Work

The influence of lip reconstruction on mother-infant bonding during the perioperative phase

Year: 2025

Type: article

Abstract: OBJECTIVE: This study explored the impact of lip reconstruction during the perioperative phase on maternal bonding with children affected by cleft lip. BACKGROUND: Visible facial deformities like cleft lip can distress caregivers and strain the mother-child bond. Lip reconstructive surgery drastically alters a child's appearance and expression within hours, potentially impacting maternal attachment. However, research on how the perioperative phase affects maternal-infant attachment and its vulnerabilities remains limited. DESIGN: Forty-four mothers of children with cleft lip participated in two interviews: one before surgery and another during the postoperative inpatient stay. An online survey, conducted at least three months post-surgery, assessed maternal bonding, psychosocial challenges, daily difficulties related to the cleft, and satisfaction with surgical outcomes. Maternal attachment style and mother-infant bonding were evaluated using validated questionnaires. RESULTS: The perioperative phase of lip reconstruction did not affect the overall mother-infant bond. However, mothers who struggled to interpret their child's needs faced more challenges during the inpatient stay. Single mothers and those with a secure attachment style showed a stronger, more resilient bond. Post-discharge, mothers reported an improved bond, better understanding of their child's needs, and greater social comfort. CONCLUSION: This study suggests that cleft lip reconstruction plays a crucial role in strengthening the mother-child bond. Cleft malformations can adversely affect maternal well-being by complicating the interpretation of a child's needs. A secure maternal attachment style appears to offer protective benefits during the cleft repair hospitalization period. Preoperative consultations are essential for addressing concerns and providing reassurance to caregivers.

Source: Journal of Cranio-Maxillofacial Surgery

DOI: 10.1016/j.jcms.2025.09.007