An evaluation of factors influencing feeding in babies with a cleft palate with and without a cleft lip

Martin, Vanessa; Greatrex‐White, Sheila

doi:10.1177/1367493512473853

Cited by 33 publications

(57 citation statements)

References 32 publications

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“…17 A recent publication pointed to the association between the complexity of the cleft and the need for evaluation of weight gain, in addition to the follow-up performed by experienced and trained nurses. 19 Inefficient suctioning in infants with cleft is related to a lack of coordination between suction, respiration and swallowing resulting in gagging, fatigue and low ingestion, these etiological factors to malnutrition. 20 The fact that this study is based on previous experiences of mothers, therefore, may be considered a limitation.…”

Section: Resultsmentioning

confidence: 99%

Aleitamento materno em lactentes com fissura labiopalatina

Trettene

Maximiano

Beraldo

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: identificar fatores associados à adesão ao aleitamento materno em lactentes com fissura de lábio e/ou palato. Método: estudo quantitativo, transversal, com 121 cuidadores de crianças com fissura de lábio e/ou palato. A coleta de dados foi realizada durante a consulta de Enfermagem pré-operatória de queiloplastia e/ou palatoplastia. Os pais/responsáveis responderam a um questionário referente ao recebimento de informações sobre o aleitamento materno recebidas no pré e pós-natal. Para a análise estatística, utilizou-se o teste Qui-quadrado, com significância de 5%. Resultados: o aleitamento materno exclusivo foi observado em 31% (n=38) dos lactentes. Desses, 63% (n=24) foram amamentados por um mês. Entre os fatores para a não adesão ao aleitamento materno prevaleceu a sucção ineficaz (n=45, 37%). Possuir fissura de lábio e palato influenciou negativamente a prática do aleitamento materno (p<0,001), enquanto receber orientações no pré-natal favoreceu a sua adesão (p=0,042). Conclusão: poucos lactentes foram amamentados exclusivamente e por tempo aquém do recomendado. A complexidade da fissura, evidenciada pelo déficit de sucção, influenciou negativamente a adesão ao aleitamento materno, enquanto o recebimento de informações por profissionais de saúde no pré-natal influenciou positivamente. Descritores: Aleitamento Materno; Cuidados de Enfermagem; Fissura Labial; Fissura Palatina; Alimentação Artificial; Enfermagem.ABSTRACTObjective: to identify factors associated with adherence to breastfeeding in infants with cleft lip and / or palate. Method: quantitative, cross-sectional study with 121 caregivers of children with cleft lip and / or palate. Data collection was carried out during the preoperative nursing visit of queiloplasty and / or palatoplasty. The parents / guardians answered a questionnaire regarding the receipt of information about breastfeeding received in the pre- and postnatal care. For the statistical analysis, the chi-square test was used, with significance of 5%. Results: exclusive breastfeeding was observed in 31% (n = 38) of infants. Of these, 63% (n = 24) were breastfed for one month. Among the factors for non-adherence to breastfeeding, ineffective sucking (n = 45, 37%) prevailed. Posterior cleft lip and palate negatively influenced the practice of breastfeeding (p <0.001), while receiving prenatal guidelines favored its adherence (p = 0.042). Conclusion: few infants were breastfed exclusively and for shorter time than recommended. The complexity of the cleft, evidenced by sucking deficit, negatively influenced adherence to breastfeeding, while the receipt of information by prenatal health professionals influenced positively. Descritores: Breast Feeding; Nursing Care; Cleft Lip; Cleft Palate; Bottle Feeding; Nursing.RESUMENObjetivo: identificar factores asociados a la adhesión a la lactancia materna en lactantes con fisura de labio y / o paladar. Método: estudio cuantitativo, transversal, con 121 cuidadores de niños con fisura de labio y / o paladar. La recolección de datos fue realizada durante la consulta de Enfermería preoperatoria de queiloplastia y / o palatoplastia. Los padres / responsables respondieron un cuestionario referente a la recepción de informaciones referentes a la lactancia materna, recibidas en el pre y post-natal. Para el análisis estadístico, se utilizó el testeo Qui-cuadrado, con significancia de 5%. Resultados: la lactancia materna exclusiva se observó en un 31% (n = 38) de los lactantes. De ellos, 63% (n = 24) fueron amamantados por un mes. Entre los factores para la no adhesión a la lactancia materna prevaleció la succión ineficaz (n = 45, 37%). La posesión de fisura de labio y paladar influenció negativamente la práctica de la lactancia materna (p <0,001), mientras que recibir orientaciones en el prenatal favoreció la su adhesión (p = 0,042). Conclusión: pocos lactantes fueron amamantados exclusivamente y por tiempo por debajo de lo recomendado. La complejidad de la fisura evidenciada por el déficit de succión, influenció negativamente la adhesión a la lactancia materna, mientras que la recepción de informaciones por profesionales de salud en el prenatal influenció positivamente. Descritores: Lactancia Materna; Atención de Enfermaría; Labio Leporino; Fisura del Paladar; Alimentación Artificial; Enfermaría.

