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Psychological Effect of Prenatal Diagnosis of Cleft Lip and Palate: A Systematic Review
V P Sreejith1, V Arun1, Anooj P Devarajan1
1Department of Oral and Maxillofacial Surgery, Kannur Dental College, Kannur, Kerala, India.
Insights
Prenatal diagnosis of cleft lip and/or palate (CLP) allows for early counseling, improving parental preparedness and the child's quality of life. This early intervention positively impacts treatment outcomes for this common congenital anomaly.
Area of Science:
- Medical Imaging
- Pediatric Surgery
- Psychology
Background:
- Cleft lip and/or palate (CLP) is the most frequent congenital craniofacial anomaly.
- Advanced imaging techniques facilitate prenatal diagnosis of craniofacial defects.
- Early identification aids parental counseling on treatment and outcomes.
Purpose of the Study:
- To evaluate the psychological impact of prenatal cleft lip and/or palate diagnosis on parents.
Main Methods:
- Searched PubMed, Cochrane, and Google Scholar for studies on prenatal diagnosis and psychological effects of CLP.
- Included studies specifically assessing parental psychological aspects related to cleft conditions.
Main Results:
- Initial search yielded 500 articles; 40 focused on diagnosis and management.
- Eight studies specifically addressed the psychological effects and counseling for parents of children with CLP.
Conclusions:
- Prenatal diagnosis facilitates timely counseling by cleft teams.
- Enhanced parental preparedness leads to improved treatment quality and child's quality of life.
Introduction And Background:
Cleft lip and/or palate is the most common congenital craniofacial anomaly. Prenatal diagnosis of the craniofacial anomalies is possible with the advent of newer imaging modalities. The identification of the defect at an early stage in the pregnancy helps the parents to be well informed and counseled regarding the treatment possibilities and outcomes of cleft lip and palate (CLP) treatment.
Objectives:
To analyze the psychological effects of prenatal diagnosis of CLP on the parents.
Materials And Methods:
PubMed, Cochrane, and Google Scholar searches were made with search strings "prenatal diagnosis cleft lip palate," "antenatal diagnosis," "anomaly scan," "psychological effect cleft lip palate," and "prenatal counseling cleft lip palate." Of the results obtained, studies which evaluated the psychological aspects of parents of cleft children were further included in the study.
Results:
Electronic search yielded 500 articles after duplication removal. Forty studies concentrated on the results of the scan and their implications predominantly in the diagnosis and management of cleft and other related abnormalities. Eight studies discussed the effects of prenatal diagnosis and counseling on the parents.
Conclusion:
Prenatal diagnosis enables appropriate and timely counseling of the parents by the cleft team and helps instill a sense of preparedness for the family which highly improves the quality of treatment received by the child enabling a near-to-normal quality and standard of life.
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