Document Detail


Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version.
MedLine Citation:
PMID:  23145903     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Please cite this paper as: Lambeek A, De Hundt M, Vlemmix F, Akerboom B, Bais J, Papatsonis D, Mol B, Kok M. Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version. BJOG 2012; DOI: 10.1111/1471-0528.12013. 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 outcome measure  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.
Authors:
Af Lambeek; M De Hundt; F Vlemmix; Bmc Akerboom; Jmj Bais; Dnm Papatsonis; Bwj Mol; M Kok
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-12
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  -     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.
Affiliation:
Department of Obstetrics and Gynecology, Albert Schweitzer Hospital, Dordrecht, the Netherlands Department of Obstetrics and Gynecology, Medical Center Alkmaar, Alkmaar, the Netherlands Department of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, the Netherlands Department of Obstetrics and Gynecology, Amphia Hospital, Breda, the Netherlands.
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