Outcomes of Care for Infants with Cleft Lip and Palate in the Intermediate Care and Special Care Nursery at Srinagarind Hospital, Khon Kaen University
Keywords:
Infants with cleft lip and palate, Intermediate Care and Special Care Nursery, Multidisciplinary team, Tawanchai CenterAbstract
Background and objective: The care team for infants with cleft lip and palate in the Intermediate Care and Special Care Nursery are pediatricians and nurses to keep them safe. This study aimed to analyze the outcomes of care for infants with cleft lip.
Method: A cross-sectional study in the Intermediate Care and Special Care Nursery, by reviewing the history files, medical records, hospital information, and the nurse note form of mothers and infants during 3 years. Quantitative data were analyzed using percentage, mean and qualitative summary.
Results: Ten mothers, nine cases gave birth in Hospital, seven cases had cesarean sections, pregnancies average 2.4 times, gestational age average was 36.1 weeks, six cases were in Khon Kaen. The proportion of infants admitted to the wards each year was 8.09, 3.14 and 4.60 per 1,000, seven females, with average birth weight of 2,685 g, date of discharge below the mean, weight 3,171 g., and an average hospital stay of 39.3 days.
Conclusion: Infants with CLP were admitted to a small number of the Intermediate Care and Special Care Nursery but had associated malformations and complicated syndromes. Caring requires a large number of resources and is shared by a multidisciplinary team, the patients received the surgery safely and continued treatment.
References
Eshete M, Butali A, Deressa W, Pagan-Rivera K, Hailu T, et al. Descriptive epidemiology of orofacial clefts in Ethiopia. J Craniofac Surg 2017; 28: 334-337.
IPDTOC Working Group. Prevalence at birth of cleft lip with or without cleft palate: data from the International Perinatal Database of Typical Oral Clefts (IPDTOC). Cleft Palate Craniofac J 2011; 48: 66-81.
Fuangtharnthip P, Chonnapasatid W, Thiradilok S, Manopatanakul S, Jaruratanasirikul S. Registry-based study of prevalence of cleft lip/palate in Thailand from 2012 to 2015. Cleft Palate Craniofac J 2021; 1055665620987677. doi: 10.1177/1055665620987677.
Chowchuen B, Surakunprapha P, Winaikosol K, Punyavong P, Kiatchoosakun P, Pradubwong S. Birth prevalence and risk factors associated with CL/P in Thailand. Cleft Palate Craniofac J 2021;58(5): 557-566.
Ratanasiri T, Junthathamrongwat N, Apinwantanakul S, Wongkam C, Chowchuen B. The birth incidence of cleft lip and palate at Srinagarind Hospital, 1990-1999. Srinagarind Med J 2001; 16: 3-7.
Christensen K. The 20th century danish facial cleft population-pidemiological and genetic-epidemiological studies. Cleft Palate Craniofac J 1999; 36: 96-104.
Maggadottir S, Sullivan K. The diverse clinical features of chromosome 22q11.2 deletion syndrome (DiGeorge Syndrome). J Allergy ClinImmunol Pract 2013; 1: 589-94
Yi NN, Yeow VK, Lee St. Epidemiology of cleft lip and palate in Singapore 1999; 28: 655-9.
Rawashdeh MA, Jawdat Abu-Hawas B. Congenital associated malformations in a sample of Jordanian patients with cleft lip and palate. J Oral MaxillofacSurg 2008; 66: 2035-2041.
Sun T, Tian H, Wang C, Yin P, Zhu Y, Chen X, et al. A Survey of congenital heart disease and other organic malformations associated with different types of orofacial cleft in Eastern China. PLoS One 2013; 8: e54726.
Pradubwong S, Surit P, Pongpagatip S, Petcharat T, Chowchuen B. Evidence-triggers for care of patient with cleft lip and palate at Srinagarind Hospital: The Tawanchai Center and out-patients surgical room. J Med Assoc Thai 2016; 99 (Suppl 5): 43-50.
Wongkham J, Pradubwong S, Chatvised P, Ratanasiri T. Evidence-triggers for care of patient with cleft lip and palate at Srinagarind Hospital: antenatal care unit. J Med Assoc Thai 2016; 99 (Suppl 5): 51-57.
Pradubwong S, Pongpagatip S, Pathumwiwatana P, Kiatchoosakun P, Panamonta M, Chowchuen B. Treatment of 4-5-year-old patients with cleft Lip and cleft palate in Tawanchai Center: prevalence and type of associated malformations. J Med Assoc Thai 2014; 97 (Suppl 10): 1-6.
Wichajan K, Panamonta O, Pradubwong S, Panamonta M, Weraarchakul W, Chowchuen B. Pravalence and type of associated syndromes in patients with cleft lip and cleft palate who received the treatment in Tawanchai Center until 4-5 years of age. J Med Assoc Thai 2014; 97 (Suppl 10): S105-S109.
Prathanee S, Tontrisirim C, Panamontha M. Cardiac surgery in cleft lip palate children: Srinagarind Hospital experience. J Med Assoc Thai 2015; 98 (Suppl 7): S115-S119.
Khunpradit S. Low birth weight: Fetal origins of adult disease. Chula Med J. 2004 May; 48(5): 309-22.
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