Risk of developmental dysplasia of the hip in breech presentation: the effect of successful external cephalic version
Date
2013
Authors
Lambeek, A.
De Hundt, M.
Vlemmix, F.
Akerboom, B.
Bais, J.
Papatsonis, D.
Mol, B.
Kok, M.
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Advisors
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Volume Title
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Journal article
Citation
BJOG: an International Journal of Obstetrics and Gynaecology, 2013; 120(5):607-612
Statement of Responsibility
AF Lambeek, M De Hundt, F Vlemmix, BMC Akerboom, JMJ Bais, DNM Papatsonis, BWJ Mol, M Kok
Conference Name
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 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.
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Description
Article first published online: 12 NOV 2012
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© 2012 The Authors