The Effect of Oral Feeding Interventions on Growth of Infants with Cleft Lip and Palate: A Systematic Review

Yıl 2021, Cilt: 3 Sayı: 2, 93 - 102, 20.08.2021

Şerife Kartal Erdost , Duygu Gözen

https://doi.org/10.48071/sbuhemsirelik.873735

Öz

Introduction: Feeding is the most common problem experienced among the infants with cleft lip and palate. Especially weight gain and growth of these infants are the criteria that plays a role for correction surgically. Therefore, nurses have important tasks in feeding management of these infants.

Aim: We aimed to investigate the previous randomized controlled studies focusing on the effect of nutritional interventions on the growth of the infants with cleft lip and palate in this systematic review.

Method: We searched for randomized controlled studies with available full-text studies published between 1979 and 2019 on PUBMED and CINAHL databases. Preferred Reporting Items for Systematic Reviews (PRISMA) standards were used for systematization.

Results: Systematic review of literature revealed 174 published international studies. 45 and 124 studies were discarded due to duplication and non-randomized study, leaving 5 studies focusing the effect of different nutritional modalities and interventions on growth parameters. In the studied sample 288 were included. Parental nutritional consultation, obturators, modified pacifiers, rigid or squeezable baby bottles and their effects on weight gain were examined in 5 studies. Influences of upright positioning during feeding, burping, and limitation of feeding to 30 minutes, breastfeeding were examined in 2 studies, spoon-feeding, syringe and cup use were studied in one study.

Conclusion: Previous studies are insufficient to provide a significant effect of nutritional interventions on growth of infants with cleft lip and palate, emphasizing the need for further research suggesting to perform on larger sample sizes and randomized trials to determine the effect. 

Anahtar Kelimeler

Anthropometry, cleft lip, cleft palate, feeding, infant

Dudak Damak Yarıklı Bebeklere Uygulanan Oral Beslenme Girişimlerinin Büyümeye Etkisi: Sistematik Derleme

Öz

Giriş: Dudak damak yarıklı bebeklerin doğum sonrası sıklıkla yaşadıkları sorunlar arasında beslenme ilk sırada yer almaktadır. Cerrahi olarak dudak damak yarığının düzeltilmesinde bebeklerin vücut tartı artışı ve yeterli büyüme kriterleri rol oynar. Bu nedenle dudak damak yarığı olan bebeklerin beslenme yönetiminde hemşirelere önemli görevler düşmektedir.

Amaç: Dudak-damak yarıklı bebeklere uygulanan beslenme girişimlerinin bebeğin büyümesine etkisini belirlemek amacıyla gerçekleştirilen bu sistematik derlemede randomize kontrollü çalışma sonuçları incelendi.

Yöntem: İncelenen araştırmalar PUBMED ve CINAHL veri tabanlarında, yöntemleri ve bulguları PRISMA standartları doğrultusunda sistematize edilerek 1979 - 2019 yılları arasında seçim kriterlerini oluşturan İngilizce yayınlanmış, randomize kontrollü klinik araştırmalar çalışma kapsamına alındı.

Bulgular: Sistematik inceleme sonucunda dudak damak yarıklı bebeklerin beslenmesi ile ilgili 174 uluslararası yayına ulaşıldı ve 45 çalışma duplikasyon, 124 çalışma seçim kriterlerini sağlamaması nedeniyle dışlandı. Dudak damak yarıklı bebeklerin oral beslenme yeteneğini arttırmada farklı yöntem ve uygulamalar kullanarak beslemenin büyüme parametreleri üzerine etkisini değerlendiren beş araştırma incelendi. İncelenen araştırmalarda örneklem grubuna toplam 288 bebek dahil edilmiştir. İncelenen araştırmalarda annelere beslenme danışmanlığı, damaklık, modifiye edilmiş emzik, standart biberon, sıkıştırılabilir biberon kullanımı; iki araştırmada ise dik pozisyonda besleme, gaz çıkartma ve beslenme süresini sınırlandırma (30 dakika), annenin emzirmesini sağlama, bir araştırmada ise enjektör, kap ve kaşıkla beslenme yöntemlerinin vücut tartı artışına etkisinin incelendiği görüldü.

Sonuç: Araştırmalar incelendiğinde, beslenme girişimlerinin büyümeyi anlamlı düzeyde etkilediğine yönelik kesin kanıtlara ulaşılamadı. Bu sistematik inceleme sonucunda, konuya ilişkin daha büyük örneklem grupları ile farklı beslenme girişimlerinin büyümeye etkisini belirleyebilecek randomize kontrollü klinik çalışmaların yapılması gerektiği önerilmektedir.

