A Study on Care of Infants with Cleft Lip – Palate in the Labor Room, Srinagarind Hospital, Khon Kaen province, Thailand

Abstract

Background and Objectives: Cleft lip and palate is an anomaly that can severely traumatize both the mother and child’s mental health, a topic which is of interest about incidents, diagnosis, and nursing  activity   to the researchers.

Methods:  This was a descriptive research was employed in conveying the conditions of infants with cleft lip and palate who were attended  the Labor room at Srinagarind hospital, Khon Kaen University. The collected data was divided into four parts: 1) baseline characteristics, 2) associated factors and diagnosis, 3) pregnancy outcomes, and 4) nursing activity. Data were collected from the medical record, birth records, and nursing  activity record period between January, 2019 to March, 2019. Statistics used for data analysis included frequency, percentile, and qualitative analysis.

Results: There was a total of 35 cases during the study period, aged 20-34 years old (82.86%), residing in Khon Kaen (48.5%). A twenty-five pregnant women (71.43%) were attended both antenatal care at Srinagarind hospital and other hospitals, There was a complicated during pregnancy (37.14%) and  had been diagnosed with an abnormality during antenatal period (88.57%). The majority of the women had delivery at 37-42 weeks (65.72%), with birth weight of the infant more than 3,000 grams (31.42%) and an APGAR score at 1 minute ranging from 8-10 points (48.58%). The newborns were diagnosed cleft lip with Unilateral or bilateral cleft palate (62.86%), and eleven newborns had other anomalies and were terminated.

Conclusion: All pregnant women in this study were detected cleft lip and palate-by ultrasound. Twenty-four cases were live births and eleven cases were death by medical abortion. The mothers and infants were provided care based on standard.