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Irish Child Health Database - Peer Reviewed Papers

Database Search

• Elective Caesarean section is associated with a reduction in developmental dysplasia of the hip in term breech infants

  Published in:

  J Bone Joint Surg Br, Vol: 87, Page: 984-5

  Publication Date:

  July 2005

  Aims & Objectives:

  The aim of this study was to describe elective caesarean and developmental dysplasia of the hip in term breech infants

  Abstract:

  We wished to establish whether delivery by Caesarean section influenced the incidence of developmental dysplasia of the hip in term breech infants compared with those delivered vaginally. We used maternal charts, singleton term breech presentation, mode of delivery and incidence of developmental dysplasia of the hip for births between January 1997 and October 2002. During the study period 46 089 infants were born. We analysed a total of 941 breech infants of whom 756 were delivered by Caesarean section (515 pre-labour, 241 intrapartum) and 185 vaginally. The incidence of developmental dysplasia of the hip according to the mode of delivery was 19 of 515 (3.69%) following pre-labour Caesarean section, 16 of 241 (6.64%) for intrapartum Caesarean section and 15 of 185 (8.11%) after vaginal delivery. There was a lower incidence of developmental dysplasia of the hip among those infants delivered by elective Caesarean section compared with those delivered vaginally (p < 0.02). These results demonstrate a significantly lower incidence of developmental dysplasia of the hip in term singleton breech births delivered by elective, pre-labour Caesarean section and suggest that labour and delivery influence hip stability in predisposed infants.

  Authors:

  C. A. Lowry; V. B. Donoghue; C. O'Herlihy; J. F. Murphy

  Study Type:

  Study Papers » Case Study » Descriptive Studies - Without a comparision

  Categories:

  elective caesarean; developmental dysplasia of the hip

  International Classification:

  Pregnancy, childbirth and the puerperium - elective caesarean

  Keywords:

  • Bone Diseases, Developmental/ etiology
  • Breech Presentation
  • Cesarean Section
  • Female
  • Hip Joint/ physiopathology
  • Humans
  • Infant, Newborn
  • Joint Instability/etiology/physiopathology
  • Pregnancy

  
  

  Geography:

  Republic of Ireland (Republic of Ireland)