Solani Babak, Talebian Ardestani Motahare, Boroumand Homa, Ostadmohammadi Vahidreza, Hallajnejad Mohammad, Kashani Zade Mansour, Loghman Amirhossein, Talebian Ardestani Ahmad
Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Department of Pediatrics, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Iran J Child Neurol. 2022 Spring;16(2):85-92. doi: 10.22037/ijcn.v16i1.28524. Epub 2022 Mar 14.
Deformation of the skull by external forces in the absence of synostosis has been defined as positional plagiocephaly (PP). The aim of this investigation was to determine the risk factors of PP in healthy Iranian infants.
MATERIALS & METHODS: This case-control study was performed on 300 healthy Iranian infants aged 8-12 weeks who were referred to the pediatric neurology clinic at Shahid Beheshti Hospital of Kashan. Plagiocephaly evaluations were done using Argenta's scale.
Based on multivariate logistic regression analysis, there was a significant association between PP and male gender (OR=2.26; P=0.002), head circumference (OR=1.22; P=0.006), multiple pregnancy (OR=2.55; P=0.03), abnormal presentation in uterine (OR=2.18; P=0.02), primiparity (OR=2.43; P=0.003), and supine sleep position (OR=2.97; P<0.001). However, type of delivery, firmness of headrest, oligohydramnios, and prolonged labor were not correlated with PP.
The current investigation supports the idea that head circumference, male gender, primiparity, multiple pregnancy, supine sleep position, and abnormal presentation in the uterine are correlated with a greater incidence of PP. Further investigations should be undertaken to understand PP and its related risk factors fully.
在没有颅骨缝早闭的情况下，外力导致的颅骨变形被定义为体位性斜头畸形（PP）。本研究的目的是确定健康伊朗婴儿发生PP的风险因素。
本病例对照研究对300名8至12周龄的健康伊朗婴儿进行，这些婴儿被转诊至卡尚沙希德·贝赫什提医院的儿科神经科诊所。使用阿金塔量表进行斜头畸形评估。
基于多因素逻辑回归分析，PP与男性性别（OR = 2.26；P = 0.002）、头围（OR = 1.22；P = 0.006）、多胎妊娠（OR = 2.55；P = 0.03）、子宫内胎位异常（OR = 2.18；P = 0.02）、初产（OR = 2.43；P = 0.003）以及仰卧睡眠姿势（OR = 2.97；P < 0.001）之间存在显著关联。然而，分娩方式、头枕硬度、羊水过少和产程延长与PP无关。
当前研究支持以下观点，即头围、男性性别、初产、多胎妊娠、仰卧睡眠姿势以及子宫内胎位异常与PP的发生率较高相关。应进一步开展研究以全面了解PP及其相关风险因素。
