Are term breech babies who undergo successful external cephalic version still at increased risk of developmental dysplasia of the hip?

Scenario A 36-hour-old neonate is undergoing their newborn and infant physical examination (NIPE). Antenatal scans showed that the baby was in the breech position at 36 weeks’ gestation. However, the mother underwent a successful external cephalic version (ECV) procedure at 37 weeks and had an uneventful normal vaginal delivery (with a cephalic presentation). There are no other risk factors for developmental dysplasia of the hips (DDH), and the baby’s hip examination using the Ortolani and Barlow manoeuvres is normal. You wonder whether the baby still requires referral for routine hip ultrasound. Structured clinical question Is a neonate who has previously been in breech position at/near term (patient) but has undergone successful ECV (risk factor) still at increased risk of DDH (outcome)? Search Searches were conducted of Medline (via PubMed) and Embase using the following search strategy: (Developmental dysplasia of the hip OR DDH OR...
Source: Archives of Disease in Childhood - Category: Pediatrics Authors: Tags: ADC Archimedes Source Type: research