Feeding practices of children aged 0 to 24 months with clefts attending a specialized hospital in Uganda

2019 ◽  
Author(s):  
Maureen Nabatanzi ◽  
Gloria Kimuli Seruwagi ◽  
Florence Basiimwa Tushemerirwe ◽  
David Lubogo
Keyword(s):  
Child Nutrition ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
World Health ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Oral Clefts ◽  
Feeding Difficulties

Abstract Background: Appropriate feeding practices are vital for child nutrition. Despite a low incidence of 0.73 in 1000, Ugandan children with oral clefts face feeding difficulties that affect their feeding practices, nutrition status and health.Objective: To determine the feeding practices, techniques and maternal feeding knowledge among children with oral clefts attending Comprehensive Rehabilitative Services of Uganda (CoRSU) HospitalMethods: This survey was part of a cross-sectional study on feeding practices, mothers’ experiences and support. We consecutively sampled 32 mothers of children with oral clefts aged 0 to 24 months attending CoRSU hospital between April and May, 2018. A structured questionnaire collected data on feeding practices, techniques and maternal feeding knowledge. Descriptive statistics were analyzed using SPSS software.Results: Most children (56%) had cleft lip and palate. Early initiation of breastfeeding was 44% and exclusive breastfeeding was 35%. None continued breastfeeding beyond 12 months. Timely introduction of complementary foods was 75%. 58% met the minimum dietary diversity score, 83% met the minimum meal frequency and 33% received a minimum acceptable diet. 75% of the mothers used bottles, cups and spoons in feeding their children. Majority preferred the specialized soft bottle (50%). 28% of the mothers were knowledgeable on the World Health Organization recommended feeding practices. Conclusions: This cleft group had suboptimal feeding practices since none of the children breastfed beyond 12 months and only one third received an acceptable diet. Varied feeding techniques were employed to improve feeding; majority preferred the specialized soft bottle. Most mothers had inadequate knowledge on feeding. There is need to improve the feeding guidance given to mothers of children with oral clefts. Our findings can guide the design of appropriate feeding interventions for this group.

scholarly journals Correlation between quality of life and burden of family caregivers of infants with cleft lip and palate

2019 ◽  
Vol 53 ◽  
Author(s):  
Marli Luiz Beluci ◽  
Cleide Carolina da Silva Demoro Mondini ◽  
Armando dos Santos Trettene ◽  
Rosana Aparecida Spadoti Dantas
Keyword(s):  
Quality Of Life ◽  
Family Caregivers ◽  
Cleft Lip ◽  
Family Income ◽  
Cleft Lip And Palate ◽  
World Health ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Environment Domain

ABSTRACT Objective: To evaluate the correlation between measures of quality of life and burden in family caregivers of infants with cleft lip and palate and to analyze possible associations between quality of life and sociodemographic variables. Method: Exploratory, cross-sectional study conducted in hospital specialized in the treatment of craniofacial anomalies, with caregivers who answered the following data collection instruments: sociodemographic characterization form, World Health Organization Quality of Life - BREF questionnaire and the Burden Interview Scale. The statistical analysis was conducted using the Pearson’s Correlation test, the Student’s t-test and the ANOVA test with a level of significance of 0.05. Results: 77 caregivers participated in the study. There was an inverse correlation between quality of life and burden in the Physical Health, Psychological, Social Relationships and Environment domains. There was a positive correlation between quality of life and family income in the Environment domain. Conclusion: The greater the burden on the caregiver, the lower was their perception of quality of life. Caregivers with higher family income and greater level of education presented a better perception quality of life in the Environment domain.

Analysis of the Prevalence and Incidence of Cleft Lip and Palate in Colombia

2019 ◽  
Vol 57 (5) ◽  
pp. 552-559 ◽  
Author(s):  
Rengifo Reina Herney Alonso ◽  
Guarnizo Peralta Stefany Brigetty
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Oral Clefts ◽  
Birth Prevalence ◽  
Administrative Records ◽  
Live Births ◽  
Population Prevalence ◽  
The Individual

