NIPE Newborn and Infant Hip Screening

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Primary purposes of hip screening

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Early identification of dislocated or dislocatable hips.

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Incidence of babies requiring treatment

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3 to 5 per 1,000 live births may require a Pavlik Harness; 1 to 2 per 1,000 live births may require surgery.

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Consequences of undetected unstable hips

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Delayed treatment may result in complex surgery and long-term complications such as impaired mobility and pain osteoarthritis of the hip and back.

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NIPE national hip risk factors

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First-degree family history of hip problems in early life, breech presentation at or after 36 weeks of pregnancy, breech presentation at birth between 28 weeks gestation and term.

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Risk factors in multiple pregnancies

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All babies from a multiple pregnancy with any NIPE hip risk factors should have a hip ultrasound. If one baby has a screen positive result, all should be referred for ultrasound.

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NIPE HIP screening requires a referral based on risk

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A screen positive hip result is an abnormal clinical hip examination (with or without risk factors) and, or presence of NIPE hip risk factors.