Feeding Methods in Children with Cleft Lip and Palate at a Foundation in Puebla
DOI:
https://doi.org/10.56200/mentor.v5i2.12312Keywords:
Breast Feeding, Cleft palate, Feeding methods, NursingAbstract
Cleft lip and/or palate (CLP) is one of the most common craniofacial malformations; in this condition, feeding is compromised from birth due to a lack of coordination between the infant’s sucking, swallowing, and breathing, which affects their growth and nutritional status. The objective of this study was to describe feeding methods and the main difficulties faced by children aged 0 to 8 years with CLP treated at a foundation in the state of Puebla, Mexico. A prospective, observational, descriptive, and cross-sectional quantitative study was conducted on a sample of 51 mothers using a structured questionnaire, validated by experts, to collect sociodemographic, clinical, and feeding management variables. The use of formula via bottles, such as the squeezable bottle and Haberman Feeder, was predominant. Mothers reported ineffective oral latch and the presence of coughing as the main difficulties. Nearly half of the participants received guidance from nursing staff. Anatomical characteristics influence feeding technique and breastfeeding success. The findings suggest the importance of strengthening professional training and early support to optimize feeding management for this population.
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Alinezhad, D., et al. (2025). Parents’ views and experiences of raising babies born with cleft lip and palate: A qualitative study. BMC Pediatrics,25(33). https://doi.org/10.1186/s12887-024-05379-6
Asociación Médica Mundial. (2013). Declaración de Helsinki de la AMM - Principios éticos para las investigaciones médicas en seres humanos. https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
Diario Oficial de la Federación. (2014, 2 de abril). Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. [Última reforma publicada].https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf
Goldshtein, I., Neeman, R., Segal, I., Stein-Zamir, C., & Chodick, G. (2025). Breastfeeding duration and child development: A national cohort study. JAMA Network Open, 8(3). https://doi.org/10.1001/jamanetworkopen.2025.1540
Hernández-Sampieri, R., & Mendoza, C. (2018). Metodología de la investigación: Las rutas cuantitativa, cualitativa y mixta. McGraw-Hill Education.
Kantar, R. S., Hamdan, U. S., Muller, J. N., Hemal, K., Younan, R. A., Haddad, M., Melhem, A. M., Don Griot, J. P. W., Breugem, C. C., & Mokdad, A. H. (2023). Global prevalence and burden of orofacial clefts: A systematic analysis for the Global Burden of Disease Study 2019. Journal of Craniofacial Surgery, 34(7), 2012–2015. https://doi.org/10.1097/SCS.0000000000009591
Kucukguven, A., Calis, M., & Ozgur, F. (2020). Assessment of nutrition and feeding interventions in Turkish infants with cleft lip and/or palate. Journal of Pediatric Nursing, 51, e39–e44. https://doi.org/10.1016/j.pedn.2019.05.024
Oliveira, L. B., Fonseca, G., Rolim, T., Scariot, R., & Feltrin, J. (2024). Breastfeeding and cleft lip and palate: A systematic review and meta-analysis. The Cleft Palate Craniofacial Journal, 61(8), 1344–1355. https://doi.org/10.1177/10556656231170137
Santhya, G., Venkata Mahipathy, S. R., Natarajan, P. G., Sundaramurthy, N., Easwar, A., & Raja, A. (2021). To assess prevalence of various feeding techniques used for children with cleft lip/palate prevalent in southern India and to assess their effectiveness in improving energy intake and growth of children with cleft lip/palate. Journal of Pharmaceutical Research International, 33(64B), 41–46. https://doi.org/10.9734/JPRI/2021/v33i64B35328
Secretaría de Salud. (2023). Informe de vigilancia epidemiológica de defectos al nacimiento 2022: labio y/o paladar hendido como defecto congénito más frecuente en México. Gobierno de México. https://www.gob.mx/salud/articulos/labio-y-paladar-hendido-defecto-congenito-mas-frecuente-335333?idiom=es
Secretaría de Salud. (2025). Informe trimestral SVEDAN, segundo trimestre 2025. Gobierno de México. https://www.gob.mx/cms/uploads/attachment/file/1010286/InformeTrimestral_SVEDAN_2doTrim_2025.pdf
Tomazi, N., Trettene, C., Bom, G., Farinha, F. T., von Kostrisch, L., Mazzo, A., & Trettene, A. S. (2024). Factors associated with breastfeeding adherence in infants with orofacial clefts: A scoping review. Cogitare Enfermagem, 29,e95133. https://doi.org/10.1590/ce.v29i0.95133
Ueki, S., Fujita, A., Kumagai, Y., Hirai, Y., & Miyata, J. (2023). Bottle-feeding techniques for children with cleft lip and palate experiencing feeding difficulties: A qualitative descriptive study. International Journal of Nursing Sciences, 10(1), 82–88. https://doi.org/10.1016/j.ijnss.2022.12.004
Ueki S., Kumagai Y., Hirai Y., Nagatomo E., Miyauchi S., Inoue T., An Q., Tashiro E., Miyata J. (2024). The Kumagai method: Feeding techniques using the Pigeon Baby Cleft Palate Bottle. Nursing Reports, 30(14), 2695-2705. https://pubmed.ncbi.nlm.nih.gov/39449436/
Villarreal, K., Torre, G., Garrocho, J. A., Márquez, R., Fernández, H. & Rosales, M. (2025). Ortopedia Prequirúrgica Utilizando Flujos Digitales en Recién Nacido con Labio y Paladar Hendido. International Journal of Odontostomatology, 19(1), 60-64. https://dx.doi.org/10.4067/S0718-381X2025000100060
Williams, J., & Kotlarek, K. (2023). Current postoperative feeding practices following surgical repairs for infants with cleft palate. The Journal of Craniofacial Surgery, 34(7), 2142–2145. https://doi.org/10.1097/SCS.0000000000009586
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Copyright (c) 2026 Fatima Ricarda Avilés Campos, Liliana Ambrocio González, Itzel Andrea Sanchez Juarez, Araceli Martínez López
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+593987341121 Email: rjposso@revistamentor.ec
