Dawod Moh'd S, Alswerki Mohammad N, Abuqudiri Amr Z, Albadaineh Ashraf A, Mahmoud Leena M, Altarawneh Dania J, Rbeihat Nour H, Alkhanazreh Rogayah M
Mutah University-Faculty of Medicine, Al-Karak, Jordan.
Jordan University Hospital, Amman, Jordan.
Adv Orthop. 2023 May 25;2023:6793645. doi: 10.1155/2023/6793645. eCollection 2023.
Early and proper screening for developmental dysplasia of the hip (DDH) is very critical to prevent catastrophic complication on the developing hip joint. Many factors (either maternal or child-related) that hinder timely DDH screening have been previously investigated.
A cross-sectional descriptive study design was adopted. 175 babies presented for DDH screening coming with their mothers were investigated. Maternal age, age group, and educational level were recorded. In addition, multiple child-related variables such as age of screening, gender, positive family history, preterm delivery, and mode of delivery were recorded as well. Analysis for association between delayed vs. early screening was made against the maternal and the child-related variables.
A total number of 175 children with their mothers were investigated. The mean maternal age was 27.9 years, about one third of the mothers had a graduate level of education (36.3%), while 41.1% had high school education, and 22.3% had middle school education. On the other hand, 40.0% of the investigated babies were first born and two thirds of our sample babies were females (66.9%). Of the included babies, 100 (57.1%) were screened at the appropriate 4-month age, while 75 (42.9%) missed the 4-month screening. Chi-square analysis showed that delayed DDH screening was associated with a lower maternal educational level ( ≤ 0.001), younger maternal age ( ≤ 0.001), and first born baby ( ≤ 0.001). Positive family history was protective against delayed DDH screening ( = 0.032).
The lower maternal educational level, younger maternal age group, and first born babies are risk factors for delayed DDH screening.
早期且恰当的发育性髋关节发育不良（DDH）筛查对于预防发育中的髋关节出现灾难性并发症至关重要。此前已经对许多阻碍及时进行DDH筛查的因素（包括母亲相关或儿童相关因素）进行了研究。
采用横断面描述性研究设计。对175名由母亲陪同前来进行DDH筛查的婴儿进行了调查。记录了母亲的年龄、年龄组和教育水平。此外，还记录了多个与儿童相关的变量，如筛查年龄、性别、家族史阳性、早产和分娩方式。针对母亲相关和儿童相关变量，对延迟筛查与早期筛查之间的关联进行了分析。
共对175名儿童及其母亲进行了调查。母亲的平均年龄为27.9岁，约三分之一的母亲具有研究生学历（36.3%），而41.1%的母亲具有高中学历，22.3%的母亲具有初中学历。另一方面，40.0%的被调查婴儿是头胎，三分之二的样本婴儿为女性（66.9%）。在纳入的婴儿中，100名（57.1%）在合适的4个月龄时进行了筛查，而75名（42.9%）错过了4个月的筛查。卡方分析显示，DDH筛查延迟与母亲教育水平较低（≤0.001）、母亲年龄较小（≤0.001）以及头胎婴儿（≤0.001）有关。家族史阳性对DDH筛查延迟具有保护作用（=0.032）。
母亲教育水平较低、母亲年龄较小以及头胎婴儿是DDH筛查延迟的危险因素。
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