comparison of the incidence of DDH between children born in breech presentation and children born in cephalic presentation after a successful external cephalic version. MAIN OUTCOMEMEASURE:
The incidence of DDH requiring either conservative treatment, with a harness, or surgical treatment.RESULTS:
A total of 498 newborns were included in the study, of which 40 (8%) were diagnosed with DDH and 35 required treatment. Multivariate analysis showed that female gender (OR 2.79, 95% CI 1.23-6.35) and successful external cephalic version (OR 0.29, 95% CI 0.09-0.95) were independently associated with DDH.CONCLUSIONS:
A successful external cephalic version is associated with a lower incidence of DDH, although a high percentage of children born after a successful external cephalic version still appear to have DDH. A larger cohort study is needed to establish the definite nature of this relationship. Until then, we recommend the same screening policy for infants born in cephalic position after a successful external cephalic version as for infants born in breech position.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Versão Fetal
/
Apresentação Pélvica
/
Luxação Congênita de Quadril
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Newborn
/
Pregnancy
País/Região como assunto:
Europa
Idioma:
En
Revista:
BJOG
Assunto da revista:
GINECOLOGIA
/
OBSTETRICIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Holanda