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- Title
Feeding and Growth in Infants With Cleft Lip and/or Palate: Relationships With Maternal Distress.
- Authors
Madhoun, Lauren L.; Crerand, Canice E.; O'Brien, Meghan; Baylis, Adriane L.
- Abstract
Objective: To examine relationships between early feeding and growth and maternal distress in infants with and without cleft lip and/or palate (CL/P). Design: Cross-sectional. Setting: Pediatric academic medical center in the Midwestern United States. Participants: Mothers of infants 1 to 12 weeks old with CL/P (n = 30) and without CL/P (control group, n = 30) were recruited at craniofacial clinic or pediatrician appointments. Main Outcome Measure(s): Maternal responses on the Feeding/Swallowing Impact Survey (FS-IS), Parenting Stress Index, Fourth Edition, Short Form (PSI-4-SF), and Edinburgh Postnatal Depression Scale. Infant feeding history and growth measurements were obtained. Results: Having an infant with CL/P revealed greater impact on maternal health-related quality of life due to feeding problems (F = 4.83, P =.03). Mothers of infants with CL/P reported average range Total Stress scores on the PSI-4-SF, which were higher than controls (F = 4.12, P =.05). Edinburgh Postnatal Depression Scale scores did not differ between groups. Compared to controls, infants with cleft palate had lower percentiles for weight (t = 4.13, P =.04) and length (t = 2.93, P =.01). Higher FS-IS scores were associated with longer feeding duration (r = 0.32, P =.01) and lower weight (r = −0.31, P =.02) and length (r = −0.32, P =.02). Conclusions: Despite receiving early team care and feeding interventions, mothers of infants with CL/P reported higher stress and more challenges with feeding and growth. Future studies should examine targeted psychosocial interventions to improve feeding and growth outcomes in infants with CL/P.
- Subjects
INFANT development; CLEFT palate; CLEFT lip
- Publication
Cleft Palate Craniofacial Journal, 2021, Vol 58, Issue 4, p470
- ISSN
1055-6656
- Publication type
Article
- DOI
10.1177/1055665620956873