Objective: To analyze the population prevalence and birth prevalence of oral clefts in Colombia from 2009 to 2017. Methods: A cross-sectional study using information from the National Administrative Records of Colombia. The data came from 2 types of administrative records (Surveillance System and the Individual Registry of Service Provision) and the oral health national survey. Population prevalence and birth prevalence by type of cleft lip and/or cleft (CL/P) ratios were calculated using Poisson distribution for count data and to assess stationary tests on time series (Dickey-Fuller) and (Phillips-Perron) was used. Results: Population prevalence in Colombia was 3.27 per 10 000 inhabitants (95% confidence interval [CI], 3.21-3.32) and birth prevalence was 6.0 per 10 000 live births (95% CI, 5.67-6.35). Bogotá have the highest population prevalence with CL/P. In the analysis of trends for the prevalence proportion by type of clefts in newborn babies with cleft, it was observed that the highest proportion was for babies with CLP. Cleft lip (CL) has increased from 17.4% in 2014 to 34.2% in 2017, cleft palate (CP) has decreased from 32.9% to 20.2%; and CLP changed from 49.6% to 45.5% in the same period. Conclusions: The population prevalence was 3.27 per 10 000 inhabitants. Births prevalence was 6.0 per 10 000 live births, and Orinoquia and Amazonia have higher rates than the national average. The administrative registers are adequate systems to know the behavior of oral clefts. The CL/P had a nonstationary trend during the period 2014 to 2017.

scholarly journals Epidemiological features of patients with nonsyndromic cleft lip and/or palate in Western Parana

2016 ◽  
Vol 15 (1) ◽  
pp. 39 ◽  
Author(s):  
Helenara Salvati Bertolossi Moreira ◽  
Renato Assis Machado ◽  
Sibele Nascimento de Aquino ◽  
Ana Lúcia Carrinho Ayrosa Rangel ◽  
Hercílio Martelli Júnior ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
First Trimester ◽  
Vitamin Supplements ◽  
Cross Sectional ◽  
Oral Clefts ◽  
Factors Associated ◽  
Epidemiological Features ◽  
History Of ◽  
First Trimester Of Pregnancy

Aim: : To describe the clinical, demographic and environmental features associated with NSCL/P (nonsyndromic cleft lip and/or palate) patients born in western Parana state, Brazil. Methods: This cross-sectional, observational, retrospective study included 188 patients attended at the Association of Carriers of Cleft Lip and Palate - APOFILAB, Cascavel-Parana, between 2012 and 2014. Information on demographic characteristics, medical and dental histories and life style factors were obtained from records and personal interviews. Results: Among the 188 patients, cleft lip and palate (CLP) was the most frequent subtype (55.8%), followed by cleft lip only (CLO, 25.0%) and cleft palate only (CPO, 19.2%). Caucasian males were the most affected, although no differences among types of cleft were observed. The otorhinolaryngologic and respiratory alterations were the most frequent systemic alterations in NSCL/P patients, and more than 80% of the NSCL/P mothers reported no vitamin supplements during the first trimester of pregnancy. Conclusions: This study revealed that the prevalence of nonsyndromic oral cleft types in this cohort was quite similar to previously reported prevalence rates. Systemic alterations were identified among 23.4% of the patients and patients with CLP were the most affected. History of maternal exposition to environmental factors related to nonsyndromic oral clefts was frequent and most mothers reported no vitamin supplements during the pregnancy. This study highlights the importance of identifying systemic alterations and risk factors associated with NSCL/P in the Brazilian population for planning comprehensive strategies and integrated actions for the development of preventive programs and treatment.

scholarly journals The Relationship of Exposure to Anesthesia on Outcomes in Children With Isolated Oral Clefts

2016 ◽  
Vol 32 (3) ◽  
pp. 308-315 ◽  
Author(s):  
Amy L. Conrad ◽  
Jon W. Goodwin ◽  
James Choi ◽  
Robert I. Block ◽  
Peg Nopoulos
Keyword(s):  
Cognitive Functioning ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Retrospective Chart Review ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Brain Volumes ◽  
Oral Clefts ◽  
Record Review ◽  
The Relationship

This study evaluated the relationship between exposure to anesthesia and previously identified differences in cognitive functioning, growth, and volumetric brain measures among a sample of children, adolescents, and young adults with isolated oral clefts. Data from a cross-sectional study were combined with a retrospective chart review. Data were obtained for 87 participants with isolated cleft lip and/or palate (55% male), ranging from 7.5 to 27 years old (mean = 15.78, standard deviation = 4.58). Measures of interest included cognitive functioning, growth measures, and brain volumes. Number of surgeries and time under anesthesia were obtained through systematic medical record review. Potential sex and cleft type differences in exposure as well as relationships between anesthesia exposure and outcome measures were evaluated. Participants with isolated cleft lip and palate had more surgeries and were under anesthesia longer. For participants with isolated cleft lip only, more surgeries were correlated to lower verbal IQ and higher frontal lobe volume.

