The Impact of Maternal Age and Educational Level on Developmental Dysplasia of the Hip Diagnosis and Screening: A Descriptive Comparative Study.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-01-01 DOI:10.1155/2023/6793645
Moh'd S Dawod, Mohammad N Alswerki, Amr Z Abuqudiri, Ashraf A Albadaineh, Leena M Mahmoud, Dania J Altarawneh, Nour H Rbeihat, Rogayah M Alkhanazreh
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Abstract

Background: 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.

Methods: 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.

Results: 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 (P ≤ 0.001), younger maternal age (P ≤ 0.001), and first born baby (P ≤ 0.001). Positive family history was protective against delayed DDH screening (P = 0.032).

Conclusion: The lower maternal educational level, younger maternal age group, and first born babies are risk factors for delayed DDH screening.

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母亲年龄和教育水平对发育性髋关节发育不良诊断和筛查的影响:一项描述性比较研究。
背景:早期和适当的筛查发育不良的髋关节(DDH)是非常重要的,以防止灾难性并发症的发展中的髋关节。许多阻碍DDH及时筛查的因素(无论是母亲的还是与儿童有关的)先前已经进行了调查。方法:采用横断面描述性研究设计。175名与母亲一起接受DDH筛查的婴儿接受了调查。记录产妇年龄、年龄组和受教育程度。此外,还记录了与儿童相关的多个变量,如筛查年龄、性别、阳性家族史、早产和分娩方式。针对母亲和儿童相关变量,分析延迟筛查与早期筛查的相关性。结果:共调查了175名儿童及其母亲。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%),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%的调查婴儿是第一胎,我们的样本婴儿中有三分之二是女性(66.9%)。在纳入的婴儿中,100名(57.1%)在适当的4个月大时接受了筛查,而75名(42.9%)未接受4个月的筛查。卡方分析显示,延迟DDH筛查与母亲受教育程度较低(P≤0.001)、母亲年龄较小(P≤0.001)和头胎(P≤0.001)相关。阳性家族史对延迟DDH筛查有保护作用(P = 0.032)。结论:产妇文化程度低、年龄小、初生儿是迟发DDH筛查的危险因素。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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