The nature of feeding in infants with unrepaired cleft lip and/or palate compared with healthy noncleft infants
| Autor: | A G Masarei, Debbie Sell, Alex Habel, Brian C. Sommerlad, Michael Mars, Angie Wade |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
Cleft Lip Dentistry Cohort Studies 03 medical and health sciences 0302 clinical medicine Reference Values medicine Humans General hospital Feeding patterns 030223 otorhinolaryngology Infant feeding business.industry Case-control study Infant Newborn Infant 030206 dentistry Feeding Behavior University hospital Bottle Feeding Cleft Palate medicine.anatomical_structure Otorhinolaryngology Case-Control Studies Sucking Behavior Cohort Female Hard palate Oral Surgery business Cohort study |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 44(3) |
| ISSN: | 1055-6656 |
| Popis: | Objective:Feeding difficulties are reported widely in infants with cleft lip and/ or palate. There is, however, a paucity of objective information about the feeding patterns of these infants. This study compared patterns of feeding in infants with unrepaired cleft lip and palate with healthy noncleft infants of a similar age.Setting:North Thames Regional Cleft Centre. The noncleft cohort was recruited from West Middlesex University Hospital, a general hospital with similar demographics.Participants:Fifty newborn infants with nonsyndromic complete unilateral cleft lip and palate or a cleft of the soft and at least two thirds of the hard palate who were referred to the North Thames Regional Cleft Centre participated. Parents of 20 randomly selected, noncleft infants agreed to participate.Main Outcome Measures:Feeding patterns were rated using the Neonatal Oral Motor Assessment Scale. Additional objective information was collected using the Great Ormond Street Measurement of Infant Feeding (Masarei et al., 2001; Masarei, 2003).Results:Infants with nonsyndromic complete unilateral cleft lip and palate or a cleft of the soft and at least two thirds of the hard palate had less efficient sucking patterns than their noncleft peers had. They used shorter sucks (mean difference, 0.30 second; p < .0005), a faster rate of sucking (mean difference, 34.20 sucks/second; p < .0005), higher suck-swallow ratios (mean difference, 1.87 sucks/swallow; p < .0005), and a greater proportion of intraoral positive pressure generation (mean difference, 45.97% positive pressure; p < .0005).Conclusions:This study demonstrated that the sucking patterns of infants with nonsyndromic complete unilateral cleft lip and palate or a cleft of the soft and at least two thirds of the hard palate differ from those of their noncleft peers. |
| Databáze: | OpenAIRE |
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