Anahtar Kelimeler

Antropometri, bebek, beslenme, yarık damak, yarık dudak

Kaynakça

• Baylis, A.L., Pearson, G.D., Hall, C., Madhoun, L.L., Cummings, C., Neal, N., … Kirschner, R.E. (2018). A quality improvement initiative to improve feeding and growth of infants with cleft lip and/or palate. The Cleft Palate-Craniofacial Journal, 55(9), 1218-1224. doi: 10.1177/1055665618766058
• Bertier, C.E., Trindade, I.E.K., & Silva Filho, O.G.D. (2007). Cirurgias primárias de lábio e palato. In fissuras labiopalatinas: Uma abordagem interdisciplinar. São Paulo: Editora Santos.
• Brine, E.A., Richard, K.A., Brady, M.S., Liechty, E.A., Manatunga, A., Sadove, M., & Bull, M.J. (1994). Effectiveness of two feeding methods in improving energy intake and growth of infants with cleft palate: A randomized study. Journal of The American Dietetic Association, 94(7), 732-738. doi: 10.1016/0002-8223(94)91938-0
• Clarren, S.K., Anderson, B., & Wolf, L.S. (1987). Feeding infants with cleft lip, cleft palate, or cleft lip and palate. The Cleft Palate Journal, 24(3), 244-249
• Colbert, S.D., Green, B., Brennan, P.A., & Mercer, N. (2015). Contemporary management of cleft lip and palate in the United Kingdom. Have we reached the turning point? British Journal of Oral And Maxillofacial Surgery, 53(7), 594-598. doi: 10.1016/j.bjoms.2015.06.010
• Çınar, S., & Koç, G. (2020). The effect of nursing care provided to Turkish mothers of infants born with cleft lip and palate on maternal attachment and self-efficacy: A quasi-experimental study. Journal of Pediatric Nursing, 53, 80–86. doi: 10.1016/j. pedn.2020.02.032
• Dixon, M.J., Marazita, M.L., Beaty, T.H., & Murray, J.C. (2011). Cleft lip and palate: Understanding genetic and environmental influences. Nature Reviews Genetics, 12(3), 167-178. doi: 10.1038/nrg2933
• Duarte, G.A., Ramos, R.B., & De Almeida Freitas Cardoso, M.C. (2016). Feeding methods for children with cleft lip and/or palate: A systematic review. Brazilian Journal of Otorhinolaryngology, 82(5), 602-609. doi: 10.1016/j. bjorl.2015.10.020
• Gosa, M., Carden, H., Jacks, C., Threadgill, A., & Sidlovsky, T. (2017). Evidence to support treatment options for children with swallowing and feeding disorders: A systematic review. Journal of Pediatric Rehabilitation Medicine,10(2), 107- 136. doi: 10.3233/prm-170436
• Gottschlich, M.M., Mayes, T., Allgeier, C., James, L., Khoury, J., Pan, B., & Van Aalst, J. (2018). A retrospective study identifying breast milk feeding disparities in infants with cleft palate. Journal of the Academy of Nutrition and Dietetics, 118(11), 2154-2161. doi: 10.1016/j.jand.2018.05.008
• Goyal, M., Chopra, R., Bansal, K., & Marwaha, M. (2014). Role of obturators and other feeding interventions in patients with cleft lip and palate: A review. European Archives of Paediatric Dentistry, 15(1), 1-9. doi: 10.1007/s40368-013-0101-0
• Ize-Iyamu, I., & Saheeb, B. (2011). Feeding intervention in cleft lip and palate babies: A practical approach to feeding efficiency and weight gain. International Journal of Oral and Maxillofacial Surgery, 40(9), 916-919. doi: 10.1016/j. ijom.2011.04.017
• Jones, W.B. (1988). Weight gain and feeding in the neonate with cleft: A three-center study. The Cleft Palate Journal, 25(4), 379–384.
• Kapp-Simon, K. (2006). A brief overview of psychological issues in cleft lip and palate. S. Berkowitz (Ed.), Cleft lip and palate (pp. 257-261). Verlag Berlin Heidelberg: Springer.
• Karaçam, Z. (2013). Sistematik derleme metodolojisi: Sistematik derleme hazırlamak ı̇çin bir rehber. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi 6(1), 26- 33.