Breast Milk Feeding Practices and Barriers and Supports Experienced by Mother–Infant Dyads With Cleft Lip and/or Palate

2019 ◽  
Vol 57 (4) ◽  
pp. 477-486 ◽  
Author(s):  
Lauren L. Madhoun ◽  
Canice E. Crerand ◽  
Sarah Keim ◽  
Adriane L. Baylis
Keyword(s):  
Breast Milk ◽  
Support Groups ◽  
Online Survey ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Feeding Practices ◽  
The United States ◽  
Lower Percentage ◽  
Cross Sectional ◽  
Milk Feeding

Objective: To examine trends in breast milk provision and to characterize the breast milk feeding practices experienced by mother–infant dyads with cleft lip and/or palate (CL/P) in a large US sample. Design: Cross-sectional study. Methods: An online survey was distributed through cleft-related social media sites in the United States and in a single cleft lip and palate clinic. Statistical analyses included Kruskal-Wallis H tests and post hoc Mann-Whitney tests to examine group differences based on cleft type and prenatal versus postnatal cleft diagnosis. Linear regression was used to estimate associations between obtained variables. Participants: One hundred fifty biological mothers of infants (8-14 months of age) with CL/P (15% cleft lip, 29% cleft palate, 56% cleft lip and palate). Results: Forty-six percent of mothers of infants with CL/P provided breast milk to their infant for at least 6 months. Five percent of infants ever fed at breast, and 43% received pumped breast milk via bottle. The most commonly reported supports included lactation consultants, nurses, feeding therapists, and online support groups. Feeding therapy was received by 48% of infants. Conclusions: A lower percentage of mothers of infants with CL/P reported providing breast milk compared to national estimates of the general population of infants without clefting. Results suggested there are multiple barriers, as well as numerous medical and psychosocial supports that facilitated breast milk feeding success. Implications for care are discussed.

scholarly journals Correlation between religiosity, spirituality and quality of life in adolescents with and without cleft lip and palate

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Francely Tineli Farinha ◽  
Fábio Luiz Banhara ◽  
Gesiane Cristina Bom ◽  
Lilia Maria Von Kostrisch ◽  
Priscila Capelato Prado ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
World Health ◽  
Case Group ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Significance Level ◽  
Religiosity And Spirituality

ABSTRACT Objective: to correlate spirituality and religiosity with quality of life of adolescents with and without cleft lip and palate. Methods: cross-sectional and correlational study involving two groups: case group (n = 40) and comparison group (n = 40). The Duke University Religion Index (DUREL) and the World Health Organization Quality of Life Bref were used for data collection. The Mann-Whitney, Chi-Square, Student’s t-test and Pearson’s correlation tests were used in the statistical analyses, with a significance level of 5% (p ≤ 0.05). Results: organizational religiosity and overall quality of life were significantly higher in the case group (p = 0.031 and p = 0.012, respectively). As for quality of life, the Environment Domain was significantly higher in the case group (p < 0.001). In the correlation between religiosity and spirituality, non-organizational religiosity had a strong correlation (r = 0.62) with organizational religiosity (p < 0.001). In the correlation of religiosity and spirituality with quality of life, only a moderate correlation between spirituality and overall quality of life was identified (r = -0.35, p = 0.026). Conclusion: there was no relationship of religiosity and spirituality with quality of life among adolescents with cleft lip and palate for most aspects evaluated.

scholarly journals “Mine did not breastfeed”, mothers’ experiences in breastfeeding children aged 0 to 24 months with oral clefts in Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maureen Nabatanzi ◽  
Gloria Kimuli Seruwagi ◽  
Florence Basiimwa Tushemerirwe ◽  
Lynn Atuyambe ◽  
David Lubogo
Keyword(s):  
Social Support ◽  
Child Nutrition ◽  
Social Stigma ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Oral Clefts ◽  
Breastfeeding Practices ◽  
Device Use ◽  
Rehabilitative Services

