Burianova Iva, Kulihova Katarina, Vitkova Veronika, Janota Jan
1 Thomayer Hospital Prague, Prague, Czech Republic.
2 Institute of Pathological Physiology, First Faculty of Medicine, Charles University.
J Hum Lact. 2017 Aug;33(3):504-508. doi: 10.1177/0890334417706062. Epub 2017 Jun 11.
Goals of treatment of orofacial cleft are to improve feeding, speech, hearing, and facial appearance. Early surgery brings faster healing, better cosmetic effect, and fewer complications. Breastfeeding rates after early surgery are unknown. Early repair of the cleft lip may influence breastfeeding rates. Research aim: The aim of this study was to evaluate breastfeeding after early repair of the cleft lip in a Baby-Friendly designated hospital. The rate of breastfeeding in newborns with cleft lip was compared to cleft lip and palate.
This was a retrospective cohort study. The study group included infants with cleft lip and cleft lip and palate operated on in the first 2 weeks of life. Newborns and their mothers were supported by a team promoting breastfeeding.
One hundred four infants (70 boys and 34 girls) were included. Isolated cleft lip was present in 56 (53.8%) infants, and cleft lip and palate in 48 (46.2%). Forty-four (78.6%) of the infants with a cleft lip were breastfed, 3 (5.4%) received human milk via bottle or syringe, and 9 (16.0%) were formula fed. Three (6.2%) of the infants with a cleft lip and palate were breastfed, 31 (64.6%) received human milk via bottle or Haberman feeder, and 14 (29.2%) were formula fed.
The rate of breastfeeding in patients following early surgery of the cleft lip was high and comparable to the general population. The rate of breastfeeding in babies with cleft lip and palate after early repair of the cleft lip remained low.
口面部裂隙的治疗目标是改善喂养、言语、听力和面部外观。早期手术愈合更快、美容效果更好且并发症更少。早期手术后的母乳喂养率尚不清楚。唇裂早期修复可能会影响母乳喂养率。研究目的：本研究的目的是评估在一家爱婴医院进行唇裂早期修复后的母乳喂养情况。将唇裂新生儿的母乳喂养率与唇腭裂新生儿的母乳喂养率进行比较。
这是一项回顾性队列研究。研究组包括在出生后2周内接受唇裂和唇腭裂手术的婴儿。新生儿及其母亲得到了一个促进母乳喂养的团队的支持。
共纳入104名婴儿（70名男孩和34名女孩）。56名（53.8%）婴儿为单纯唇裂，48名（46.2%）为唇腭裂。唇裂婴儿中有44名（78.6%）进行母乳喂养，3名（5.4%）通过奶瓶或注射器接受母乳，9名（16.0%）采用配方奶喂养。唇腭裂婴儿中有3名（6.2%）进行母乳喂养，31名（64.6%）通过奶瓶或哈伯曼奶瓶接受母乳，14名（29.2%）采用配方奶喂养。
唇裂早期手术后患者的母乳喂养率较高，与普通人群相当。唇裂早期修复后唇腭裂婴儿的母乳喂养率仍然较低。
