Breast Milk Feeding Rates in Patients with Cleft Lip and Palate at a North American Craniofacial Center

Alperovich, Michael; Frey, Jordan D.; Shetye, Pradip R.; Grayson, Barry H.; Vyas, Raj M.

doi:10.1597/15-241

Cited by 33 publications

(44 citation statements)

References 17 publications

(29 reference statements)

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“…10 Studies have also proved that mothers receiving counseling by specialized trained nurses and health care workers right from the time of child birth have shown growth parameters comparable to the infants without cleft lip and palate. [11][12][13] There is an increased demand of specialist nurse or health care providers who provide one-on-one education to the mothers of the affected infants to promote breastfeeding practices. 14 However, it may not be possible to increase the manpower substantially to meet the need in such conditions.…”

Section: Discussionmentioning

confidence: 99%

Assisted breastfeeding technique to improve knowledge, attitude, and practices of mothers with cleft lip‐ and palate‐affected infants: A randomized trial

Murthy

Deshmukh

Doreswamy

2020

Special Care in Dentistry

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Background: Cleft lip and palate is one of the most common developmental anomalies affecting the craniofacial region leading to an array of problems including the inability to feed properly.Objectives: This study aimed to compare the effectiveness of specially designed audio-visual module over traditional instructional module in improving the assisted breastfeeding habits.Methodology: Sixteen patients received training regarding the feeding practices through the traditional instructional method, and 16 subjects received training through audio-visual module. Infants in both the groups received the standard care. These infants were followed up longitudinally for 6 months. During the follow up period, the growth parameters were recorded monthly. The knowledge, attitude, and practices of the mothers regarding feeding practices were assessed using KAP questionnaire.

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Section: Discussionmentioning

confidence: 99%

Assisted breastfeeding technique to improve knowledge, attitude, and practices of mothers with cleft lip‐ and palate‐affected infants: A randomized trial

Murthy

Deshmukh

Doreswamy

2020

Special Care in Dentistry

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“…Results of a similar study showed that about 63% of the mothers reported that feeding help in the hospital was satisfactory and about 84% of them were concerned about feeding their infants after they were discharged home. 10 Although health care professionals offer timely support to breastfeeding women, the more constant presence and immediate support of the baby's father, or mother's partner offers opportunity to influence the maintenance and duration of breastfeeding.…”

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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“…Parents of infants with CL/P should be advised of expected feeding outcomes based on the infant's cleft type and what has been documented in the available literature. 31,33 This guidance should be provided during the antenatal and postnatal periods. 34 Consistent and expert counseling should be provided by health professionals with clinical expertise in feeding infants with CL/P 31,[33][34][35] (levels 4 and 5).…”

Section: Recommendations For Clinical Practicementioning

confidence: 99%

“…44 Specialists can also assist with suitable supportive techniques (outlined in the ''Implement Strategies to Support Breastfeeding'' section). 31,33,45 It is important to consider the size and location of the infant's cleft, breast anatomy, the parent's wishes, and previous experience with breastfeeding. 3.…”

Section: Recommendations For Clinical Practicementioning

confidence: 99%

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate—Revised 2019

Boyce

Reilly

Skeat

et al. 2019

Breastfeeding Medicine

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A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient. Background W hen a cleft lip (CL) occurs, the lip is not contiguous, and when a cleft palate (CP) occurs, there is communication between the oral and nasal cavities (see Fig. 1 for a completely formed lip and palate). 1 CL may involve the lip only; lip and alveolus; or lip, alveolus, and a notch in the hard palate. The notch in the hard palate may extend all the way to the incisive foramen (Fig. 2). 2 Similarly, a CP may involve only the uvula (e.g., bifid uvula), the uvula and soft palate, or extend through both the hard and soft palates (Fig. 3). 1 In a complete cleft of hard and soft palates, there is no bone or muscle separating the oral and nasal cavities. A CP may be submucosal and not immediately detected intraorally if there are subtle or no corresponding clinical signs or symptoms. 1 Therefore, it is essential that health professionals check for palatal clefting (both overt and submucosal) on initial presentation, by visually inspecting and palpating the palate. This should be done using a tongue depressor and flashlight to allow for inspection of the entire palate, including the uvula. An oral examination is of relevance if an infant is presenting with feeding difficulties or not gaining weight. Surgical cleft repairs can involve multiple procedures, depending on the nature and extension of the cleft (i.e., unilateral CL versus bilateral cleft lip and palate [CLP]). The primary repair(s) are generally completed within 18 months of life, with the lip being repaired before the palate at 3-9 months of age. 3,4

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Breast Milk Feeding Rates in Patients with Cleft Lip and Palate at a North American Craniofacial Center

Abstract: We present breast milk feeding in the North American cleft population. Although still lower than the noncleft population, breast milk feeding with regards to initiation rate, length of time, and proportion of total diet is significantly higher than previously reported.

Cited by 33 publications

References 17 publications

Assisted breastfeeding technique to improve knowledge, attitude, and practices of mothers with cleft lip‐ and palate‐affected infants: A randomized trial

Assisted breastfeeding technique to improve knowledge, attitude, and practices of mothers with cleft lip‐ and palate‐affected infants: A randomized trial

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

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate—Revised 2019

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