Multidisciplinary team approach to the prenatal management of orofacial clefts: a single center cohort study in Taiwan

Abstract

options, and a child's life course following the surgery. The case managing nurse was responsible for contacting parents, timely prenatal consultation, and providing comfort and support. If the parents struggled with the decision regarding pregnancy continuation, the case manager was active in following-up. To ensure no additional psychological harm was caused to parents, consultations were worded with tact, and instead of pushing for pregnancy continuation, the main aim was to ensure they had access to sufficient information to make an informed decision, and to support parents in their choice. Analysis. Descriptive statistics were used to characterize the OFC cases. Frequency was described by count (n) and percentage (%). A comparison between case characteristics and the decision to use consultation services, as well as a comparison between consultation services and the decision of whether to continue with pregnancy was performed. Due to some cells having a small count of less than n = 5, a Fisher's Exact Test (X 2) test of independence was performed. An a priori cutoff of significance was set at p < 0.05. All analyses were performed using R (RStudio Team (2019). RStudio: Integrated Development for R. RStudio, Inc., Boston, MA. URL https ://www.rstud io.com/).

Uso da ultrassonografia no diagnóstico de fendas labiais e fissuras palatinas durante o pré-natal: uma revisão integrativa

“…Todos os estudos presentes na atual revisão detectaram a importância do exame de ultrassonografia como uma ferramenta segura a ser aplicada durante o pré-natal e confirmaram seus impactos positivos para o planejamento de intervenções de uma equipe multidisciplinar após o nascimento do bebê. Dessa forma incentivando tais exames a continuarem a ser oferecidos durante o período gestacional (Jones, 2002;Tonni et al, 2015;Maarse et al, 2015;Loozen et al, 2015;James & Sclieder, 2016;Lakshmy et al, 2017;Marginean et al, 2018;Ko et al, 2020;Faure et al, 2020;Yan et al, 2022).…”

“…É importante destacar que fissuras lábio leporino quando ocorrem de maneira isolada são facilmente tratadas e não comprometem função, estética e qualidade de vida a longo prazo. Todavia, o mesmo não pode ser mencionado em relação a fendas palatinas que exigem intervenções cirúrgicas completas e, muitas vezes, são associadas a malformações congênitas graves e que são incompatíveis com o desenvolvimento correto da criança (Ko et al, 2020;Ambrosio et al, 2019;Faure et al, 2020).…”

Prenatal diagnosis of syndromic alobar holoprosencephaly associated with digynic triploidy fetus

“…During the investigations, the couple were sustained by a multidisciplinary unit with vast experience in the fetal US diagnosis and antenatal genetic evaluation [ 47 , 48 , 49 ].…”

An Ideal Multidisciplinary Cleft Lip and Cleft Palate Care Team

“…Oftentimes, the first meeting occurs with a multidisciplinary consultation with Obstetrics‐Gynecology. This is an important approach to manage pregnancies complicated by CL/CP anomalies to help prevent unnecessary pregnancy terminations and to develop a sufficient postnatal care plan (Ko et al, 2020). The delivery of care from this team in a single clinic space operates in a variety of formats with either patients or providers rotating from room to room.…”

“…Oftentimes, the first meeting occurs with a multidisciplinary consultation with Obstetrics-Gynecology. This is an important approach to manage pregnancies complicated by CL/CP anomalies to help prevent unnecessary pregnancy terminations and to develop a sufficient postnatal care plan (Ko et al, 2020).…”