Izvorni znanstveni članak
PERINATAL FACTORS AND DEVELOPMENTAL DISPLACEMENT OF THE HIP
Jadranko Šegregur
; Odjel za ženske bolesti i porodništvo, Opća bolnica Virovitica, 33 000 Virovitica, Gajeva 21
Kornelija Koši-Šantić
; Odjel za dječje bolesti, Opća bolnica Virovitica
Zlatko Hrgović
; University Department of Gynecology and Obstetrics, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
Sažetak
Objective. The aim of this study was to evaluate the relationship of perinatal factors and developmental displacement of the hip in our setting. Methods. The study inculuded 140 mothers and children with developmental displacement of the hip and 420 mothers and healthy children, as a control group. Ultrasound was applied with a 6.2 MHz linear scanner and results were classified according to Graf. The following factors were analyzed: age and maternal parity, complications in pregnancy, during and after delivery, fetal posture, type of delivery, gestational age, newborn sex, birth weight, birth length, ponderal index, Apgar score and neonatal complications. ANOVA, Chi-square and Student t-test were used for statistical analysis. Results. From a total 2511 newborns, 140 (6.9%) children were diagnosed with developmental displacement of the hip, which incidence where significantly higher in females (72.9%), in breech presentation (10.7%), cesarean section (25.7 %), higher maternal age and parity, birth weight >4000 g, ponderal index >2.85 and bilateral (49.3%) cases. Conclusion. Female sex, breech presentation, high birthweight and ponderal index were confirmed as risk factors for developmental displacement of the hip, which connects to intrauterine mechanical and hormonal risk factors.
Ključne riječi
perinatal factors; developmental displacement of the hip; ultrasound
Hrčak ID:
69972
URI
Datum izdavanja:
1.3.2011.
Posjeta: 1.656 *