Nutritional and haematological parameters of cleft lip and/or palate patients in Lagos, Nigeria.

Fadeyibi, IO; Fasawe, AA; Jewo, PI; Adeniyi, AA; Ogunbanjo, B O; Saalu, C; Ogunbanjo, OV; Ademiluyi, SA

doi:10.4314/njpsur.v6i1.53589

Cited by 4 publications

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“…This is understandable because a cleft lip may result in inadequate lip seal around the nipple, but closure can still generally be obtained (Glenny et al, 2004). However, due to the abnormal communication between the oral and nasal cavities in a cleft palate, the patient will be unable to develop the needed negative intraoral pressure for sucking, though swallowing remains unaffected (Fadeyibi et al, 2010). Previous studies (Britton et al, 2011;Alperovich et al, 2017) have shown that cleft type has a significant impact on whether an infant with orofacial cleft is breastfed or not, and those with cleft lip are more likely to be breastfed.…”

Section: Discussionmentioning

confidence: 99%

“…Although a few studies have been published from Nigeria examining the nutritional status of children with orofacial clefts using anthropometric and hematological measures (Fadeyibi et al, 2010; Babalola et al, 2016), as well as the interventions that can improve feeding among this population (Ize-Iyamu and Saheeb, 2011), there is limited literature examining the actual breastfeeding practices of mothers of these children. Therefore, considering the challenges in breastfeeding in this patient population and the consequent risk of malnutrition, our study sought to assess the breastfeeding practices among mothers of children with orofacial clefts attending our clinic.…”

Section: Introductionmentioning

confidence: 99%

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Breastfeeding Practices Among Mothers of Children With Orofacial Clefts in an African Cohort

Adekunle

Adamson

James

et al. 2020

The Cleft Palate-Craniofacial Journal

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Objective: To carry out a survey of breastfeeding practices and related challenges among mothers with orofacial cleft babies attending the cleft clinic of a tertiary health institution. Methodology: This was a cross-sectional descriptive study using an interviewer-administered questionnaire. Sample population was all mothers of babies aged between 1 and 18 months with nonsyndromic orofacial clefts attending the cleft clinic of a tertiary health institution in Nigeria. Result: A total of 65 mothers participated in the study. Initiation of breastfeeding was reported by the majority (83%, n = 54) of the mothers, and only 18.5% (n = 10) of this proportion continued exclusive breastfeeding. Inability of the babies to suck was reported by 46% (n = 30) of the mothers as being the most important challenge in breastfeeding. There was a significant correlation between the type of cleft and challenge in breastfeeding (Fisher exact P = .001). Sixty-three percent (n = 41) of the mothers reported they received no counseling on overcoming challenges associated with feeding their babies with a cleft at the facility where they delivered. Sixty-nine percent (n = 45) reported they first received nutritional information from the cleft clinic at presentation. The most adopted substitute for breastfeeding was the use of regular feeding bottles (n = 24, 43.6%). Conclusion: Rate of initiation of breastfeeding for children with orofacial clefts in this African cohort is higher than reported in other populations despite the low level of nutritional counseling of the mothers after delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Breastfeeding Practices Among Mothers of Children With Orofacial Clefts in an African Cohort

Adekunle

Adamson

James

et al. 2020

The Cleft Palate-Craniofacial Journal

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“…Of the two hundred and twenty eight patients studied, 25% were encountered during outreaches; suggesting that still, a significant proportion of cleft patients would not voluntarily visit the hospital unless persuasive efforts and public education are brought to their localities to re-orientate and motivate them. Identifiable patient related barriers in the study still reveal elements of poverty, ignorance and low aspiration [6][7][8]. Prominent among these barriers is late presentation to the hospital.…”

Section: Discussionmentioning

confidence: 99%

Challenges to Optimal Care for Orofacial Cleft Patients in Sub-Saharan Africa - The Example of Two Nigerian Tertiary Hospital

Ekwueme.¹

2018

BJSTR

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Background: Complete and comprehensive management of a cleft patient goes beyond surgical repairs. However, certain challenges may limit total rehabilitation. This study intends to highlight specific challenges to optimal care for Orofacial cleft patients in the West African subregion and to suggest possible solution.Methods: This is a cross sectional study carried out at two tertiary hospitals in Nigeria from January 2012 to December 2014. Cleft lip/palate patients were recruited from regular surgical outpatient clinics and during special surgical outreaches organized by the cleft teams of these hospitals. Consent was obtained from all participants (i.e. self or parental consent). In order to execute an inquiry into the challenges to effective care, a comprehensive preformed was drawn to elicit and record patients' and parents' bio-data, relevant history and clinical information as well as patients' perceived treatment needs and desired treatment outcomes. Separate inquiries were made to determine the professional group composition of the multidisciplinary cleft team in each hospital, available cleft care services in each hospital, and the treatment protocols observed by each cleft team. The data gathered were analyzed to determine the challenges to optimal care for the cleft patient.Results: Two-hundred and twenty-eight (228) patients were recruited of whom 57 (25%) were encountered during special surgical outreach programs. Patients' age range was between three weeks and thirty -six years. Observed challenges to optimal care are presented under four considerations namely; "Patient related", "Cleft team related", "Hospital related" and "Outcome related" Considerations. Broadly, the challenges include late presentation, high attrition rate, cleft teams' deficiencies in key specialty services (e.g. orthodontics, and speech therapy), and competing non cleft workload of the cleft team members. Conclusion:Poor awareness, ignorance and financial difficulties accounted mostly for late presentation. Other barriers such as inadequacies of multidisciplinary cleft care services and required facilities in the hospitals were quite limiting. In order to mitigate the challenges, public re-orientation and patient education, infrastructural support, increased funding and training of essential personnel in the full range of skills for cleft care is imperative.

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“…Poor nutrition has been implicated as one of the etiological causes of enamel hypoplasia [31]. A previous study of the nutritional status of cases with CL/P deformities in Lagos by Fadeyibi et al [32] showed a malnutrition prevalence rate of 21.3%. Malnutrition could have been responsible for the enamel hypoplasia seen mostly in the permanent dentition in this study.…”

Section: Discussionmentioning

confidence: 99%

Oral Health Status of Individuals with Cleft Lip, Cleft Palate or Both in a Nigerian Population

Fadeyibi

Sorunke

Onigbinde

et al. 2011

Macedonian Journal of Medical Sciences

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Nutritional and haematological parameters of cleft lip and/or palate patients in Lagos, Nigeria.

Cited by 4 publications

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Breastfeeding Practices Among Mothers of Children With Orofacial Clefts in an African Cohort

Breastfeeding Practices Among Mothers of Children With Orofacial Clefts in an African Cohort

Challenges to Optimal Care for Orofacial Cleft Patients in Sub-Saharan Africa - The Example of Two Nigerian Tertiary Hospital

Oral Health Status of Individuals with Cleft Lip, Cleft Palate or Both in a Nigerian Population

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