Developmental Dysplasia of Hip and Post-natal Positioning: Role of Swaddling and Baby-Wearing

Vaidya, Sandeep V.; Aroojis, Alaric; Mehta, Rujuta

doi:10.1007/s43465-021-00513-3

Cited by 12 publications

(9 citation statements)

References 38 publications

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“…Worldwide, tight swaddling is commonly used by caregivers, including nurses, to calm newborns and infants and to protect them from cold temperatures [ 20 , 40 ]. Safe hip positioning and swaddling with natural flexion of the leg reduce the risk of DDH [ 21 , 22 ]. Although the prevalence of DDH varies in each country [ 1 ], nurses need to support caregivers in learning how to prevent DDH through daily care.…”

Section: Discussionmentioning

confidence: 99%

“…They conduct physical examinations as primary screening during newborn home visits, reducing the number of DDH cases [ 18 , 19 ]. However, most studies were hospital-based and little is known about health guidance for the prevention of DDH in community settings [ 7 , 20 , 21 ] because child maltreatment is a more popular topic than DDH worldwide [ 22 ], as well as in Japan [ 23 ]. Nurse experiences with DDH and attention towards assessing related risk factors may be lower than those for child maltreatment.…”

Section: Introductionmentioning

confidence: 99%

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Community-Based Hip Screening for Up to Four-Month-Old Infants and Health Guidance for Their Caregivers in Japan: A Nation-Wide Survey

Yoshioka-Maeda,

Matsumoto,

Inagaki-Asano

et al. 2023

Nursing Reports

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Early detection of developmental dysplasia of the hip (DDH) in children is crucial. Due to COVID-19, maternal and child health services have been suspended temporarily, increasing the risk of late detection of DDH. This study aimed to reveal Japan’s current situation regarding community hip screening for newborns and infants and to provide health guidance for caregivers regarding DDH. A web-based, nationwide cross-sectional survey was conducted between February and March 2023 (n = 1737). One public health nurse overseeing maternal and child health per municipality responded to the 2022 municipality hip screening system. Among the 436 municipalities that responded (response rate: 25.1%), 97.5% implemented hip screening within 4 months, and approximately 60% performed it during newborn home visits, while only 2.3% conducted hip ultrasound screening. Perfect checking of the risk factors for DDH during newborn home visits and training opportunities for home visitors must be improved. Educational programs regarding DDH for home visitors and caregivers are needed to prevent the late diagnosis of DDH. Furthermore, collaboration between pediatric orthopedic surgeons and nurses is crucial for developing effective community-based hip-screening systems by bridging the evidence and practice gap in the early detection of DDH.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Community-Based Hip Screening for Up to Four-Month-Old Infants and Health Guidance for Their Caregivers in Japan: A Nation-Wide Survey

Yoshioka-Maeda,

Matsumoto,

Inagaki-Asano

et al. 2023

Nursing Reports

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“…This nding is the most important result and is also the greatest predictor in our nal multiple regression analysis. One possible explanation for these ndings is related to the use of swaddling [20][21][22], which is still common in many countries with cold weather, despite long-term policies promoting newborn health care [13,23]. Swaddling involves wrapping the baby in tighter clothing or blankets to protect them from the cold and promote uninterrupted sleep [20,24].…”

Section: Discussionmentioning

confidence: 99%

Environmental factors associated with incidence of developmental dysplasia of the hip

