Guide for Mother to prevent DDH
Guide for Mother to prevent DDH What should every Mother know to prevent abnormal hip development in a babyThe most important thing in preventive examination is to find the babies with the most severe deformity and to start treatment immediately .Each day of delayed treatment worsens the deformity and a seemingly short period of 2 weeksof delayehances of some babies for a complete recovery and for avoiding surgery and femur necrosis.Up till now, it is estimated, that the same number of newborns babies with CDH requires the hip joint replacement as about 60 years ago ,when the clinical examin.
This shows also that if you do not detect DDH as soon after birth as possible and allow to develop of secondary changes, comes into permanent dysfunction of the hip joint.
Every mother may increase the chances of proper development of her babies hip joints by putting it in a position that enables joint surgery
The best conditions for a joint rebuilding occurs when the flexion of the femur is above 90 degree(knees the buttocks line) and abduction above 45 ( both spread thigs lying on the basis in symmetrical position);full abduction causes malfunction of blood supplies in the hips of the each newborn baby .
and using a body of parents to obtain a favorable alignment of the hip . This is the finest method of reconstruction of the Hip Joint , the most convenient for your baby because the parents react immediately to any ailment of his child .
Nature itself makes proper development of hip joint possible through a protective ,physiological muscles contracture which enables proper limb position .Therefore bent legs of a baby shouldn,T be straightened while nursing or dressing ,but helped to remain in this beneficial for hips position.
More recent specialist literature considers screening of neonates as early as possible to be ideal [1–3,
7, 11, 12].
The rules for treatment and prevention are similar: hip bending over 90 degrees and an abduction of over 45 degrees. In treatment, however, we use different kinds of orthopaedic equipment.
Due to significant hip regeneration capacity in newborns, it is recommended that, for preventive reasons, newborns should be lifted and placed with their legs wide astride and bent in the hips, and with their knees above the buttock line, at least until they are 6 months old.
We also recommend that the newborn should be placed on the stomach under supervision (due to cases of Sudden Infant Death Syndrome) or, even better, be placed and carried on an adult.