Abstract Background Appropriate breastfeeding is vital for infant and young child nutrition. Annually, oral clefts affect 0.73 per 1000 children in Uganda. Despite this low incidence, children with a cleft face breastfeeding difficulty which affect their nutrition status. In addition, knowledge on maternal experiences with breastfeeding and support is limited. We explored maternal perceptions, experiences with breastfeeding and support received for their children 0 to 24 months with a cleft attending Comprehensive Rehabilitative Services of Uganda (CoRSU) Hospital. Methods This cross-sectional study combined quantitative and qualitative methods. We consecutively recruited 32 mothers of children with a cleft aged 0 to 24 months attending CoRSU hospital between April and May 2018. A structured questionnaire collected data on breastfeeding practices and device use (n = 32). To gain a broad understanding of mothers’ perceptions and experiences with breastfeeding and support received, we conducted two Focus Group Discussions (in each, n = 5), and 15 In Depth Interviews. Descriptive statistics were analyzed using SPSS software. Qualitative data were analyzed thematically. Results Of the 32 children with a cleft, 23(72%) had ever breastfed, 14(44%) were currently breastfeeding, and among those under 6 months, 7(35%) exclusively breastfed. Of 25 mothers interviewed in IDIs and FGDs, 17(68%; IDIs = 8/15, FGD1 = 5/5 and FGD2 = 4/5) reported the child’s failure to latch and suckle as barriers to breastfeeding. All ten mothers who used the soft squeezable bottle reported improved feeding. Nineteen (76%) mothers experienced anxiety and 14(56%), social stigma. Family members, communities and hospitals supported mothers with feeding guidance, money, child’s feeds and psycho-social counselling. Appropriate feeding and psycho-social support were only available at a specialized hospital which delayed access. Conclusions Breastfeeding practices were sub-optimal. Mothers experienced breastfeeding difficulties, anxiety and social stigma. Although delayed, feeding, social and psycho-social support helped mothers cope. Routine health care for mothers and their children with a cleft should include timely support.

scholarly journals Minimum acceptable diet and associated factors among children aged 6–23 months in Ethiopia

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Haimanot Abebe ◽  
Molla Gashu ◽  
Aynalem Kebede ◽  
Habtemariam Abata ◽  
Alex Yeshaneh ◽  
...  
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Data Entry ◽  
Sampling Technique ◽  
Feeding Practices ◽  
World Health ◽  
Cross Sectional ◽  
History Of

Abstract Introduction The health and growth of children less than two years of age can be affected by the poor quality of complementary foods and poor feeding practices even with optimal breastfeeding. In Ethiopia, empirical evidence on the minimum acceptable diet and its associated factors is limited. Therefore, this study was aimed to assess the level of minimum acceptable diet and its associated factors among children aged 6–23 months in Addis Ababa Ethiopia. Methods An institution-based Cross-sectional study was conducted among a total of 575 mother-child pairs. A simple random sampling technique was used to recruit participants. For infant and young child feeding practices, the data collection tools were adapted from world health organizations’ standardized questionnaire which is developed in 2007. Data entry and analysis were performed using EPI data version 3.1 and SPSS version 20 respectively. Bivariable and multivariable logistic regression analyses were performed to determine predictor variables. Statistical significance was declared at p-value < 0.05. Result In this study, the level of minimum acceptable diet was found to be 74.6%.. About 90.6 and 80.2% of the children received minimum meal frequency and dietary diversity respectively. Having a husband secondary and above educational level [AOR = 4.789(95%CI:1.917–11.967)], being a housewife [AOR = 0.351(95% CI: 0.150–0.819)], having a history of more than three postnatal follow-ups [AOR = 2.616(95%CI:1.120–6.111], Having mothers age between 25 and 34 years [AOR = 2.051(95%CI:1.267–3.320)], being male child [AOR = 1.585(95%CI:1.052–2.388)] and having children age between 18 and 23 months [AOR = 3.026(95%CI:1.786–5.128)] were some of the factors significantly associated with a minimum acceptable diet. Conclusion In this study, the minimum acceptable diet among children aged 6–23 months was significantly associated with the educational status of the husband, mother’s occupation, history of postnatal follow-up, age of the mother, sex of the child, and age of the child. Thus, attention should be given to educating the father, empowering mothers to have a job, promoting gender equality of feeding, and counseling on the benefit of postnatal care visits. In addition, the ministry of health should work on educating and advocating the benefit of feeding the recommended minimum acceptable diet to break the intergenerational cycle of malnutrition.

