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Decrease in Prevalence of Cleft lip, Alveolus and Palate After Nationwide Introduction of the Second-Trimester Anomaly Scan in the Netherlands.
- Source :
-
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 Jun; Vol. 61 (6), pp. 930-938. Date of Electronic Publication: 2023 Jan 03. - Publication Year :
- 2024
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Abstract
- Objective: Some studies have suggested that introducing a second-trimester anomaly scan (SAS) leads to increased rates of termination of pregnancy (TOP) in fetuses with orofacial clefts (OFCs). The aim of this study was to evaluate the impact of a nationwide introduction of SAS on the prevalence of live births with OFCs in the Netherlands.<br />Design: Retrospective cohort study.<br />Setting: Tertiary setting.<br />Population: Included in the study were all patients diagnosed with OFCs as recorded in the "Dutch Association for Cleft Palate Anomalies" database between 1997 and 2019.<br />Interventions: Patients were divided into three categories: cleft lip with or without alveolus (CL/A), cleft lip, alveolus and palate (CLAP) and cleft palate (CP) based on anatomical landmarks at the first consultation.<br />Main Outcome Measures: Prevalence rates of OFCs before and after the nationwide introduction of the SAS on January 1, 2007 were compared.<br />Result: Overall, 1899 patients were diagnosed with CL/A, 2586 with CLAP and 2927 with CP. The prevalence of clefts before and after introduction of the SAS did not differ ( P = 0.85). The prevalence of CL/A decreased ( P = 0.04), and that of CLAP decreased ( P = 0.01) and that of CP increased ( P = 0.02).<br />Conclusions: This study demonstrates a significant decrease in the prevalence of CL/A and CLAP after introduction of the SAS. However, due to an increase in CP, the prevalence of all patients born with OFCs has not changed in the Netherlands between 1997 and 2019.<br />Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Subjects :
- Humans
Netherlands epidemiology
Female
Retrospective Studies
Prevalence
Pregnancy
Adult
Alveolar Process abnormalities
Alveolar Process diagnostic imaging
Cleft Lip epidemiology
Cleft Lip diagnostic imaging
Cleft Palate epidemiology
Cleft Palate diagnostic imaging
Pregnancy Trimester, Second
Ultrasonography, Prenatal
Subjects
Details
- Language :
- English
- ISSN :
- 1545-1569
- Volume :
- 61
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
- Publication Type :
- Academic Journal
- Accession number :
- 36594216
- Full Text :
- https://doi.org/10.1177/10556656221149144