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Ceft conditions are the most common congenital craniofacial anomalies. Feeding, hearing, speech and the alignment of teeth are often affected, particularly where a cleft of the palate is present. The aim of this qualitative study was to explore the value of 4D ultrasound scans for parents where a cleft had been identified on a routine 2D ultrasound scan. Parents completed three questionnaires: once they had decided to proceed with the 4D scan; as soon as possible after the 4D scan at about 28 weeks gestation; and postnatally at a cleft clinic. The questionnaires assessed parents' reasons for having the scan, expectations of the scan and advantages and disadvantages. The results suggest that for most of the parents their expectations were met or exceeded, they would recommend having a 4D scan to others and overall the advantages outweighed the disadvantages. The majority of parents were not disappointed.

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