Immediate Unrestricted Feeding of Infants Following Cleft Lip and Palate Repair

Cohen, Mimis; Marschall, Michael A.; Schäfer, Michael

doi:10.1097/00001665-199207000-00011

Cited by 51 publications

(39 citation statements)

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“…The child may not satisfactorily accept feeding by the bottle, leading to greater weight loss (11)(12) .…”

Section: Discussionmentioning

confidence: 99%

“…A study (1992) compared the feeding using tube and syringe, breastfeeding and bottle feeding, in the postoperative period after cheiloplasty and palatoplasty, and did not observe significant differences from nutritional, immunological and psychological standpoints (11) . Conversely, another study evaluated the feeding of children submitted to cheiloplasty comparing direct breastfeeding and the spoon, and concluded that breastfed children had greater weight (15) .…”

Section: Discussionmentioning

confidence: 99%

“…The utilization of tubes is contraindicated, because the suction and swallowing reflexes are preserved. Notwithstanding, another study (14) reported that children fed through the nasogastric tube require less analgesics in the postoperative period after palatoplasty, inferring less pain.A study (1992) compared the feeding using tube and syringe, breastfeeding and bottle feeding, in the postoperative period after cheiloplasty and palatoplasty, and did not observe significant differences from nutritional, immunological and psychological standpoints (11) . Conversely, another study evaluated the feeding of children submitted to cheiloplasty comparing direct breastfeeding and the spoon, and concluded that breastfed children had greater weight (15) .…”

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confidence: 99%

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Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

Trettene

Razera

Maximiano

et al. 2014

Rev. esc. enferm. USP

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Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplastyTrettene AS, Razera APR, Maximiano TO, Luiz AG, Dalben GS, Gomide MR RESUMENObjetivo: Identificar las principales dudas de los cuidadores de niños con fisura labiopalatina acerca de los cuidados posoperatorios de las cirugías de queiloplastia y palatoplastia. Método: Estudio transversal llevado a cabo en un hospital de referencia, entre los meses de septiembre a noviembro de 2012. La muestra constó de 50 individuos divididos en dos grupos, siendo 25 cuidadores de niños sometidos a la queiloplastia y 25 niños sometidos a la palatoplastia. Las dudas fueron identificadas por medio de entrevista, realizada durante la consulta de Enfermería preoperatoria y, posteriormente, fueron categorizadas por similaridad. Se utilizó el análisis estadísti-co descriptivo para la construcción de los resultados. Resultados: Se observó que, con respecto a la queiloplastia, las dudas fueron acerca de la alimentación (36%), higienización y cicatrización (24% cada), y dolor e infección (8% cada). En cuanto a la palatoplastia, las dudas estuvieron relacionadas con: la alimentación (48%), higienización (24%), dolor (16%), sangrado (8%) e infección (4%). Conclusión: Se evidenció la preocupación de los cuidadores con respecto a la alimentación y los cuidados con la herida posoperatoria. DESCRIPTORESLabio leporino Fisura del paladar Periodo postoperatorio Cuidadores Enfermería pediátrica RESUMOObjetivo: Identificar as principais dúvidas dos cuidadores de crianças com fissura labiopalatina sobre os cuidados pós-operatórios das cirurgias de queiloplastia e palatoplastia. Método: Estudo transversal realizado em um hospital de referência, entre os meses de setembro a novembro de 2012. A amostra constou de 50 indiví-duos divididos em dois grupos, sendo 25 cuidadores de crianças submetidas à queiloplastia e 25 crianças submetidas à palatoplastia. As dúvidas foram identificadas por meio de entrevista, realizada durante a consulta de Enfermagem pré-operatória, e, posteriormente, foram categorizadas por similaridade. Utilizou-se a análise estatística descritiva para construção dos resultados. Resultados: Observou-se que, em relação à queiloplastia, as dúvidas foram sobre alimentação (36%), higienização e cicatrização (24% cada), e dor e infecção (8% cada). Quanto à palatoplastia, as dúvi-das se relacionaram à: alimentação (48%), higienização (24%), dor (16%), sangramento (8%) e infecção (4%). Conclusão: Evidenciou-se a preocupação dos cuidadores em relação à alimentação e aos cuidados com a ferida pós-operatória. DESCRITORESFenda labial Fissura palatina Período pós-operatório Cuidadores Enfermagem pediátrica ABSTRACTObjective: to identify the main doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty. Method: crosssectional study carried out in a reference hospital, between September and November 2012. The sample was composed of 50 individuals divided in two groups, of which...

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“…The child may not satisfactorily accept feeding by the bottle, leading to greater weight loss (11)(12) .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

Trettene

Razera

Maximiano

et al. 2014

Rev. esc. enferm. USP

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“…This may facilitate better compression and stop the nipple being pushed into the cleft site. 37 (III) 41 In a survey of CP surgeons regarding postoperative care after palatoplasty, two-thirds of surgeons allowed mothers to breastfeed immediately after surgery. 43 (III) 10.…”

Section: Summary Of Recommendations For Clinical Practicementioning

confidence: 99%

“…There is moderate to strong evidence (I, II-2) that it is safe to commence/recommence breastfeeding immediately following CL repair, 41,42 and there is moderate evidence (II-2) for initiating breastfeeding 1 day after CP repair. 41 There is strong evidence (I) that breastfeeding immediately following surgery is more effective for weight gain, with lower hospital costs, than spoon feeding. 41 Contradictory evidence exists, but it is from weaker sources (III) and is divided as to recommendations.…”

Section: Appendix: Frequently Asked Questionsmentioning

confidence: 99%

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate, Revised 2013

Reilly

Reid²,

Skeat³

et al. 2013

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.Definitions

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Cleft Deformities in Zimbabwe, Africa

Pham

Tollefson²

2007

Archives of Facial Plastic Surgery

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In the African country of Zimbabwe, a variety of socioeconomic factors have contributed to a lack of specialty care and resources for the indigent population. Although cleft lip and palate has a lower incidence in Africa (0.67 per 1000 births) than in Latin America or Asia, access to reconstructive surgery is often difficult to obtain. A surgical team worked with Zimbabweans at the Harare Central Hospital, Harare, to perform cleft surgery for 39 patients. We review the epidemiology of cleft deformities in Africa, our experience with 39 patients with cleft lip and palate, and the techniques used to address 2 patients with midfacial clefts. To our knowledge, this retrospective case review and epidemiologic literature review is the first review of cleft care in Zimbabwe. Poverty in Zimbabwe, caused in part by the highest inflation rate in the world, has contributed to the emigration of a large number of specialists to other countries. In addition, the health care system is overwhelmed by a high prevalence rate of human immunodeficiency virus (25%), leading to a drastically reduced parental life expectancy (mean life expectancy, 36 years). Primary and secondary cleft lip and palate repairs were completed without complications. Children requiring care beyond the scope of this mission were referred to the Republic of South Africa. The cooperation among the Zimbabwean administration, physicians, and nurses was integral to the organization and successful execution of this reconstructive surgical mission. Ultimately, until the socioeconomic conditions improve in Zimbabwe, training and continuing education of local physicians are imperative to advance the care of children with cleft lip and palate.

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Immediate Unrestricted Feeding of Infants Following Cleft Lip and Palate Repair

Cited by 51 publications

References 0 publications

Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty

ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate, Revised 2013

Cleft Deformities in Zimbabwe, Africa

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