title: Prenatal diagnostic rates and postnatal outcomes of fetal orofacial clefts in a Taiwanese population.
abstract: OBJECTIVE
  To report the incidence, prenatal diagnostic rate, and postnatal outcomes of fetal orofacial cleft at a tertiary referral center in Taiwan.
  
  
  METHODS
  The demographic data, maternal and fetal characteristics, and postnatal outcomes for fetuses with cleft lip and/or cleft palate (CL/P) born between January 1998 and December 2008 at Chang Gung Memorial Hospital, Taipei, were reviewed retrospectively, and diagnostic rates were evaluated according to cleft type.
  
  
  RESULTS
  Among 26499 deliveries, 84 were affected with CL/P. The mean maternal age and gestational age at detection of CL/P were 30.37 years (range 21-41 years) and 24.7 weeks (range 18-33 weeks), respectively. Thirty-one fetuses had associated structural anomalies, 5 of which involved chromosomal aberrations. CL/P was diagnosed prenatally for 74 (88%) fetuses. After consultations, 17 pregnancies (20%) were aborted. The postnatal survival rate was 95.5% (64/67 infants). The type of cleft had a significant influence on correct prenatal diagnosis (P<0.001).
  
  
  CONCLUSIONS
  For fetuses diagnosed prenatally with an orofacial cleft, access to an experienced craniofacial team, well-planned delivery, and pediatric intensive care led to favorable postnatal outcomes after lethal malformations were excluded through detailed sonographic and chromosomal evaluations.
authors: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan. liou88@ms13.hinet.net
authors: Jui-Der
authors: JD
authors: Liou
authors: Yu-Hsin
authors: YH
authors: Huang
authors: Tai-Ho
authors: TH
authors: Hung
authors: Chia-Lin
authors: CL
authors: Hsieh
authors: T'sang-T'ang
authors: TT
authors: Hsieh
authors: Liang-Ming
authors: LM
authors: Lo
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data; D000328:Adult; D002971:Cleft Lip / Q000175:diagnosis* / Q000453:epidemiology / Q000235:genetics; D002972:Cleft Palate / Q000175:diagnosis* / Q000453:epidemiology / Q000235:genetics; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011296:Prenatal Diagnosis / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013624:Taiwan / Q000453:epidemiology