Promoting Breast Milk Nutrition in Infants With Cleft Lip and/or Palate
| Autor: | Connie Miller, Nicole Diane L. Burca, Sheila M. Gephart, Catherine Cote |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty Cleft Lip Breastfeeding Breast milk law.invention Feeding Methods 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Lactation Humans Medicine Infant Nutritional Physiological Phenomena Milk Human business.industry Infant Newborn Infant 030206 dentistry General Medicine Cleft Palate Breast Feeding Systematic review medicine.anatomical_structure Pediatrics Perinatology and Child Health Feeding Ability business Qualitative research |
| Zdroj: | Advances in Neonatal Care. 16:337-344 |
| ISSN: | 1536-0903 |
| Popis: | Background The orofacial defect of cleft lip/palate (CL/P) involves an altered physiological anatomy that affects the infant's feeding ability. Infants have cleft lip (CL), cleft palate (CP), or both (CL/P). Dysfunction in the seal, as with cleft lip, or in the ability to coordinate muscle movement to generate negative pressure, as with cleft palate, leads to feeding issues that may compromise growth and affect bonding. Purpose The purpose of this article is to present (1) scientific evidence that supports clinical feeding practices for the infant with CL/P and (2) teaching strategies for staff and parents. Methods Evidence was synthesized using a narrative review of randomized controlled trials, qualitative studies, systematic reviews, professional guidelines, and position statements. Findings were used to present specialized equipment and feeding techniques to support human milk feeding. Findings Special considerations for feeding infants with CL/P include assessing the infant's sucking ability, demonstrating proper breastfeeding positioning, supporting mothers to establish and maintain their milk supply, considering adaptive feeding equipment (ie, specialized bottles and nipples), and education about the benefits of human milk. Implications for practice and research Support from healthcare professionals, particularly lactation specialists and nursing staff, is critical. Breastfeeding and the use of human milk should be prioritized and supported. Research is needed to explore environmental, genetic, and nutritional causes (eg, folic acid deficiency) of orofacial defects. |
| Databáze: | OpenAIRE |
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