• Kucukguven, A., Calis, M., & Ozgur, F. (2020). Assessment of nutrition and feeding interventions in Turkish İnfants with cleft lip and/or palate. Journal of Pediatric Nursing, 51, 39-44. doi: 10.1016/j.pedn.2019.05.024
• Martin, V., & Greatrex-White, S. (2013). An evaluation of factors influencing feeding in babies with a cleft palate with and without a cleft lip. Journal of Child Health Care, 18(1), 72- 83. doi: 10.1177/1367493512473853
• Masarei, A. (2003). An investigation of the effects of pre-surgical orthopaedics on feeding in infants with cleft lip and/or palate (Doctoral Thesis). Retrived from: https://discovery.ucl.ac.uk/ id/eprint/10100468/
• Masarei, A., Reilly, S., Sell, D., Veness, J., & Wade, A. (2001). Into the mouths of babes. Speech & Language Therapy in Practice, Winter, 11-13.
• Masarei, A.G., Wade, A., Mars, M., Sommerlad, B.C., & Sell, D. (2007). A randomized control trial investigating the effect of presurgical orthopedics on feeding in infants with cleft lip and/or palate. The Cleft Palate-Craniofacial Journal, 44(2), 182-193. doi: 10.1597/05-184.1
• Nguyen, P.N., & Sullivan, P.K. (1993). Issues and controversies in the management of cleft palate. Clinics ın Plastic Surgery, 20(4), 671-682. doi: 10.1016/s0094- 1298(20)32406-8
• Öztürk, A. (2017). Dudak damak yarıklarında ve önlemede birinci basamak yaklaşımları. Turkish Journal of Family Medicine And Primary Care, 11(3), 202-208
• Palmer, M.M., Crawley, K., & Blanco, I.A. (1993). Neonatal Oral-Motor Assessment scale: A reliability study. Journal of Perinatology: Official Journal of The California Perinatal Association, 13(1), 28-35.
• Prahl, C., Kuijpers-Jagtman, A.M., Van’t Hof, M.A., & PrahlAndersen, B. (2005). Infant orthopedics in UCLP: Effect on feeding, weight, and length: A randomized clinical trial (Dutchcleft). The Cleft Palate-Craniofacial Journal, 42(2), 171- 177. doi: 10.1597/03-111.1
• Reid, J., Kilpatrick, N., & Reilly, S. (2006). A Prospective, longitudinal study of feeding skills in a cohort of babies with cleft conditions. The Cleft Palate-Craniofacial Journal, 43(6), 702-709. doi: 10.1597/05-172
• Reilly, S., Reid, J., Skeat, J., & The Academy of Breastfeedingmedicine Clinical Protocol Committee. (2007). ABM Clinical Protocol #17: Guidelines for breastfeeding infants with cleft lip, cleft palate, or cleft lip and palate. Breastfeeding Medicine, 2(4), 243-250. doi: 10.1089/bfm.2007.9984
• Reilly, S., Reid, J., Skeat, J., Cahir, P., Mei, C., Bunik, M., & The Academy of Breastfee. (2013). ABM Clinical Protocol #17: Guidelines for breastfeeding infants with cleft lip, cleft palate, or cleft lip and palate, Revised 2013. Breastfeeding Medicine, 8(4), 349-353. doi: 10.1089/bfm.2013.9988
• Reilly, S., Skuse, D., Mathisen, B., & Wolke, D. (1995). The objective rating of oral-motor functions during feeding. Dysphagia, 10(3), 177-191. doi: 10.1007/bf00260975
• Shaw, W., Bannister, R., & Roberts, C. (1999). Assisted feeding is more reliable for infants with clefts-A randomized trial. The Cleft Palate-Craniofacial Journal, 36(3), 262-268. doi: 10.1597/1545-1569_1999_036_0262_afimrf_2.3.co_2
• Skuse, D., Stevenson, J., Reilly, S., & Mathisen, B. (1995). Schedule for oral-motor assessment (SOMA): Methods of validation. Dysphagia, 10(3), 192-202. doi: 10.1007/ BF00260976
• Turner, L., Jacobsen, C., Humenczuk, M., Singhal, V.K., Moore, D., & Bell, H. (2001). The effects of lactation education and a prosthetic obturator appliance on feeding efficiency in infants with cleft lip and palate. The Cleft Palate-Craniofacial Journal, 38(5), 519-524. doi: 10.1597/1545-1569_2001_038_0519_ teolea_2.0.co_2
• Wehby, G., & Cassell, C.H. (2010). The impact of orofacial clefts on quality of life and health care use and costs. Oral Diseases, 16(1), 3-10. doi: 10.1111/j.1601-0825.2009.01588.x