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Original Research

Open Access

Psychosocial Maternal Perception of the Outcome of Pre Surgical Infant Orthopedics in Infants Born with Cleft Lip and Palate

  • Neha Bhutiani1,*,
  • Tulika Tripathi2
  • Priyank Rai2

1Orthodontics & Dentofacial Orthopedics, Department of Dentistry, University College of Medical Sciences, Delhi, India

2Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India

DOI: 10.22514/1053-4625-46.4.7 Vol.46,Issue 4,July 2022 pp.299-236

Published: 01 July 2022

*Corresponding Author(s): Neha Bhutiani E-mail: augustneha@yahoo.com

Abstract

Background: The setback of having a child with cleft lip and palate deeply affects the parents psychology. The Pre Surgical Infant Orthopaedics(PSIO) is a promising procedure for improvement in facial morphology prior to primary lip repair. Objective: The current study examines the perception of effects of PSIO procedures on the facial appearance of newborns with cleft lip/palate by their mothers and finds its correlation if any, with the change in psychosocial status of the mothers. Study design: The mothers of 50 infants(0-6 months) born with cleft lip/palate rated the nasal morphology, extent of cleft defect and overall facial morphology on a Likert’s scale before and after PSIO procedure. This was correlated with changes in mother’s depression, anxiety and stress levels by using the validated Hindi-version of Depression Anxiety and Stress scale(DASS-42) index before and after PSIO. Results: The mothers reported a significant improvement in all the morphological parameters for their infants with PSIO which correlated well with significant reduction in the DASS scores from 22.54(severe) to 7.10(normal) for depression, 20.64(extremely severe) to 6.46(normal) for anxiety and 24.7(severe) to 8.4(normal) for stress. Conclusions: The changes in facial morphology by PSIO procedures are well perceived by mothers and significantly improves their depression, anxiety and stress levels.


Keywords

Presurgical Infant Orthopedics(PSIO); Psychosocial status; parents; Cleft lip and palate


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Neha Bhutiani,Tulika Tripathi,Priyank Rai. Psychosocial Maternal Perception of the Outcome of Pre Surgical Infant Orthopedics in Infants Born with Cleft Lip and Palate. Journal of Clinical Pediatric Dentistry. 2022. 46(4);299-236.

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