Health Education of Young Mothers in Preventing the Aggravation of Developmental Dysplasia of the Hip (DDH)

Abstract

The goal of this study is the early diagnosis and treatment of DDH and its debilitating consequences that last a lifetime. In this study we have reviewed the health records of 68 children with DDH from September 2014 to January 2016. Out of these children, 38 or 56% were bilateral, whereas 30 children or 44% were unilateral. In total were treated 106 articulations with DDH. The ratio boys/girls in our study is 1:2. 16 children underwent the Ortolani test, 3-7 days after birth (4 births were breeched, 2 were pre-mature, 9 had family precedents and 6 births with seksio-cesarea). 55 children or 80% had limitations/reductions of the abduction. 12 children or 17.6% presented shortenings on the inferior latitudes or asymmetric skin folds. All the children in our study were treated with plastic abductor pillow available in the market in three different dimensions 1,2,3. 41 children or 60.3% were completely healed. 18 children or 26.4% are still under treatment. In 9 children or 13.2% the treatment failed. These children underwent further treatment. As a conclusion we can say that an early diagnosis and treatment is the key to success in treating DDH. The position in abduction with pillow or abducting splints creates ideal conditions for the positioning of the femoral head in the acetabulum, which is the goal of the treatment. Increasing nurse staff capacities in the diagnosis and treatment of the anomaly. To educate young mothers not to tie up their children since it greatly affects DDH.