The Importance of Multidisciplinary Management during Prenatal Care for Cleft Lip and Palate.
10.5999/aps.2016.43.2.153
- Author:
Hyun Ho HAN
1
;
Eun Jeong CHOI
;
Ji Min KIM
;
Jong Chul SHIN
;
Jong Won RHIE
Author Information
1. Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. rhie@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Cleft lip;
Cleft palate;
Craniofacial abnormalities;
Ultrasonography;
Interdisciplinary communication
- MeSH:
Abortion, Induced;
Child;
Cleft Lip*;
Cleft Palate;
Congenital Abnormalities;
Craniofacial Abnormalities;
Diagnosis;
Female;
Fetus;
Humans;
Infant;
Interdisciplinary Communication;
Mass Screening;
Mothers;
Palate*;
Parents;
Plastics;
Pregnancy;
Pregnant Women;
Prenatal Care*;
Psychiatry;
Ultrasonography
- From:Archives of Plastic Surgery
2016;43(2):153-159
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The prenatal ultrasound detection of cleft lip with or without cleft palate (CL/P) and its continuous management in the prenatal, perinatal, and postnatal periods using a multidisciplinary team approach can be beneficial for parents and their infants. In this report, we share our experiences with the prenatal detection of CL/P and the multidisciplinary management of this malformation in our institution's Congenital Disease Center. METHODS: The multidisciplinary team of the Congenital Disease Center for mothers of children with CL/P is composed of obstetricians, plastic and reconstructive surgeons, pediatricians, and psychiatrists. A total of 11 fetuses were diagnosed with CL/P from March 2009 to December 2013, and their mothers were referred to the Congenital Disease Center of our hospital. When CL/P is suspected in the prenatal ultrasound screening examination, the pregnant woman is referred to our center for further evaluation. RESULTS: The abortion rate was 28% (3/11). The concordance rate of the sonographic and final diagnoses was 100%. Ten women (91%) reported that they were satisfied with the multidisciplinary management in our center. CONCLUSIONS: Although a child with a birth defect is unlikely to be received well, the women whose fetuses were diagnosed with CL/P on prenatal ultrasound screening and who underwent multidisciplinary team management were more likely to decide to continue their pregnancy.
