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Muqaddas Tasneem
Hajra Sarwar
Hina Aslam


Cleft Lips, Cleft palate, Mothers, Nursing care skills guidelines, Stress, care provision


Background: The mothers of a child born with Cleft Lips and Palate (CLP) are likewise impacted by the disorder. When a child is diagnosed has an impact on how well mothers can adjust and cope. It has an impact on the family's way of life, and mothers who feel responsible for their child's condition go through periods of stress, fear, and care concerns

Objective: To determine the effects of Nursing Care Skills Guidelines on Stress among mothers having children with cleft lip and cleft palate.

Methodology: Two groups quasi experimental study design was used to carry out this study. Simple random Sample of n=36 was recruited in both groups. Validated tools of stress was used to collect the data from mothers in the intervention and control group. Pre-assessment was conducted to obtain baseline scores, after that interventional guidelines for a period of 6 months were delivered only to the interventional group and on the other hand the control group was observed with routine care. After the completion of intervention during post assessment, the data was again collected from the control and interventional group and was compared to see the effect of intervention.

Results: The findings suggested that at pre assessment, there was a non-significant mean difference between the control group and intervention group t (.472) =, p value=0.638, with mean and SD (101.56 +10.188 vs. 100.31 +12.172). Furthermore, independent sample t-test statistics used to evaluate effect of nursing skills guidelines on mothers’ stress in the intervention group. After the intervention assessment showed statistically significant difference in control and interventional group scores of stress among mothers, t(9.770), p value=0.000, with mean and SD (97.83 +11.423vs. 76.67 +6.379)

Conclusion: This reflects that nursing skills guidelines have effects on stress among mothers of Cleft lip and palate children.

