Volume 2003, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426


I read the article by Chaarani MW et al (Developmental Dysplasia of the Hip Before and After Increasing Community Awareness of the Harmful Effects of Swaddling Vol.ll/No.l/ June 2002), with great interest. Two issues need to be addressed. The authors write i(That the habit of swaddling is common tradition in the Middle East that goes back to hundreds of years “ and their belief that in 14 months people gave up swaddling which they practiced for generations, to the extent that the numbers of Development Dysplasia of the Hip (DDH) dropped drastically from 20 percent to 60 percent is unusual Other important factors which need to be looked are the genetic factors in the incidence of DDH(1) and not just swaddling. Factors like breech presentation and oligohydramnios are known to predispose to DDH(2) and they might be the cause of decrease in numbers of DDH in the study population.


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  • Article Type: Letter to the Editor
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