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- Title
Risk factors associated with positional plagiocephaly in healthy Iranian infants: a case-control study.
- Authors
SOLANI, Babak; TALEBIAN ARDESTANI, Motahare; BOROUMAND, Homa; OSTADMOHAMMADI, Vahidreza; HALLAJNEJAD, Mohammad; KASHANI ZADE, Mansour; LOGHMAN, Amirhossein; TALEBIAN ARDESTANI, Ahmad
- Abstract
Objectives Deformation of the skull by external forces in the absence of synostosis has been defined as positional plagiocephaly (PP). The aim of this investigation was to determine the risk factors of PP in healthy Iranian infants. Materials & Methods This case-control study was performed on 300 healthy Iranian infants aged 8-12 weeks who were referred to the pediatric neurology clinic at Shahid Beheshti Hospital of Kashan. Plagiocephaly evaluations were done using Argenta's scale. Results Based on multivariate logistic regression analysis, there was a significant association between PP and male gender (OR=2.26; P=0.002), head circumference (OR=1.22; P=0.006), multiple pregnancy (OR=2.55; P=0.03), abnormal presentation in uterine (OR=2.18; P=0.02), primiparity (OR=2.43; P=0.003), and supine sleep position (OR=2.97; P<0.001). However, type of delivery, firmness of headrest, oligohydramnios, and prolonged labor were not correlated with PP. Conclusions The current investigation supports the idea that head circumference, male gender, primiparity, multiple pregnancy, supine sleep position, and abnormal presentation in the uterine are correlated with a greater incidence of PP. Further investigations should be undertaken to understand PP and its related risk factors fully.
- Subjects
IRAN; MULTIVARIATE analysis; DEFORMATIONAL plagiocephaly; SEX distribution; PARITY (Obstetrics); LOGISTIC regression analysis; ODDS ratio; DISEASE risk factors
- Publication
Iranian Journal of Child Neurology, 2022, Vol 16, Issue 2, p85
- ISSN
1735-4668
- Publication type
Article
- DOI
10.22037/ijcn.v16i1.28524