07 multicultural attitudes

Question 1

When is an ultra sound done?

Answer 1

14 weeks
you can see in 3D ultrasound whether there is a cleft in the lip
you can determine if cleft palate is determined
other studies are looking for different anomalies
not normally seen because of tissue

Question 2

Prenatal testing - what were the Radius Study results?

Answer 2

• Contour of the face primarily complete by 14th week of gestation
• this is really early!
• Perabdominal or transabdominal ultrasound is most common
• The reason it is not routine is because of the Radius Study

Question 3

Describe the study in 1996, that was published by Bronshtein, Blumenfeld and Blumenfeld

Answer 3

-In Israel, ultrasound is performed transvaginally at 14-16 weeks.
-on average 18-22 weeks back in that time
-RQ: How many birth defects and what happens after that? what action do they take place
when a deformation is discovered from ultrasound, they took a different point of action = cultural differences
-Based on 24,000 scans of births over 10 years
15 cases of CL were detected by the ultrasound and out of those 15, 14 families decided to terminate the pregnancy.

Question 4

T/F 17 families who had a child with congenital cleft lip all stated that they would choose termination in a subsequent pregnancy if cleft lip was detected in the early second trimester.

Answer 4

True

Question 5

T/F 8 plastic surgeons and 15 maxillofacial surgeons also said they would not prefer termination to delivery of an affected newborn.

Answer 5

false, they would prefer

Question 6

T/F San Diego (Jones, 1999) found women or couples elected to continue the pregnancy.

Answer 6

True

• An informal survey of 21 professionals involved with cleft palate diagnosis and treatment found that 19 would continue the pregnancy and 3 would not.
• Out of the 28 families who were diagnosed, only 2 terminated the pregnancy and everyone kept the baby

Question 7

‘Why the Differences’ in attitude and actions toward cleft malformations?

Answer 7

• Perception of burden of the cleft and the treatment is going to mean to the larger culture, culture of the town, family, and parents
• Timing of the exam
• The idea of bonding to an infant
• The biggest point is probably perception of burden.
• Socioeconomic burden
• The idea of the collective vs. the individual