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Weight Gain Pattern of Infants with Orofacial Cleft on Three Types of Feeding Techniques

B Kundhala Ravi1, L N Padmasani, A J Hemamalini

  • 1Department of Clinical Nutrition, Sri Ramachandra University, Chennai, 600116, India, Kundhala@rediffmail.com.

Indian Journal of Pediatrics
|February 5, 2015
PubMed

Insights

Paladai feeding significantly improves weight gain in infants with orofacial clefts compared to bottle or spoon feeding. This traditional method supports better infant nutrition and development.

Area of Science:

  • Pediatric Nutrition
  • Craniofacial Anomalies
  • Infant Feeding Practices

Background:

  • Orofacial clefts present feeding challenges for infants.
  • Effective feeding techniques are crucial for optimal infant growth and development.
  • Existing feeding methods require comparative efficacy analysis.

Purpose of the Study:

  • To compare the efficacy of three common feeding techniques in improving weight gain patterns in infants with orofacial clefts.
  • To evaluate paladai feeding, bottle feeding, and spoon feeding for infants with cleft lip and palate.
  • To identify the most effective feeding method for promoting healthy weight gain in this population.

Main Methods:

  • A prospective cohort study involving 150 infants (2 months old) with cleft lip and palate.
  • Infants were followed bimonthly until age one to assess weight gain patterns.
  • Subjects were divided into three groups: paladai-fed, bottle-fed, and spoon-fed (50 per group), with nutritional counseling provided.

Main Results:

  • Infants fed with paladai demonstrated significantly higher mean weights at all follow-up visits (p < 0.001).
  • Weight gain velocity (kg/week) was significantly greater in the paladai-fed group compared to bottle and spoon-fed groups.
  • Statistical analysis confirmed the superior efficacy of paladai feeding for infant weight gain.

Conclusions:

  • Paladai feeding is a more effective technique than bottle or spoon feeding for infants with orofacial clefts.
  • The findings support the use of paladai feeding to enhance nutritional outcomes in infants with clefts.
  • Optimizing feeding methods is essential for managing orofacial cleft conditions.
Abstract

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