Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Idi-Araba, Nigeria.
Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos, Idi-Araba, Nigeria.
Cleft Palate Craniofac J. 2020 Aug;57(8):1018-1023. doi: 10.1177/1055665620919312. Epub 2020 Apr 15.
To carry out a survey of breastfeeding practices and related challenges among mothers with orofacial cleft babies attending the cleft clinic of a tertiary health institution.
This was a cross-sectional descriptive study using an interviewer-administered questionnaire. Sample population was all mothers of babies aged between 1 and 18 months with nonsyndromic orofacial clefts attending the cleft clinic of a tertiary health institution in Nigeria.
A total of 65 mothers participated in the study. Initiation of breastfeeding was reported by the majority (83%, n = 54) of the mothers, and only 18.5% (n = 10) of this proportion continued exclusive breastfeeding. Inability of the babies to suck was reported by 46% (n = 30) of the mothers as being the most important challenge in breastfeeding. There was a significant correlation between the type of cleft and challenge in breastfeeding (Fisher exact = .001). Sixty-three percent (n = 41) of the mothers reported they received no counseling on overcoming challenges associated with feeding their babies with a cleft at the facility where they delivered. Sixty-nine percent (n = 45) reported they first received nutritional information from the cleft clinic at presentation. The most adopted substitute for breastfeeding was the use of regular feeding bottles (n = 24, 43.6%).
Rate of initiation of breastfeeding for children with orofacial clefts in this African cohort is higher than reported in other populations despite the low level of nutritional counseling of the mothers after delivery.
调查在一家三级医疗机构的唇腭裂诊所就诊的唇腭裂婴儿的母亲的母乳喂养实践和相关挑战。
这是一项使用访谈者管理的问卷调查的横断面描述性研究。样本人群为所有年龄在 1 至 18 个月之间、患有非综合征性唇腭裂的婴儿的母亲，这些婴儿在尼日利亚一家三级医疗机构的唇腭裂诊所就诊。
共有 65 位母亲参加了这项研究。大多数（83%，n=54）母亲报告已经开始母乳喂养，而只有 18.5%（n=10）的母亲继续进行纯母乳喂养。46%（n=30）的母亲报告说，婴儿无法吮吸是母乳喂养的最大挑战。母亲报告说，唇腭裂的类型与母乳喂养的挑战之间存在显著相关性（Fisher 确切检验，P=0.001）。63%（n=41）的母亲报告说，她们在分娩的地方没有接受过关于克服与喂养唇腭裂婴儿相关的挑战的咨询。69%（n=45）的母亲报告说，她们是在首次就诊于唇腭裂诊所时获得营养信息的。最常被采用的母乳喂养替代品是使用普通奶瓶（n=24，43.6%）。
在这个非洲队列中，唇腭裂儿童开始母乳喂养的比例高于其他人群的报告，尽管母亲在分娩后接受的营养咨询水平较低。
