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

Hsuan Ko, Tung Yao Chang, Eric C. Lussier, Ksenia Olisova, Chan Yu Sung, Philip Kuo Ting Chen, Wen Chu Li, Tze Yi Yang, Ru Xuan Wang

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)

摘要

Advances in ultrasound fetal diagnostics and treatment have created a dilemma for doctors and parents: choosing whether to continue with a pregnancy as well as choosing between various treatment options. A multidisciplinary approach has been widely accepted in the management of other prenatally diagnosed anomalies and has shown superior results compared to routine care. We present a retrospective cohort of patients prenatally diagnosed with orofacial clefts who were offered consultation by an expert multidisciplinary team, including: a fetal medicine specialist, an obstetrician, a plastic surgeon, and a case managing nurse. We analyzed factors influencing parents' decision to utilize a consultation service, as well as their decision about pregnancy continuation. Our results suggest that the presence of other anomalies and maternal age heavily influenced the decision about the uptake of consultations. If consulted by the team, parents tended to continue with the pregnancy, even when accounting for fetal gender and maternal age. On the other hand, having a consultation had varying effects depending on the cleft type. The findings suggest that multidisciplinary consultations may be an efficient approach in managing pregnancies complicated by orofacial cleft anomalies; which may help in preventing unnecessary pregnancy terminations and developing a sufficient postnatal care plan.

原文英語
文章編號13916
期刊Scientific Reports
10
發行號1
DOIs
出版狀態已發佈 - 12月 1 2020

ASJC Scopus subject areas

  • 多學科

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