Prenatal ultrasound diagnostics and sociopsychological support as rehabilitation measures in patients with congenital cleft palate complicated by anomalies of other organs and systems
- Authors: Rogozhina Y.S.1,2, Blokhina S.I.2, Bimbas E.S.2, Naboichenko E.S.2
-
Affiliations:
- Multiprofile Clinical Medical Center «Bonum»
- Ural State Medical University
- Issue: Vol 30, No 2 (2024)
- Pages: 110-121
- Section: Original Research Articles
- URL: https://journals.rcsi.science/0869-2106/article/view/262457
- DOI: https://doi.org/10.17816/medjrf569952
- ID: 262457
Cite item
Abstract
BACKGROUND: Prenatal ultrasound diagnostics and sociopsychological support in the early rehabilitation of children with congenital cleft palate combined with malformations of other organs and systems complement the unified algorithm of dynamic monitoring and rehabilitation treatment of these patients. Thus, predicting the choice of techniques and the system of rehabilitation prescriptions became possible.
AIM: To present the experience of prenatal ultrasound diagnostics and sociopsychological support during pregnancy for the early rehabilitation of a patient with cleft palate combined with malformations of other organs and systems.
MATERIALS AND METHODS: The study was conducted in the Multiprofile Clinical Medical Center “Bonum” in Yekaterinburg. For 24 years, from the analysis of medical records of the organizational and rehabilitation process of 2,475 patients with congenital cleft lip and/or palate receiving comprehensive care (1998–2022), 823 (33.25%) patients who had with cleft palate and malformations of other organs and systems were enrolled in this study. The discharge epicrises of the pregnancy and the timing of intrauterine ultrasound diagnostics of the fetus were studied, and the history of childbirth and anamnesis of newborns and timing of their routing and registration in the specialized “Bonum” Center were analyzed. At the time of the initial outpatient appointment at the center, parents’ responses to a survey on the nature of emotional and psychological experiences during the prenatal ultrasound examination of the fetus, period of “bearing” pregnancy, and birth of a baby with a complex anatomical and physiological pathology were analyzed.
RESULTS: Ultrasound examination of the fetus during uterine development registered 292 (35.48%) of 823 cases of a combination of congenital cleft palate and anomalies of other organs and systems. The main forms of malformations in the fetus were established in the second (n=99, 33.90%) and third (n=185, 63.36%) trimester pregnancy screening. Mothers who were told about the results of ultrasound diagnostics of the fetus showed anxiety and emotional lability. The use of psychocorrectional and socially significant measures during the diagnosis of fetal pathologies and at the time deciding whether to continue pregnancy, as well as the newborn period, which relieved the psycho-emotional tension of parents, was proposed.
CONCLUSION: Early rehabilitation of patients with congenital cleft palate combined with malformations of other organs and systems should be provided as an integral part of the complex rehabilitation therapy. Sociopsychological support of the family from the period of prenatal diagnosis of the fetus who had multiple malformations is necessary at all stages of pregnancy and rehabilitation treatment of the child.
Full Text
##article.viewOnOriginalSite##About the authors
Yulia S. Rogozhina
Multiprofile Clinical Medical Center «Bonum»; Ural State Medical University
Author for correspondence.
