title: Presurgical orthopedics and satisfaction in motherhood: a randomized clinical trial (Dutchcleft).
abstract: OBJECTIVE
  To study the effect of infant orthopedics on satisfaction in motherhood.
  
  
  METHODS
  Prospective two-arm randomized controlled trial in parallel with three participating academic cleft palate centers. Treatment allocation was concealed and was performed by means of a computerized balanced allocation method.
  
  
  METHODS
  Cleft palate centers of Amsterdam, Nijmegen, and Rotterdam, the Netherlands.
  
  
  METHODS
  Two groups of infants with complete unilateral cleft lip and palate and no other malformations.
  
  
  METHODS
  Group IO+ (n = 27) wore passive maxillary plates during the first year of life, group IO- (n = 27) did not.
  
  
  METHODS
  Mean satisfaction scores were obtained from completed questionnaires at 6, 24, and 58 weeks of age. A 4-point scale was used (1 = very satisfactory to 4 = very unsatisfactory).
  
  
  RESULTS
  The range of the mean scores for the individual items on the questionnaires for both groups ranged between 1.1 and 2.4. No differences were found between groups. Mothers appear to be satisfied in motherhood, least satisfied with the available time for themselves, and very satisfied with hugging and walking their babies. No differences were found between groups.
  
  
  CONCLUSIONS
  Results from the present study show that infant orthopedics, with a passive plate during the first year of life, in children with a unilateral cleft lip and palate has no influence on the mothers' satisfaction in motherhood.
authors.affiliation: Department of Orthodontics Academic Center for Dentistry, Amsterdam, the Netherlands. c.prahl@acta.nl
authors.forename: Charlotte
authors.initials: C
authors.lastname: Prahl
authors.forename: Birte
authors.initials: B
authors.lastname: Prahl-Andersen
authors.forename: Martin A
authors.initials: MA
authors.lastname: Van't Hof
authors.forename: Anne M
authors.initials: AM
authors.lastname: Kuijpers-Jagtman
mesh_terms: D002971:Cleft Lip / Q000628:therapy*; D002972:Cleft Palate / Q000628:therapy*; D006801:Humans; D007223:Infant; D009035:Mothers / Q000523:psychology*; D019637:Orthopedic Procedures; D009989:Orthotic Devices; D016487:Parenting / Q000523:psychology*; D010549:Personal Satisfaction; D011446:Prospective Studies; D012944:Social Support; D011795:Surveys and Questionnaires