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1. Alonso, R. R. H., & Brigetty, G. P. S. (2020). Analysis of the prevalence and incidence of cleft lip and palate in Colombia. The Cleft Palate-Craniofacial Journal, 57(5), 552-559.
2. Attia, A. M. F., Elkazaz, R. H., & El-Monshed, A. H. Mothers of children with an orofacial cleft: nursing support and stress.
3. Bahlgerdi, M., Miri, M., Sharifzadeh, G., Norozi, E., & Hosseini, T. (2021). The effect of educational intervention based on theory of planned behavior and self-regulatory strategies on the social vitality of women employee. Journal of Education and Health Promotion, 10.
4. Bhutiani, N., Tripathi, T., & Rai, P. (2022). Psychosocial Maternal Perception of the Outcome of Pre Surgical Infant Orthopedics in Infants Born with Cleft Lip and Palate. Journal of Clinical Pediatric Dentistry, 46(4), 299-306.
5. Bos, A., Prahl, C., & Sterkenburg, P. S. (2017). Mothers of children with an orofacial cleft: Satisfaction with motherhood and experience of stress. Den Oral Craniofac Res, 4(2).
6. Boztepe, H., Çınar, S., & Özgür, M., Fatma Figen. (2020). Parenting stress in Turkish mothers of infants with cleft lip and/or palate. The Cleft Palate-Craniofacial Journal, 57(6), 753-761.
7. Carvalho, N. O., Matos, M. F. S., Belchior, I. F. C., Araújo, M. B., Rocha, C. T., & Neves, B. G. (2021). Parents' Emotional and Social Experiences of Caring a Child with Cleft Lip and/or Palate. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 21.
8. Chukwuanukwu, T. O., Afiadigwe, E. A., Apakama, A. I., Chukwuanukwu, R., Uchechukwu Nwankwo, E., & Ilokanuno, C. N. (2021). Epidemiology of cleft lip and palate in Nigeria: a data-based study. International Journal of Scientific Research in Dental and Medical Sciences, 3(2), 73-77.
9. Çınar, S., & Koc, G. (2020). The effect of nursing care provided to Turkish mothers of infants born with cleft lip and palate on maternal attachment and self-efficacy: a quasi-experimental study. Journal of Pediatric Nursing, 53, e80-e86.
10. Costa, B., Williams, J. R., Martindale, A., Stock, N. M., & Team, V. F. R. (2019). Parents' experiences of diagnosis and care following the birth of a child with cleft lip and/or palate. British Journal of Midwifery, 27(3), 151-160.
11. Desai, B. B., Patel, D. P., Sinha, S. V., Jain, M., Patel, R. N., & Bhanat, S. T. (2019). Correlating causative factors in cleft lip and palate patients: An epidemiological study. Journal of Cleft Lip Palate and Craniofacial Anomalies, 6(1), 11-16.
12. Erdost, S. K., Ari, A., Yalçin, C. E., Demirezen, E., Melenkis, S., & Aydin, Y. (2023). Parental Stress Status in Families with a Baby with Cleft Lip and/or Palate. Turkish Journal of Plastic Surgery, 31(3), 95-102.
13. Gavelle, P., Dissaux, C., Dupont, M., Khonsari, R. H., & Picard, A. (2022). Parental and Child Diagnosis Storytelling and Self-Image in French Children With Cleft lip With or Without Cleft Palate. The Cleft Palate-Craniofacial Journal, 10556656221126268.
14. Hakim, A., Zakizadeh, Z., Saki, N., & Haghighizadeh, M. H. (2021). The effect of combined education on the knowledge and care and supportive performance of parents with children with cleft lip and palate: A clinical trial study. Global Pediatric Health, 8, 2333794X211022238.
15. Hariharan, S. V. (2022). Indocleftcon 2022 Braithwaite Oration: Early Intervention in Cleft Lip and Palate-Perspectives from a Speech Language Pathologist. Journal of Cleft Lip Palate and Craniofacial Anomalies, 9(2), 120-124.
16. Hemati, Z., Abbasi, S., Paki, S., & Kiani, D. (2017). The effect of happiness training based on Fordyce model on perceived stress in the mothers of children with cleft lip and palate. Journal of caring sciences, 6(2), 173.
17. Huda, N. U., Shahzad, H. B., Noor, M., Ishaq, Y., Anwar, M. A., & Kashif, M. (2021). Frequency of Different Dental Irregularities Associated With Cleft Lip and Palate in a Tertiary Care Dental Hospital. Cureus, 13(4).
18. Jahanbin, A., Jamalinasab, A., & Niazi, A. E. (2021). Variations in Orofacial Clefts. Journal of Craniofacial Surgery, 32(2), e179-e182.
19. Kapos, F. P., White, L. A., Schmidt, K. A., Hawes, S. E., & Starr, J. R. (2021). Risk of non‐syndromic orofacial clefts by maternal rural‐urban residence and race/ethnicity: A population‐based case‐control study in Washington State 1989‐2014. Paediatric and perinatal epidemiology, 35(3), 292-301.
20. Kapp-Simon, K. A. (2006). A brief overview of psychological issues in cleft lip and palate. Cleft lip and palate, 257-261.
21. Kruppa, K., Krüger, E., Vorster, C., & der Linde, J. v. (2022). Cleft lip and/or palate and associated risks in lower-middle-income countries: a systematic review. The Cleft Palate-Craniofacial Journal, 59(5), 568-576.
22. Lentge, K., Lentge, F., Zeller, A.-N., Gellrich, N.-C., Tavassol, F., Korn, P., & Spalthoff, S. (2022). Cleft lip and palate: the psychological burden of affected parents during the first three years of their children’s lives. International Journal of Oral and Maxillofacial Surgery.
23. Mbuyi-Musanzayi, S., Kayembe, T. J., Kashal, M. K., Lukusa, P. T., Kalenga, P. M., Tshilombo, F. K., . . . Reychler, H. (2018). Non-syndromic cleft lip and/or cleft palate: Epidemiology and risk factors in Lubumbashi (DR Congo), a case-control study. Journal of Cranio-Maxillofacial Surgery, 46(7), 1051-1058.
24. Qadeer, M., Jaafar, S., Khamis, M., Khan, H., Khan, T., & Saeed, M. (2022). Assessment of skeletal relationships in cleft palate with or without cleft lip: A cone-beam computed tomography study in a pakistani population. Nigerian journal of clinical practice, 25(10), 1699.
25. Ragab, M. A., Abed-El-kreem, H. E., Mohamed, M. F., & Abolwafa, N. F. (2023). Impact Of An Educational Program Regarding Cleft Palate On Mothers Awareness And Their Infants Feeding Pattern. Minia Scientific Nursing Journal, 13(1), 117-125.
26. Saeed, O. B., Moore, M. G., Zawahrah, H., Tayem, M., Kavoosi, T., & van Aalst, J. A. (2019). The influence of consanguinity on familial clefting among Palestinians. The Cleft Palate-Craniofacial Journal, 56(8), 1072-1079.
27. Salari, N., Darvishi, N., Heydari, M., Bokaee, S., Darvishi, F., & Mohammadi, M. (2021). Global prevalence of cleft palate, cleft lip and cleft palate and lip: A comprehensive systematic review and meta-analysis. Journal of stomatology, oral and maxillofacial surgery.
28. Sreejith, V., Arun, V., Devarajan, A. P., Gopinath, A., & Sunil, M. (2018). Psychological effect of prenatal diagnosis of cleft lip and palate: a systematic review. Contemporary clinical dentistry, 9(2), 304.
29. Srivastav, S., Duggal, I., Duggal, R., Tewari, N., Chaudhari, P. K., & Pandey, R. M. (2021). Parental response to the feeding behavior problems in children with cleft lip and palate: A systematic review. Special Care in Dentistry, 41(5), 559-571.
30. Stock, N. M., Costa, B., White, P., & Rumsey, N. (2020). Risk and protective factors for psychological distress in families following a diagnosis of cleft lip and/or palate. The Cleft Palate-Craniofacial Journal, 57(1), 88-98.
31. Stock, N. M., Costa, B., Williams, J. R., Martindale, A., & Research, V. F. R. T. a. t. C. f. A. (2019). Breaking the news: parents’ experiences of receiving an antenatal diagnosis of cleft lip. The Cleft Palate-Craniofacial Journal, 56(9), 1149-1156.
32. van Dalen, M., Leemreis, W., Kraaij, V., De Laat, P., Pasmans, S., Versnel, S., . . . Okkerse, J. (2021). Parenting children with a cleft lip with or without palate or a visible infantile hemangioma: A cross-sectional study of distress and parenting stress. The Cleft Palate-Craniofacial Journal, 58(12), 1536-1546.
33. Visser, E. E., Krüger, E. E., & Kritzinger, A. M. A. (2018). Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure. African health sciences, 18(4), 1098-1108.
34. Wijekoon, P., Herath, T., & Mahendran, R. (2019). Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate. Heliyon, 5(12).