Email: rogozhina.u@mail.ru
ORCID iD: 0000-0001-9484-6397
SPIN-code: 8619-2137
MD, Cand. Sci. (Medicine)
Russian Federation, Yekaterinburg; YekaterinburgSvetlana I. Blokhina
Ural State Medical University
Email: kdvo@inbox.ru
ORCID iD: 0000-0003-0872-0574
SPIN-code: 9877-9215
MD, Dr. Sci. (Medicine), professor
Russian Federation, YekaterinburgEvgenia S. Bimbas
Ural State Medical University
Email: bimbases@gmail.com
ORCID iD: 0000-0003-4122-2518
SPIN-code: 7035-6204
MD, Dr. Sci. (Medicine), professor
Russian Federation, YekaterinburgEvgenia S. Naboichenko
Ural State Medical University
Email: dhona@mail.ru
ORCID iD: 0000-0001-7315-6741
SPIN-code: 2201-3224
Dr. Sci. (Psychology), professor
Russian Federation, YekaterinburgReferences
- Egorova MV, Ivanova ES, Amkhadova MA. Implementation of early comprehensive rehabilitation of children with cleft lip and palate using the example of the Moscow region. Stomatology. 2020;99(6-2):10–14. EDN: ARJSOF doi: 10.17116/stomat20209906210
- Rogozhina YuS, Blokhina SI, Bimbas ES. On the issue of surgical treatment of patients with congenital orofacial clefts combined with other organ and system comorbidities. Pediatric Dentistry and Dental Prophylaxis. 2023;23(3):281–294. EDN: EIRLEU doi: 10.33925/1683-3031-2023-658
- Rogozhina YuS, Blokhina SI, Bimbas ES, Galeeva KV. Modern tactics of follow-up care and treatment of patients with congenital maxillofacial defects combined with other comorbid conditions. Pediatric Dentistry and Dental Prophylaxis. 2023;23(2):92–103. EDN: BOXMRA doi: 10.33925/1683-3031-2023-606
- Mamedov AA, Volkov YuO, Korsunsky АА, et al. Interdisciplinary care for newborns with cleft lip and palate in a children’s multidisciplinary hospital. Lechaschi vrach. 2021;(8):39–44. EDN: YQGNLN doi: 10.51793/OS.2021.24.8.006
- Saidova GB, Prityko AG, Suleymanov AB, et al. Goals and objectives in the elimination of congenital malformations of the maxillofacial region in children with severe comorbidities. Quantum Satis. 2023;6(2):81–84. (In Russ). EDN: MJZCNL
- Sekhon PS, Ethunandan M, Markus AF, et al. Congenital anomalies associated with cleft lip and palate-an analysis of 1623 consecutive patients. Cleft Palate Craniofac J. 2011;48(4):371–378. doi: 10.1597/09-264
- Sato Y, Yoshioka E, Saijo Y, et al. Associated congenital anomalies and syndromes of 248 infants with orofacial clefts born between 2011 and 2014 in the Japan environment and children’s study. Congenit Anom (Kyoto). 2023;63(1):9–15. doi: 10.1111/cga.12496
- Vibert F, Schmidt G, Löffler K, et al. Accuracy of prenatal detection of facial clefts and relation between facial clefts, additional malformations and chromosomal abnormalities: a large referral-center cohort. Arch Gynecol Obstet. 2023. (In press). doi: 10.1007/s00404-023-07084-8
- Vasil’ev YuA, Red’ko AN, Gulenko OV, Udina IG. Prenatal ultrasonic detection of congenital clefts of lip and palate in Krasnodarskii Krai. Russian Journal of Dentistry. 2017;21(4):190–193. (In Russ). EDN: ZGZFGH doi: 10.18821/1728-2802-2017-21-4-190-193
- Guyot A, Soupre V, Vazquez MP, et al. Prenatal diagnosis of cleft lip with or without cleft palate: retrospective study and review. J Gynecol Obstet Biol Reprod (Paris). 2013;42(2):151–158. (In French). doi: 10.1016/j.jgyn.2012.08.002
- Kazantseva AV, Prokhorova OV, Naboychenko ES, et al. Analysis of the influence of the level of awareness of pregnant women on readiness for birth. System Integration in Health Care. 2022;4(57): 5–11. EDN: JSJAIX
- Robbins JM, Damiano P, Druschel CM, et al. Prenatal diagnosis of orofacial clefts: association with maternal satisfaction, team care, and treatment outcomes. Cleft Palate Craniofac J. 2010;47(5): 476–481. doi: 10.1597/08-177
