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Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure

Erantia E Visser1, Esedra E Krüger1, Aletta Margaretha1

  • 1Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria Private Bag X20, Hatfield 0028.

African Health Sciences
|February 16, 2019
PubMed

Insights

Infants with cleft lip and palate and HIV exposure showed higher rates of oropharyngeal dysphagia compared to those without HIV exposure. This suggests potential neurological involvement impacting feeding in this vulnerable population.

Area of Science:

  • Pediatric Feeding Disorders
  • Neonatal Health
  • Cleft Lip and Palate Research

Background:

  • Limited data exists on feeding characteristics of infants with unrepaired cleft lip and palate (CLP) who are exposed to HIV.
  • Understanding these feeding patterns is crucial for early intervention and improved outcomes.

Purpose of the Study:

  • To compare feeding characteristics in infants with unrepaired CLP and HIV exposure versus infants with unrepaired CLP only.
  • To identify potential differences in oral feeding skills and dysphagia risk.

Main Methods:

  • A comparative study utilized the Neonatal Feeding Assessment Scale.
  • Twelve HIV-exposed infants with unrepaired CLP were compared to 13 infants with unrepaired CLP.
  • Participants were matched for cleft type and obturator use; age, birth weight, and gestation were similar.

Main Results:

  • 75% of HIV-exposed infants showed likelihood of oropharyngeal dysphagia, versus 15.38% in the control group.
  • HIV-exposed infants exhibited symptoms suggestive of neurological involvement beyond structural CLP issues.
  • Feeding difficulties were exacerbated in the HIV-exposed group.

Conclusions:

  • HIV-exposed infants with unrepaired CLP present distinct symptoms of oropharyngeal dysphagia.
  • Further research with diverse measurement tools is recommended to validate these findings.
  • Early identification of dysphagia in this population is critical.
Abstract

Keywords:
HIV-exposed infantsfeeding difficultiesunrepaired cleft lip and palate

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