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Section: Resultsmentioning

confidence: 99%

Aleitamento materno em lactentes com fissura labiopalatina

Trettene

Maximiano

Beraldo

et al. 2018

Rev enferm UFPE on line.

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“…In our study, 75% of the mothers reported that they were worried about feeding the baby properly which is in contrast to a study done by Martin et al, (26%) expressed their concern over difficulties feeding their baby. 9 Cleft type, time of surgery, self-perception, socioeconomic status, accessibility to cleft centres and her educational qualification could be the reasons for their stress.…”

Section: Discussionmentioning

confidence: 99%

A cross sectional study on mothers’ insight of feeding babies with cleft lip and palate in Hyderabad city, Telangana

Turlapati¹,

Reddy²,

Polasani³

et al. 2020

Int J Community Med Public Health

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Background: Feeding infants with cleft lip and palate is one of the most challenging and worrying events in a mother’s life. When the baby fails to thrive, the mother becomes anxious as the effort goes futile which may inhibit maternal bonding with the child leading to other consequences. Hence, our aim was to assess the attitudes of mothers towards feeding their babies with cleft lip and palate.Methods: A cross sectional study was conducted among mothers of children with cleft lip and palate at a cleft center in Hyderabad city. The mothers were interviewed using a self-administered questionnaire on a 3-point Likert scale. The collected data were subjected to statistical analysis using SPSS version 22.Results: A total of 96 mothers participated in the study. Among them a majority of them bottle fed their baby (85%). Escape of milk through nostrils was reported to be the most common problem faced by the child (30%). The attitudes of mothers were categorized into good (29%), moderate (62.5%) and poor (28%). Also there was a significant difference between the educational qualification, household income and clinical diagnosis with the attitude of mothers.Conclusions: In the present study, a majority of them had moderate attitude. Personal and professional care and support are the key factors influencing the mothers’ attitude.

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“…The team includes social workers, nurses, caretaker and different specialities. The team responsibilities are directed to evaluate the infant's feeding ability, monitor the clinical status of the infant, communication with the parents, hospitalization, alleviate the stress and pressure imposed on the mother 21, 22 . In a study by sank et al2003, revelled that the more support the mother receives the more lessen the maternal depression.…”

Section: Discussionmentioning

confidence: 99%

Cleft Lip and Palate Nutritional Assessment and Feeding challenges

Attia

2019

Egyptian Dental Journal

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Purpose: The present study aimed to highpoint the feeding challenges of infants with cleft lip and/or palate (CLP) that caregivers and parents came across and analyse the different interventions they perform in the preoperative period. Design and methods: Parents of 100 infants with CLP were asked to complete the questionnaire. The feeding preparations and challenges with alternatives to overcome these difficulties were evaluated. Results: Forty-six percent of the parents that their infants were diagnosed prenatally received an education for feeding. Breastfeeding was not successful 77.9%. Infants affected with isolated cleft palate and cleft lip and palate reported difficulties and more complication than isolated cleft lip patients. Parents stated that 56% of the infants with cleft had stayed in the intensive care units following birth. On the other hand, 40% of the infants were fed by nasogastric or orogastric tube primely. Thirty-five percent of cleft palate patients used palatal obturators. Conclusions: The study highlights the feeding challenges that had been faced by parents, caregivers and health care providers.

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An evaluation of factors influencing feeding in babies with a cleft palate with and without a cleft lip

Cited by 33 publications

References 32 publications

Aleitamento materno em lactentes com fissura labiopalatina

Aleitamento materno em lactentes com fissura labiopalatina

A cross sectional study on mothers’ insight of feeding babies with cleft lip and palate in Hyderabad city, Telangana

Cleft Lip and Palate Nutritional Assessment and Feeding challenges

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