- Silva VAPD, Gifalli M, Capone FA, et al. Prenatal diagnosis of orofacial clefts: unveiling the parents’ experience. Rev Paul Pediatr. 2023;41:e2022004. doi: 10.1590/1984-0462/2023/41/2022004
- James JN, Schlieder DW. Prenatal counseling, ultrasound diagnosis, and the role of maternal-fetal medicine of the cleft lip and palate patient. Oral Maxillofac Surg Clin North Am. 2016;28(2): 145–151. doi: 10.1016/j.coms.2015.12.005
- Hammoudeh JA, Imahiyerobo TA, Liang F, et al. Early cleft lip repair revisited: a safe and effective approach utilizing a multidisciplinary protocol. Plast Reconstr Surg Glob Open. 2017;5(6):e1340. doi: 10.1097/GOX.0000000000001340
- Wlodarczyk JR, Wolfswinkel EM, Liu A, et al. Early cleft lip repair: demonstrating efficacy in the first 100 patients. Plast Reconstr Surg. 2022;150(5):1073–1080. doi: 10.1097/PRS.0000000000009634
- Suleymanov AB, Prityko AG. Early treatment and rehabilitation of children with congenital cleft lip and palate. Quantum Satis. 2021;4(1-4):133–134. (In Russ). EDN: IUBNJC
- Oftedal A, Bekkhus M, Haugen GN, et al. The impact of diagnosed fetal anomaly, diagnostic severity and prognostic ambiguity on parental depression and traumatic stress: a prospective longitudinal cohort study. Acta Obstet Gynecol Scand. 2022;101(11):1291–1299. doi: 10.1111/aogs.14453
- Altunhan H, Annagür A, Konak M, et al. The incidence of congenital anomalies associated with cleft palate/cleft lip and palate in neonates in the Konya region, Turkey. Br J Oral Maxillofac Surg. 2012;50(6):541–544. doi: 10.1016/j.bjoms.2011.08.001
- Erinoso OA, James O, Sokunbi OJ, et al. Congenital heart defects in orofacial cleft: a prospective cohort study. Afr J Paediatr Surg. 2021;18(4):219–223. doi: 10.4103/ajps.AJPS_159_20
- Farladansky-Gershnabel S, Gluska H, Halevi N, et al. Cleft lip and/or cleft palate: prenatal accuracy, postnatal course, and long-term outcomes. Children (Basel). 2022;9(12):1880. doi: 10.3390/children9121880
- Mak ASL, Leung KY. Prenatal ultrasonography of craniofacial abnormalities. Ultrasonography. 2019;38(1):13–24. doi: 10.14366/usg.18031
- Nagalo K, Ouédraogo I, Laberge JM, et al. Congenital malformations and medical conditions associated with orofacial clefts in children in Burkina Faso. BMC Pediatr. 2017;17(1):72. doi: 10.1186/s12887-017-0833-9
- Sanchez MLN, Benjamin RH, Mitchell LE, et al. Birth defect co-occurrence patterns among infants with cleft lip and/or palate. Cleft Palate Craniofac J. 2022;59(4):417–426. doi: 10.1177/10556656211010060
- Sun T, Tian H, Wang C, et al. A survey of congenital heart disease and other organic malformations associated with different types of orofacial clefts in Eastern China. PLoS One. 2013;8(1):e54726. doi: 10.1371/journal.pone.0054726
- Leonov AG, Baranskaya LT. Psychological aspects of early surgery in cases of congenital facial and jaw pathology. Ural Medical Journal. 2009;(6):88–93. EDN: KXJKBV
- Naboychenko ES, Ulyashina EI. Personal characteristics and child-parent relations as psychological factors of stigmatization of families raising a child with an atypical appearance. System Integration in Health Care. 2021;(1):53–59. EDN: UUXZZJ
- Guichoud Y, El Ezzi O, de Buys Roessingh A. Cleft lip and palate antenatal diagnosis: a swiss university center performance analysis. Diagnostics (Basel). 2023;13(15):2479. doi: 10.3390/diagnostics13152479
- Lai GP, Weng XJ, Wang M, et al. Diagnostic accuracy of prenatal fetal ultrasound to detect cleft palate in high-risk fetuses: a systematic review and meta-analysis. J Ultrasound Med. 2022;41(3):605–614. doi: 10.1002/jum.15736
- Pankova EE, Matulevich SA, Glikhina TA, Klipa MV. Genetic monitoring of congenital malformations within the prenatal diagnostics efficiency assessment system in Krasnodar Region. Kuban Scientific Medical Bulletin. 2010;8:150–154. EDN: OCQGJH