He is kidding you if he says that having a doctor would pick up all
cases of this. Of course none of this is any comfort to you right now.
It is routine procedure forl babies to be tested for this by many
people they may have met and that is where the system has gaps in it.
These people include midwives, registrars, paediatricians, gps and
matenal and child health nurses. The most common presentation is as a
click felt on manipulation of the hips. There are two maneouvres done
and they have names Ortolani's and Barlow's maneouvre. They are feeling
for the head of the femur slipping onto or off the pelvis where the
hip should be sitting. Of course like any test it is only as useful as
the people doing it are proficient at it and the baby being co
operative on the day. This is the reason that people keep doing it.
If many people have felt your childs hips over the first twelve months
of her life and not picked it up then either you were just unlucky or
it was a particularily difficult one to diagnose. If you have seen any
of the 'professionals' mentioned and they haven't felt her hips in the
first twelve months then they need to be told that they have missed
this to motivate them to be doing it so other children dont get
overlooked. And if you didn't see any of these professionals then that
is why it was not picked up
As I said none of this is of any comfort to you at the moment and I
sympathise with you and raise this as a motivator to midwives at
becoming proficient at doing the maneouvres and in the treatment so
that they can inform parents of what to expect in the coming twelve
months when they find that clicky hip on a check after birth,
Andrea Q
On 17/09/2005, at 8:33 AM, Kylie Carberry wrote:
Hi eveyone,
I am just wondering if anyone can enlighten me a little on my 18 month
old daughter just-diagnosed developmental hip dysplasia. I am still
in disbelief that this was not picked up when she was first born and
my paediatrician agreed. To make things worse he told us that in
Wollongong Hospital (where she was born) they used to have a
paediatrician who did a routine check for DDH on all of the newborns
and all were picked up. To cut costs the IAHS got rid of this service
and according to my paed one or two children are now overlooked. What
angers me is that even with treatment, because she is older, my
daughter will face the possibiliity of having ongoing hip problems.
If anyone has any info on this condition (stories you've heard etc) I
would greatly appreciate it if you could get in touch with me. Also,
what is the general procedure for the testing the hips and do you guys
think a paediatric examination should be routine?
Thanks so much for having a read of my email,
Kylie Carberry
[EMAIL PROTECTED]
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