Early prenatal diagnosis of cleft lip and its potential impact on the number of babies with cleft lip

Bronshtein, Moshe; Blumenfeld, Israel; Blumenfeld, Zeev

doi:10.1016/s0266-4356(96)90241-7

Cited by 39 publications

(24 citation statements)

References 6 publications

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“…The general experience by members of cleft teams is that the prenatal counselling reduces the thoughts of pregnancy termination among the parents. When adequate cleft information and emotional support are given, most parents are able to see possibilities rather than obstacles and still feel excited about the pregnancy [9,[14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Prenatal compared with postnatal cleft diagnosis: What do the parents think?

Berggren¹,

Hansson²,

Uvemark³

et al. 2012

Journal of Plastic Surgery and Hand Surgery

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Since the 1980s, prenatal detection of cleft lip with or without cleft palate (CLP) is possible with a transabdominal ultrasound. The improvement of prenatal detection has resulted in an increased demand for prenatal information and counselling. The aim of this study was to, by means of a questionnaire, evaluate how families, who received the diagnosis prenatally and postnatally, respectively, think about the prenatal and postnatal consultation. Patients referred prenatally or postnatally to the department, due to CLP, between January 2006 and September 2010 were included in the study. Thirty-six of the families (95%) answered the questionnaire concerning prenatal counselling. A total of 46 parents (82%) answered the questionnaire concerning postnatal counselling. In the prenatal group, half of the patients were first informed by the ultrasound unit, whereas 16% were initially informed by the cleft team. More of the families that were informed by the cleft team were content with the information received than the families who were informed by the ultrasound unit. The majority of the families were satisfied with the structure of the consultation. Most of the patients in the postnatal group were happy with the postnatal consultation. Most of the parents in the postnatal group would have wanted to know about the diagnosis prenatally. The great majority of the parents was happy with the consultation with the cleft team and thought that they received enough information. However, the information received at the referring units could be improved. Parents seem to want information on the cleft diagnosis and its treatment as soon as possible.

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Section: Introductionmentioning

confidence: 99%

Prenatal compared with postnatal cleft diagnosis: What do the parents think?

Berggren¹,

Hansson²,

Uvemark³

et al. 2012

Journal of Plastic Surgery and Hand Surgery

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“…Routine prenatal ultrasound is offered in both the Netherlands and Israel, and participation is higher than 95% in both countries; however, the gestational age at which ultrasound is offered differs. In Israel, women are offered an ultrasound between 14 and 16 weeks of gestation, whereas in the Netherlands, ultrasound is performed at 20 weeks of gestation. It may be easier to make the difficult decision to terminate a pregnancy at an earlier gestational age.…”

Section: Discussionmentioning

confidence: 99%

Professional opinion on oral cleft during pregnancy: a comparison between Israel and the Netherlands

et al. 2015

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“…A study by Bronshtein and Blumenfeld[25] in Israel showed that 14 out of 15 patients voluntarily terminated pregnancy when a cleft was diagnosed by prenatal ultrasound. This is notable in that all the 15 couples had consulted parents of children with a cleft who had undergone surgical repair.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, the subjects were shown pre and postoperative pictures of the child with cleft lip palate, and the responses of the pregnant women were to a hypothetical question that in case their ultrasound scan diagnosed a cleft, what reproductive choice they would make. However, in the published studies,[2526] the subjects were pregnant women who were actually diagnosed with fetal cleft lip and palate by ultrasound. The responses might be subjective for the simple reason that the decision varies when one actually has to face a situation than when one hypothetically reacts to a situation.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of pregnant women and mothers of children with orofacial clefts toward prenatal diagnosis of nonsyndromic orofacial clefts in a semiurban set-up in India

Kadagad

Pinto

Powar

2011

Indian J Plast Surg

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Objectives:To assess the attitudes of pregnant women and mothers of children with orofacial clefts toward prenatal diagnosis of clefts and elective termination of pregnancy, and to investigate their opinion about who makes reproductive decisions in the family.Design:Two hundred subjects were included in the study prospectively regarding hypothetical prenatal ultrasound diagnosis of clefts.Setting:The study was done in a private tertiary care institution and a teaching hospital.Subjects/Participants:One hundred pregnant women consulting the Obstetrics department and 100 mothers of children with orofacial clefts in the Cleft and Craniofacial Unit were selected.Materials and Methods:Group I subjects were interviewed using a questionnaire and were shown preoperative and postoperative pictures of children treated for cleft lip and palate. Group II subjects were interviewed using a questionnaire.Results:Only 3% of Group I subjects and 2% of Group II opined that they would choose the elective termination of pregnancy if the fetus was diagnosed with a cleft on an ultrasound scan. In Group II, 70% subjects wished to have known about pregnancy affected with cleft prenatally and 96% said they would definitely avail ultrasound scans to determine pregnancy affected by clefts in future.Conclusions:Majority of the respondents from both the groups chose to continue with the pregnancy affected with a cleft when questioned regarding hypothetical prenatal ultrasound diagnosis of the cleft.

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Early prenatal diagnosis of cleft lip and its potential impact on the number of babies with cleft lip

Cited by 39 publications

References 6 publications

Prenatal compared with postnatal cleft diagnosis: What do the parents think?

Prenatal compared with postnatal cleft diagnosis: What do the parents think?

Professional opinion on oral cleft during pregnancy: a comparison between Israel and the Netherlands

Attitudes of pregnant women and mothers of children with orofacial clefts toward prenatal diagnosis of nonsyndromic orofacial clefts in a semiurban set-up in India

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