Huang,

Lee,

Chang

et al. 2023

Preprint

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Background Established risk factors for DDH include female sex, breech presentation, family history, congenital malformations, oligohydramnios, and maternal hyperthyroidism. However, evidence for environmental factors that may contribute to DDH is limited and inconsistent. Methods A review of medical literature from 1956 to 2023 was conducted to collect data on environmental factors, including latitude, longitude, average yearly precipitation, average yearly temperature, minimum monthly temperature, and maximum monthly temperature, from all institutions that published articles on DDH. Univariate linear regression analysis was used to examine the correlation between environmental factors and DDH incidence, while multiple regression analysis was conducted to identify significant risk factors for DDH incidence. Results Data from a total of 93 unique manuscripts were analyzed, revealing a significant negative correlation between DDH incidence and temperature, including average yearly temperature (r = -0.27, p = 0.008), minimum monthly temperature (r = -0.28, p = 0.006), and maximum monthly temperature (r = -0.23, p = 0.029). Additionally, there was a significant positive correlation between DDH incidence and latitude (r = 0.27, p = 0.009), and a significant negative correlation between DDH incidence and average yearly precipitation (r = -0.29, p = 0.004). In the final multiple regression analysis, temperature, including average yearly temperature, minimum monthly temperature, and maximum monthly temperature, were identified as significant risk factors for DDH incidence. Conclusion The study findings suggest that temperature is the most significant predictor of DDH incidence, highlighting the potential impact of colder weather on DDH development in infants.

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“…Adverse outcomes include hyperthermia when a newborn is overdressed or when inappropriate material is used, delayed postnatal weight gain when a newborn is separated from their mother soon after birth and increased respiratory infections with tight wrapping, developmental of hips dysplasia if the baby is tied tightly with the cord around hips, this is more likely if a wooden board is used for swaddling a baby. 11,12,13 This study aimed to collect information regarding mothers knowledge of safe swaddling practices. The results of this study will assist the healthcare workers in judging the population's current practising knowledge that will identify the area of least knowledge to avoid the adverse outcome and wrong swaddling practices.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of Safe Swaddling Practices among Mothers of Neonates Visiting a Tertiary-Care Hospital in a Developing Country

Ullah¹,

Rehman²,

Qazi³

et al. 2023

J Gandhara Med Dent Sci

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OBJECTIVES Swaddling of new-borne and infants remains common in the developing world, but little is known about maternal knowledge of swaddling. Therefore, this study aimed to determine the level of knowledge of safe swaddling practices among mothers of neonates visiting a Tertiary-Care Hospital.METHODOLOGY This cross-sectional study was conducted in the paediatric unit of tertiary care hospital in Peshawar city, Pakistan, between July and December 2018. A total number of 370 mothers of neonates who volunteered their participation were selected using a non-probability consecutive sampling technique. The study was based on a questionnaire comprised of socio-demographic and other questions related to the knowledge of safe swaddling practices.RESULTSA total number of 370 mothers of neonates knowledge were assessed. The study participants ranged between 17 - 49 years, with a mean age of 27.14 (SD ± 5.46). Of the total, 365 (98.6%) mothers were swaddling their babies, while only 5 (1.3%) reported not practising swaddling. Most mothers (51.1%) had good knowledge, while 44.3% had adequate knowledge, and only 4.6% had insufficient knowledge regarding safe swaddling. Knowledge of safe swaddling increased with age and parity. Most mothers (90%) correctly identified that "cotton cloth or light blanket should be used to swaddle baby".CONCLUSIONIt is concluded from this study that most mothers have adequate knowledge about safe swaddling, and the level of knowledge increases with age and parity. Safe swaddling techniques and information should be given to mothers at the beginning of antenatal care to benefit from its positive outcomes and, at the same time to avoid its drawbacks.

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Developmental Dysplasia of Hip and Post-natal Positioning: Role of Swaddling and Baby-Wearing

Cited by 12 publications

References 38 publications

Community-Based Hip Screening for Up to Four-Month-Old Infants and Health Guidance for Their Caregivers in Japan: A Nation-Wide Survey

Community-Based Hip Screening for Up to Four-Month-Old Infants and Health Guidance for Their Caregivers in Japan: A Nation-Wide Survey

Environmental factors associated with incidence of developmental dysplasia of the hip

Knowledge of Safe Swaddling Practices among Mothers of Neonates Visiting a Tertiary-Care Hospital in a Developing Country

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