scholarly journals Maternal Knowledge and Complementary Feeding Practices and their Relationship with Nutritional Status Among Children 6-23 Months Old in Pastoral Community of Marsabit County, Kenya: A Cross-Sectional Study

2020 ◽  
Vol 8 (3) ◽  
pp. 862-876
Author(s):  
Joyce Nzilani Mutuku ◽  
Sophie Ochola ◽  
Justus Osero
Keyword(s):  
Nutritional Status ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Positive Impact ◽  
Feeding Practices ◽  
Nutrition Status ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Pastoral Community ◽  
Validated Questionnaire

Appropriate complementary feeding practices have positive impact on health and growth of children aged 6-23 months. Little is known about complementary feeding practices among the pastoralists. The aim of this study was to document the influence of maternal knowledge on child feeding and complementary practices on the nutritional status of children aged 6-23 months amongst a pastoral community in Kenya. A WHO standard validated questionnaire was used to collect data from 289 randomly selected mothers/primary caregivers and their children aged 6-23 months. The interviews were conducted through face-to-face in a one-time household visit. The findings showed that half (50.2%) of the children received complementary foods at the age of six months. The proportion of breastfed and non-breastfed children that achieved the recommended Minimum Meal Frequency (MMF) was 28.7% and 2.6% respectively. About one-quarter (23.9%) achieved the recommended Minimum Dietary Diversity (MDD). A total of 5.9% achieved the Minimum Acceptable Diet (MAD). Majority of the mothers/caregivers (95.1%) knew that children should be encouraged to feed while 61.6% knew that children should be fed more frequently during and after illness. The timing of introduction of complementary feeding ([OR]=0.307, P=0.001) and child’s dietary diversity ([OR]=3.112, P=0.020 were predictors of wasting among the children while timing of introduction of complementary feeding ([OR]=0.226, P=0.000) and maternal knowledge on the duration of breastfeeding ([OR]=6.359, P=0.012) predicted child underweight.. Complementary feeding practices are not optimal and the nutritional status of the children is poor. Complementary feeding practices predicted child nutritional status whereas maternal/caregivers’ knowledge on complementary feeding practices had limited impact on child nutrition status.

scholarly journals Optimal Household Water Access Fosters the Attainment of Minimum Dietary Diversity among Children Aged 6–23 Months in Malawi

Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 178
Author(s):  
Zizwani Brian Chilinda ◽  
Mark L. Wahlqvist ◽  
Meei-Shyuan Lee ◽  
Yi-Chen Huang
Keyword(s):  
Young Children ◽  
Dietary Diversity ◽  
World Health ◽  
Food Groups ◽  
Water Access ◽  
Direct Role ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Health Organization ◽  
Minimum Dietary Diversity

Along with sanitation and hygiene, water is a well-known driver of child undernutrition. However, a more direct role of household (HH) water access in shaping dietary diversity remains unexplored. We assessed the association between HH water access and achievement of minimum dietary diversity (MDD) among young children. We utilized nationally-representative cross-sectional data from the 2015/16 Malawi Demographic and Health Survey, which included 4727 mother–child dyads, respectively, (26.8 ± 6.8 years, range 15–49 years) and (13.9 ± 4.9 months, range 6–23 months). HH water access was categorized as (1) basic or no access, (2) intermediate, or (3) optimal. MDD was defined as feeding a child, during the previous day, at least four of the food groups defined by the World Health Organization. Only 27.7% of the children achieved MDD standards; most of the children who achieved MDD were from HHs with optimal water access (58.4%, p < 0.001). However, only 5.9% of the mother–child dyads were from HHs with optimal water access. After adjusting for covariates, children from HHs with optimal water access had higher odds of achieving MDD than those from HHs with basic or no water access (aOR = 1.74, CI = 1.24–2.46). Our results highlight the need to incorporate water-based strategies into national nutritional policies to increase dietary diversity among Malawian infants and young children.

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