Keywords
Cleft Palate
Breastfeeding
How to Cite
Abstract
A cleft lip and palate (CLP) is a congenital malformation that affects 1 in every 650 births in Brazil. Natural breastfeeding is crucial for the healthy development of a baby, but children with CLP face additional challenges due to structural changes that affect suction and swallowing. The aim of the study was to assess the level of mothers’ knowledge regarding breastfeeding for children with CLP. The sample included 3 mothers of children aged 0 to 5 years, of both genders, regardless of the type of clef, and from different ethnicities. All participants agreed to the informed consent form. Subsequently, a questionnaire containing 19 questions was administered at the Health Care Center, Pró-face, in Caxias do Sul, Rio Grande do Sul. The data obtained were tabulated and analyzed descriptively using frequencies and percentages. The results showed a predominance of individuals with cleft lip and palate who were female (65.5%), born in a public hospital (93.5%), and with a type of unilateral transforaminal cleft (45.1%). Most mothers were aware of the cleft’s presence before birth (61.6%) and received guidance on breastfeeding before delivery (61.6%). The majority of children attempted breastfeeding (67.7%), but only 12.9% achieved effective latch. The sitting position was the most commonly used by others (83.9%), and 32.3% of children continued to receive breast milk in their first six months. It can be concluded that the lack of prenatal information highlights the need to improve guidance for mothers of children with lip and palate, focusing on the importance of breastfeeding and providing adequate support to overcome the difficulties associated with this condition. It is recommended to train healthcare teams to better advise and support families.
References
Neville BW, et al. Patologia Oral & Maxilofacial. 3a Ed. Rio de Janeiro: Elsevier; 2009.
Gottschlich MM, Mayes T, Allgeier C, James L, Khoury J, Pan B, et al. A Retrospective Study Identifying Breast Milk Feeding Disparities in Infants with Cleft Palate. J Acad Nutr Diet. 2018;118(11):2154-2161.
Altmann EBC, et al. Fissuras Labiopalatinas. 4. ed. São Paulo: Pró-fono; 1997.
Antunes LS, Antunes LAA, Corvino MPF, Maia LC. Amamentação natural como fonte de prevenção em saúde. Ciênc. saúde coletiva. 2008;13(1):103-109.
Pan American Health Organization (PAHO). World Health Organization (WHO). Breastfeeding. 203.
Jesus MSV, Di Ninno CQMS. Fissura labiopalatina: fundamentos para prática fonoaudiológica. Rev Soc Bras Fonoaudiol. 2009;14(1):150.
Di Ninno CQMS. Abordagem fonoaudiológica atual nas fissuras labiopalatina. In: Britto ATBO. Livro de Fonoaudiologia. 1. ed. São Paulo: Pulso; 2005. p. 325-338.
Di Ninno CQ, Gomes R, Santos P, Bueno M, Galvão D, Meira A, et al. O conhecimento dos profissionais da área da saúde sobre fissura labiopalatina. Rev Soc Bras Fonoaudiol. 2004;9(2):93-101.
Amorim SMR, Carvalho MRD de, Costa AMA da, Ferreira RSA, Oliveira TAC de, Alves VKM, et al. A prática do aleitamento materno em crianças com fissuras labiopalatinas. REAS. 2019;11(5):296.
Matos FGOA, Santos KJJ, Baltazar MMM, Fernandes CAM, Marques AFJ, Luz MS da. Perfil epidemiológico das fissuras labiopalatais de crianças atendidas em um centro de referência paranaense. Rev Enferm UFSM. 2020;10(28):1-14.
Silva RCC, Carmo HA, Neto FRGX, Rodrigues TB, Vasconcelos MA, Grande AJ. Perfil dos Casos de Fissura Labiopalatal Atendidos em um Hospital de Ensino do Norte do Ceará, Brasil. Cadernos ESP. 2019;7(2):19-27.
Hoffmann J, Zimmermann F, Duca AP, Lima HD, Giannecchini T. Perfil epidemiológico de lactentes com fissura labiopalatina: uma perspectiva fonoaudiológica. Pesquisa, Sociedade e Desenvolvimento. 2022;11(6):1-6.
Silva SMC, Borba AM, Borges AH, Matos FZ, Assis FS, Guedes AO, et al. Perfil das mães com filhos diagnosticados com fissura labiopalatal. ROBRAC. 2018;27(81):77-81.
Branco LL, Cardoso MC. Alimentação no recém-nascido em fissuras labiopalatinas. Universitas: Ciências da saúde 2013;11(1):57-70.
Monlleó IL, Mendes LGA, Lopes VLGS, Barros AGR, Andrade AKM, Brito GL, et al. Manual de cuidados de saúde e alimentação da criança com fenda oral. Projeto crânio-face Brasil. 2014;22(5):913-921.
Mazzetti MPV, Kobata CT, Brock RS. Diagnóstico Ultrassonográfico Pré-Natal Da Fissura Lábio-Palatal. ACM. 2009;38(1):130-132.
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