Changes to Hip Check in Taranaki

The way hip check is happening in Taranaki is changing. This is to align with how hip check is done in other regions within New Zealand.

Hip check is within the scope of practice of your midwife. Your midwife will have recently updated their training to do this for your baby.

Developmental Dysplasia of the Hip (DDH) occurs in 1-2 babies per 1000 babies though it is 5 x more common in girls. The three most common risk factors are;

  • a close relative with DDH

  • girls, especially first born

  • being born Breech

Other risk factors include low liqua volume or oligohydramnios, multiple pregnancy, having a chromosomal abnormality and having Macrosomia or being a big baby. Your midwife will look for soft signs of DDH, these include asymmetrical buttock or thigh creases and limb height differences. Your midwife will then check baby’s hips with Barlow and Ortolani maneuvers.

Your midwife will do this within 2-3 weeks of birth hopefully between 24-72 hours if practicable.

If your midwife has any concerns, or your baby is in a higher risk category, your midwife will refer baby to an orthopaedic clinic.

Image credit: From Dr Nabil Ebraheim video