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Parental Anxiety/Incompliance and Patients’ Complications During Covid-19 Pandemic Regarding Nasoalveolar Molding Treatment of Infants With Cleft Lip/Palate Publisher Pubmed



Sarmadi S1 ; Shahroudi AS1 ; Mohammadi F2 ; Shamshiri AR3 ; Safari F1
Authors
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Authors Affiliations
  1. 1. Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Craniomaxillofacial Research Center, Departement of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Research Center for Caries Prevention, Dentistry Research Institute, Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Source: Cleft Palate-Craniofacial Journal Published:2023


Abstract

Objectives: The ideal time for nasoalveolar molding (NAM) of infants with cleft lip and/or palate (CLP) is the first weeks after birth. The burden and responsibility that this method of treatment imposes on parents may result in incompliance. The coronavirus (COVID-19) pandemic and the redirection of health resources can make the situation worse. Therefore, this study evaluated the anxiety, complications, and incompliance of parents undergoing NAM during the COVID-19 pandemic. Materials and methods: Demographic data of 35 infants with CLP treated during the COVID-19 pandemic, compliance and level of anxiety of both parents in addition to their complications were reported. The association between different variables and incompliance was evaluated by simple and multiple logistic regressions. The level of significance was considered at P value less than 0.05. Results: The highest level of parental anxiety related to the NAM process was the delay in ending the treatment. Meanwhile, the reason for the highest level of anxiety related to attending the treatment sessions was the probability of the infant's COVID-19 infection. Fathers expressed lower levels of anxiety than mothers, significantly. The most prevalent NAM complication was skin irritation. Parents of younger infants (≤28 days) and those with a history of COVID-19 infection were more compliant. Conclusions: COVID-19 pandemic caused a significant increase in the level of anxiety in both parents, mainly due to the delay in treatment ending and the possibility of infant's infection. Moreover, considering the importance of treatment time, parents of younger infants were more compliant with the NAM process. © 2023, American Cleft Palate Craniofacial Association.
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1. Quality of Life in Adolescents and Young Adults With Cleft Lip and Palate With and Without Speech Therapy During Covid-19, Cleft Palate Craniofacial Journal (2023)
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