Prenatal Knowledge Of Cleft Lip/Palate Shows Little Advantag

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  • #9788
    sushantpatel_doc
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    Registered On: 30/11/2009
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    Prenatal Knowledge Of Cleft Lip/Palate Shows Little Advantage Over Birth Discovery.
    Many expectant parents look forward to routine ultrasounds as their first opportunity to “see” their baby. But the ultrasound can reveal that the fetus has unexpected medical conditions, such as a diagnosis of cleft lip and palate. Despite the emotional distress the diagnosis can bring, it can also offer the opportunity to prepare for the child’s future needs. However, a study has found little difference between mothers who were given a prenatal diagnosis of cleft lip and palate and those who discovered the problem at birth.

    The authors of the study, which is reported in the September 2010 issue of The Cleft Palate Craniofacial Journal, conducted interviews with 235 mothers of children aged 2 to 7 years with orofacial clefts. Of these children, 46% had been identified prenatally with cleft lip or cleft lip and palate. Overall, prenatal diagnosis is made in about 20% to 30% of pregnancies affected by an orofacial cleft.

    Contrary to expectations, few advantages were found for having a prenatal diagnosis. Those with early knowledge of the condition did not report greater satisfaction with information, support, and treatment outcomes, although they had more time to learn and prepare. The two groups did not differ in number of surgeries, expectations for surgeries, complications of surgery, or the quality of care as rated by the mother.

    Early planning for a child’s condition could allow parents to seek information and counseling or find resources. An appropriate cleft care team composed of at least a surgeon, dental professional, and speech professional could be identified and contacted or organized. Many established cleft care teams hold prenatal consultations with parents expecting a baby with an orofacial cleft.

    The one area of the study that did show a significant difference was feeding the newborn child. Infants born with orofacial clefts have unique feeding requirements, and feeding these infants can be difficult and anxiety-provoking for untrained providers and parents. Mothers who were given an early diagnosis reported more positively about providers’ help in making it easier for their infants to feed.

    Not only can parents make necessary emotional and medical adjustments with an early diagnosis, but they can also make more practical adjustments. Changes in employment, health insurance, and child care plans may be in order.

    #14419
    tirath
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    Registered On: 31/10/2009
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    rule of ten should be applied for cleft lip patients…..

    #14420
    Anonymous

    what is rule of ten

    #14421
    tirath
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    The “Rule of 10’s” long has been the standard guideline. This rule states that an infant must reach 10 pounds of body weight, 10 weeks of age, and have a hemoglobin level of 10 gm per 100 mL before it is considered safe to surgically perform a cleft repair. This rule eliminated neonates 28 days of age or younger from the possibility of early repair. Advances in neonatology and pediatric anesthesia now have made it possible to perform cleft repair surgery during the neonatal period.

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