The moulded baby syndrome

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dc.contributor.author El Hayek, Toni
dc.contributor.author Rubio, Amandine S.
dc.contributor.author Griffet, Jacques R.
dc.contributor.author Caci, Herve
dc.contributor.author Berard, Etienne
dc.contributor.author Boutte, Patrick
dc.date.accessioned 2016-09-21T06:59:51Z
dc.date.available 2016-09-21T06:59:51Z
dc.date.issued 2016-09-21
dc.identifier.issn 0340-6199 en_US
dc.identifier.uri http://hdl.handle.net/10725/4336
dc.description.abstract Postural deformities are frequent in neonates. The moulded baby syndrome (MBS) comprises one or more of the following disorders: plagiocephaly, torticollis, congenital scoliosis, pelvic obliquity, adduction contracture of a hip and/or malpositions of the knees or feet. We analysed the incidence of MBS in healthy neonates and identified the risk factors of its composing elements. One thousand and one healthy neonates were examined on the second or third day of life by the same paediatrician. Familial, obstetrical, perinatal history and putative risk factors for postural deformities were collected. Families of newborns with a torticollis or plagiocephaly were given positioning advice and the outcome was evaluated by a phone survey 2 months later. MBS was detected in 107 neonates (10.7%): 97 plagiocephalies or torticollis, 25 congenital scoliosis or pelvic obliquities, and 13 malpositions of the knees or feet. We identified risk factors related to the mother (age: OR = 1.39, parity: OR = 0.643), to the obstetrical history (preterm labour: OR = 1.65, oligoamnios: OR = 10.179, breech presentation: OR = 2.746, pregnancy toxaemia: OR = 3.773, instrumental delivery: OR = 6.028) and to the newborn (male gender: OR = 1.982, birth length: OR = 1.196). The initial plagiocephaly or torticollis improved in 77% of infants after 2 months of stimulation and positioning measures. Paediatricians should be alert regarding the frequent but subtle MBS postural deformities and give positioning advice to the parents. A neonate of male gender or greater birth length, with an older primiparous mother, a history of preterm labour, oligoamnios or pregnancy toxaemia, a breech presentation or an assisted delivery is more likely to have MBS. en_US
dc.language.iso en en_US
dc.title The moulded baby syndrome en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle incidence and risk factors regarding 1,001 neonates en_US
dc.author.school SOM en_US
dc.author.idnumber 201205678 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal European Journal of Pediatrics en_US
dc.journal.volume 168 en_US
dc.article.pages 605-611 en_US
dc.keywords TAC syndrome en_US
dc.keywords Plagiocephaly en_US
dc.keywords Torticollis en_US
dc.keywords Congenital scoliosis en_US
dc.keywords Hip contracture en_US
dc.identifier.doi http://dx.doi.org/10.1007/s00431-008-0806-y en_US
dc.identifier.ctation Rubio, A. S., Griffet, J. R., Caci, H., Bérard, E., El Hayek, T., & Boutté, P. (2009). The moulded baby syndrome: incidence and risk factors regarding 1,001 neonates. European journal of pediatrics, 168(5), 605-611. en_US
dc.author.email toni.hayek@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://link.springer.com/article/10.1007/s00431-008-0806-y en_US

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