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Assessment of growth and feeding practices in children with cleft lip and palate

V K Gopinath1, Wan Abdul Manan Wan Muda

  • 1School of Dental Sciences, University Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. gopinath@kb.usm.my

The Southeast Asian Journal of Tropical Medicine and Public Health
|May 24, 2005
PubMed

Insights

Children with cleft lip and palate (CLP) face feeding difficulties, leading to undernutrition and compromised growth. Height monitoring is crucial for assessing growth in CLP children, who are also more prone to infections.

Area of Science:

  • Pediatrics
  • Craniofacial Anomalies
  • Child Growth and Development

Background:

  • Feeding difficulties are common in infants with cleft lip and palate (CLP), impacting family well-being and infant nutrition.
  • Undernourishment and compromised growth are significant concerns for infants with CLP.
  • Understanding feeding methods and growth parameters is essential for managing CLP infants.

Purpose of the Study:

  • To assess general health and growth parameters in children with CLP compared to normal children.
  • To investigate and compare feeding methods in CLP infants and normal infants.
  • To identify reliable indicators for monitoring growth in children with CLP.

Main Methods:

  • A comparative study involving 221 children (60 CLP, 161 normal) aged birth to six years.
  • Assessment of feeding practices using piloted questionnaires for infants in subgroup I.
  • Growth parameters (height) and general well-being (infection rates) were monitored over six months.

Main Results:

  • Mothers of normal babies showed a significantly higher positive attitude towards breastfeeding compared to mothers of CLP babies (p < 0.01).
  • CLP children exhibited significantly higher susceptibility to infections (p < 0.05) and lower height measurements on growth curves (p < 0.05) than normal children.
  • Height was identified as a significant indicator for monitoring growth in CLP children.

Conclusions:

  • CLP children face greater health challenges, including increased infection rates and impaired growth, compared to their normal peers.
  • Height serves as a reliable parameter for monitoring the growth trajectory of children with cleft lip and palate.
  • Interventions addressing feeding difficulties and growth monitoring are vital for improving outcomes in CLP patients.

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