Wijekoon Parakrama, Herath Thanuja, Mahendran Rahini
Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
Heliyon. 2019 Dec 9;5(12):e02900. doi: 10.1016/j.heliyon.2019.e02900. eCollection 2019 Dec.
Awareness of feeding among mothers plays an important role in the growth and development of children with cleft lip and palate. Mothers' increased awareness provides the right care and nutrition to these children in order to grow and achieve their developmental milestones.
This study aimed at (1) assessing mothers' awareness on breastfeeding and formula-milk feeding, weaning, growth, and development of infants with cleft lip and palate and (2) the relationship of mothers' awareness with their level of education and monthly household income.
This cross-sectional pilot study included all the mothers of infants aged up to one year who had cleft lip and/or palate attended Dental Teaching Hospital, Peradeniya between the years 2015 and 2016. Mothers of infants with oral clefts associated with other syndromic features and chronic illnesses were excluded. A pre-tested interviewer-administered questionnaire was designed to collect data. To assess the clarity of the questions, prior to the study, the questionnaire was pre-tested in 10 mothers of infants with an oral cleft but not selected for the study. Frequency distributions and descriptive statistics were used to describe study variables. Spearman Rank test was used to determine the association of mothers' awareness with their level of education and monthly household income with a 95% confidence interval.
The sample consisted of 101 mothers who had infants born with a cleft and the response rate was 100%. Except one, all mothers reported that they have received overall feeding instructions either from a doctor, nurse, cleft center staff or a midwife. Over 65.3% of mothers were aware of feeding-related factors including; breastfeeding, formula-milk feeding, and weaning of infants with a cleft. Overall more than 80% of mothers were aware of factors related to growth and development of the child including urination, sleeping pattern, weight and growth charts. The education level of mothers was not significantly associated with mothers' awareness of any factors related to breastfeeding, formula-milk feeding, weaning and growth, and development. Further, mothers' awareness of breastmilk as the best food for babies under 6 months (p = 0.028), weaning at 4-6 months (p = 0.024), replacing milk feeds by weaning foods (p = 0.02) and not providing junk foods to infants in between main meals (p = 0.01) were significantly associated with monthly household income.
The findings of this study suggest that mothers were aware of factors related to feeding infants with a cleft lip and palate and their growth and development. The awareness of mothers about certain factors related to feeding and weaning was significantly associated with monthly household income.
母亲的喂养意识对唇腭裂患儿的生长发育起着重要作用。母亲意识的提高能为这些孩子提供恰当的护理和营养，助其成长并实现发育里程碑。
本研究旨在（1）评估母亲对唇腭裂婴儿母乳喂养、配方奶喂养、断奶、生长及发育的认知情况，以及（2）母亲的认知与她们的教育水平和家庭月收入之间的关系。
这项横断面试点研究纳入了2015年至2016年间在佩拉德尼亚牙科教学医院就诊的所有1岁以下唇裂和/或腭裂婴儿的母亲。患有与其他综合征特征和慢性病相关的口腔裂的婴儿母亲被排除在外。设计了一份经过预测试的由访谈员实施的问卷来收集数据。为评估问题的清晰度，在研究前，该问卷在10名有口腔裂但未被选入研究的婴儿母亲中进行了预测试。使用频率分布和描述性统计来描述研究变量。采用Spearman秩检验来确定母亲的认知与她们的教育水平和家庭月收入之间的关联，并给出95%置信区间。
样本包括101名有唇腭裂婴儿的母亲，应答率为100%。除一人外，所有母亲均表示她们已从医生、护士、腭裂中心工作人员或助产士那里得到了全面的喂养指导。超过65.
