Abstract
Objective
To compare the efficacy of the three feeding techniques commonly used in authors’ setup in improving the weight gain pattern of children with orofacial cleft.
Methods
A cohort prospective study was employed. A total sample of 150 infants at the age of 2 mo with cleft of both lip and palate were recruited and followed bimonthly until their first birthday to assess the pattern of weight gain. The subjects were categorized into three groups based on their habitual feeding techniques such as Group I: Paladai fed; Group II: Bottle fed and Group III: Spoon fed with 50 subjects in each group. The three groups were counseled on nutritional aspects, correct infant positioning and hygienic practices.
Results
The mean weight of the Group I subjects was observed to be higher than the other two groups at every visit and was also found to be statistically significant at p < 0.001. Over all comparison proved that the weight gain of 1.364 ± 0.191, 1.348 ± 0.284 and 1.450 ± 0.205 and the velocity of weight gain, kg per week of 0.17 ± 0.023, 0.168 ± 0.035 and 0.181 ± 0.025 of Group I at 4, 6 and 8th mo respectively were significantly higher than the other two groups (p < 0.001).
Conclusions
Of the three feeding techniques adopted by the mothers of infants with orofacial cleft, it was noted that paladai feeding was better than the bottle or spoon-feeding.
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References
Ghonmode SW, Kalaskar AR, Kalaskar RR, Chole R, Bhushan P, Ali FM. Vista of cleft lip and palate in India. J Evol Med Dental Sci. 2012;1:1102–11.
Shapira Y, Lubit E, Kuftinec MM, Borell G. The distribution of clefts of the primary and secondary palates by sex, type, and location. Angle Orthod. 1999;69:523–8.
Mossey PA, Little J. Epidemiology of oral clefts: an international perspective. In: Wyszynski DF, editor. Cleft lip and palate. From origin to treatment. New York: Oxford University Press; 2002. p. 127–58.
Murray JC. Gene/environment causes of cleft lip and/or palate. Clin Genet. 2002;61:248–56.
Mizuno K, Ueda A, Kani K, Kawamura H. Feeding behavior of infants with cleft lip and palate. Acta Paediatr. 2002;91:1227–32.
Gopinath VK, Muda WA. Assessment of growth and feeding practices in children with cleft lip and palate. Southeast Asian J Trop Med Public Health. 2005;36:254–8.
Bessel A, Hooper L, Shaw WC, Reilly S, Reid J, Glenny AM. Feeding interventions for growth and development in infants with cleft lip, cleft palate or cleft lip and palate. Cochrane Database Syst Rev. 2011;(2):CD003315.
Goyal A, Jena AK, Kaur M. Nature of feeding practices among children with cleft lip and palate. J Indian Soc Pedod Prev Dent. 2012;30:47–50.
Subramanyam MA, Ackerson LK, Subramanian SV. Patterning in birth weight in India: analysis of maternal recall and health card data. PLoS One. 2010;5:E11424.
Freitas RdaS, Lopes-Grego AB, Dietrich HLD, de Moraes Cerchiari NR, Nakakogue T, Tonocchi R, et al. Weight gain in children with cleft lip and palate without use of palatal plates. Plastic Surg Int. 2012;2012:1–4.
Luiz MC, Barbieri MA, Bettiol H, Marques IL, de Souza L. Growth impairment of children with different types of lip and palate clefts in the first 2 years of life: a cross-sectional study. J Pediatr (Rio J). 2005;81:461–5.
Lazarus DD, Hudson DA, Fleming NA, Goddard EA, Fernandes DB. Are children with clefts underweight for age at the time of primary surgery? Plast Reconstr Surg. 1999;103:1624–9.
Kleinman RE. Pediatric nutrition handbook. American academy of pediatrics. 6th ed. New York: Jaypee Brothers Medical Publishers Pvt. Ltd; 2009. p. 117.
de Onis M, Onyango A, Borghi E, Siyam A, Blössner M, Lutter CK. WHO multicentre growth reference study group. Worldwide implementation of the WHO child growth standards. Public Health Nutr. 2012;15:1603–10.
Jaruratanasirikul S, Chichareon V, Pattanapreechawong N, Sangsupavanich P. Cleft lip and/or palate: 10 years experience at a pediatric cleft center in southern Thailand. Cleft Palate Craniofac J. 2008;45:597–602.
Özkan H, Uguz A, Haberal S. Postnatal weight velocity pattern in very low birth weight infants. Indian J Pediatr. 1997;64:383–8.
Elizabeth KE. Nutrition and child development. New Delhi: Paras Medical Publisher; 2007. p. 29.
Gorstein J, Sullivan K, Yip R, de Ories M, Trowbridge F, Fajans P, et al. Issues in the assessment of nutritional status using anthropometry. Bull World Health Organ. 1994;72:273–83.
Freeman JV, Cole TJ, Chinn S, Jones PR, White EM, Preece MA. Cross sectional status and weight reference curve for the UK. Arch Dis Child. 1995;73:17–24.
WHO. Child growth standards length/height-for –age, weight-for-age, weight-for-length, weight-for-height and body mass index for age. Geneva: WHO press; 2006.
Contributions
BKR: Principle investigator; LNP: Guide for study; AJH: Co Guide for study; JM: Study subjects, review of manuscript. LNP will act as guarantor for this study.
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Ravi, B.K., Padmasani, L.N., Hemamalini, A.J. et al. Weight Gain Pattern of Infants with Orofacial Cleft on Three Types of Feeding Techniques. Indian J Pediatr 82, 581–585 (2015). https://doi.org/10.1007/s12098-014-1668-0
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DOI: https://doi.org/10.1007/s12098-014-1668-0