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Weight gain and feeding in the neonate with cleft: a three-center study
1Dublin Dental Hospital.
Insights
Neonates with clefts, particularly cleft palate, show lower weekly weight gain than unaffected infants. Early feeding difficulties affect 25% of these infants, necessitating improved parental guidance.
Area of Science:
- Pediatric surgery
- Neonatal care
- Craniofacial anomalies
Background:
- Infants with cleft lip and palate often face feeding challenges.
- Establishing typical growth patterns is crucial for monitoring infant health.
Purpose of the Study:
- To determine mean weekly weight gain in neonates with clefts.
- To investigate the prevalence and potential causes of feeding problems in this population.
Main Methods:
- Retrospective analysis of 202 neonates with various cleft types across three specialized units.
- Data collection focused on weekly weight gain and reported feeding issues.
Main Results:
- Mean weekly weight gain was significantly lower in neonates with clefts compared to controls.
- Infants with isolated cleft palate exhibited the lowest weight gain.
- Approximately 25% of infants experienced early feeding difficulties, potentially linked to nasal mucosal ulceration.
Conclusions:
- The study establishes realistic weight gain benchmarks for neonates with different cleft types.
- Findings highlight the need for enhanced strategies to support parents and address feeding difficulties.
- Improved counseling for parents and guidance for community health workers are recommended.
Abstract:
A retrospective investigation was carried out on 202 neonates with cleft from three cleft units to establish mean weight gain per week and to investigate problems with feeding. Results show that the mean weight gain per week was lower than that of children without cleft, the group with only cleft palate showing the lowest weight gain. There were indications that 25% of infants may experience early feeding difficulties and that these could be associated, among other things, with ulceration of the nasal mucosa. These problems arise despite early counseling, and further work regarding the way in which parents are advised is indicated. The results of this survey have allowed the group in Birmingham to set realistic goals for mean weight gain for all cleft types, to reassure parents, and to advise community health workers.
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