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The effect of position on feeding performance in infants with cleft lip and palate: Quasiexperimental study

Şerife Kartal Erdost1, Duygu Gözen2

  • 1Health Science Faculty, Department of Nursing, İstanbul Kültür University, Istanbul, Turkey.

Journal for Specialists in Pediatric Nursing : JSPN
|May 27, 2024
PubMed

Insights

Feeding position did not significantly impact physiological parameters or feeding performance in infants with cleft lip and palate (CLP). However, the elevated side-lying (ESL) position showed a trend toward better outcomes for infants with CLP.

Area of Science:

  • Pediatric feeding interventions
  • Infant physiology and nutrition
  • Cleft lip and palate care

Background:

  • Infants with cleft lip and palate (CLP) often experience feeding difficulties.
  • Optimizing feeding position is crucial for improving feeding performance and physiological stability in infants with CLP.
  • Preoperative feeding strategies aim to enhance infant well-being before surgical repair.

Purpose of the Study:

  • To evaluate the effect of feeding position on physiological parameters and feeding performance in infants with CLP.
  • To compare the elevated supine (ESU) and elevated side-lying (ESL) positions for feeding infants with CLP.
  • To provide evidence-based recommendations for feeding practices in preoperative CLP infants.

Main Methods:

  • A quasiexperimental study involving 45 infants (0-6 months) with CLP.
  • Infants were fed in both ESU and ESL positions using a specialized bottle.
  • Physiological parameters (heart rate, oxygen saturation) and feeding performance indicators were measured and compared between positions.

Main Results:

  • No statistically significant differences were observed in heart rate or oxygen saturation between the ESU and ESL feeding positions.
  • Feeding performance measures also showed no significant differences based on the feeding position.
  • p-values for all comparisons were greater than .05, indicating no statistically significant effect.

Conclusions:

  • The study found no significant differences in physiological parameters or feeding performance for infants with CLP when fed in the ESL versus ESU positions.
  • Despite the lack of statistical significance, a trend towards improved physiological values and feeding performance was noted in the ESL position.
  • Nurses may consider utilizing the ESL position, potentially oriented away from the cleft side, as a practical feeding approach for infants with CLP.
Abstract

Keywords:
cleft lipcleft palatefeedingnurseposition

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