Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate

Background: Awareness of feeding among mothers plays an important role in the growth and development of children with cleft lip and palate. Mothers’ increased awareness provides the right care and nutrition to these children in order to grow and achieve their developmental milestones. Objectives: Th...

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Main Authors: Parakrama Wijekoon, Thanuja Herath, Rahini Mahendran
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844019365594
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author Parakrama Wijekoon
Thanuja Herath
Rahini Mahendran
author_facet Parakrama Wijekoon
Thanuja Herath
Rahini Mahendran
author_sort Parakrama Wijekoon
collection DOAJ
description Background: Awareness of feeding among mothers plays an important role in the growth and development of children with cleft lip and palate. Mothers’ increased awareness provides the right care and nutrition to these children in order to grow and achieve their developmental milestones. Objectives: This study aimed at (1) assessing mothers' awareness on breastfeeding and formula-milk feeding, weaning, growth, and development of infants with cleft lip and palate and (2) the relationship of mothers’ awareness with their level of education and monthly household income. Methods: This cross-sectional pilot study included all the mothers of infants aged up to one year who had cleft lip and/or palate attended Dental Teaching Hospital, Peradeniya between the years 2015 and 2016. Mothers of infants with oral clefts associated with other syndromic features and chronic illnesses were excluded. A pre-tested interviewer-administered questionnaire was designed to collect data. To assess the clarity of the questions, prior to the study, the questionnaire was pre-tested in 10 mothers of infants with an oral cleft but not selected for the study. Frequency distributions and descriptive statistics were used to describe study variables. Spearman Rank test was used to determine the association of mothers’ awareness with their level of education and monthly household income with a 95% confidence interval. Results: The sample consisted of 101 mothers who had infants born with a cleft and the response rate was 100%. Except one, all mothers reported that they have received overall feeding instructions either from a doctor, nurse, cleft center staff or a midwife. Over 65.3% of mothers were aware of feeding-related factors including; breastfeeding, formula-milk feeding, and weaning of infants with a cleft. Overall more than 80% of mothers were aware of factors related to growth and development of the child including urination, sleeping pattern, weight and growth charts. The education level of mothers was not significantly associated with mothers' awareness of any factors related to breastfeeding, formula-milk feeding, weaning and growth, and development. Further, mothers’ awareness of breastmilk as the best food for babies under 6 months (p = 0.028), weaning at 4–6 months (p = 0.024), replacing milk feeds by weaning foods (p = 0.02) and not providing junk foods to infants in between main meals (p = 0.01) were significantly associated with monthly household income. Conclusions: The findings of this study suggest that mothers were aware of factors related to feeding infants with a cleft lip and palate and their growth and development. The awareness of mothers about certain factors related to feeding and weaning was significantly associated with monthly household income.
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spelling doaj.art-02bbc72480ec4057b94da4ca1a94bc5b2022-12-21T23:45:48ZengElsevierHeliyon2405-84402019-12-01512e02900Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palateParakrama Wijekoon0Thanuja Herath1Rahini Mahendran2Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka; Corresponding author.Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri LankaSmile Train Cleft Centre, Faculty of Dental Sciences, University of Peradeniya, Sri LankaBackground: Awareness of feeding among mothers plays an important role in the growth and development of children with cleft lip and palate. Mothers’ increased awareness provides the right care and nutrition to these children in order to grow and achieve their developmental milestones. Objectives: This study aimed at (1) assessing mothers' awareness on breastfeeding and formula-milk feeding, weaning, growth, and development of infants with cleft lip and palate and (2) the relationship of mothers’ awareness with their level of education and monthly household income. Methods: This cross-sectional pilot study included all the mothers of infants aged up to one year who had cleft lip and/or palate attended Dental Teaching Hospital, Peradeniya between the years 2015 and 2016. Mothers of infants with oral clefts associated with other syndromic features and chronic illnesses were excluded. A pre-tested interviewer-administered questionnaire was designed to collect data. To assess the clarity of the questions, prior to the study, the questionnaire was pre-tested in 10 mothers of infants with an oral cleft but not selected for the study. Frequency distributions and descriptive statistics were used to describe study variables. Spearman Rank test was used to determine the association of mothers’ awareness with their level of education and monthly household income with a 95% confidence interval. Results: The sample consisted of 101 mothers who had infants born with a cleft and the response rate was 100%. Except one, all mothers reported that they have received overall feeding instructions either from a doctor, nurse, cleft center staff or a midwife. Over 65.3% of mothers were aware of feeding-related factors including; breastfeeding, formula-milk feeding, and weaning of infants with a cleft. Overall more than 80% of mothers were aware of factors related to growth and development of the child including urination, sleeping pattern, weight and growth charts. The education level of mothers was not significantly associated with mothers' awareness of any factors related to breastfeeding, formula-milk feeding, weaning and growth, and development. Further, mothers’ awareness of breastmilk as the best food for babies under 6 months (p = 0.028), weaning at 4–6 months (p = 0.024), replacing milk feeds by weaning foods (p = 0.02) and not providing junk foods to infants in between main meals (p = 0.01) were significantly associated with monthly household income. Conclusions: The findings of this study suggest that mothers were aware of factors related to feeding infants with a cleft lip and palate and their growth and development. The awareness of mothers about certain factors related to feeding and weaning was significantly associated with monthly household income.http://www.sciencedirect.com/science/article/pii/S2405844019365594NutritionDietEpidemiologyDentistryPediatricsNon-syndromic cleft
spellingShingle Parakrama Wijekoon
Thanuja Herath
Rahini Mahendran
Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate
Heliyon
Nutrition
Diet
Epidemiology
Dentistry
Pediatrics
Non-syndromic cleft
title Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate
title_full Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate
title_fullStr Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate
title_full_unstemmed Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate
title_short Awareness of feeding, growth and development among mothers of infants with cleft lip and/or palate
title_sort awareness of feeding growth and development among mothers of infants with cleft lip and or palate
topic Nutrition
Diet
Epidemiology
Dentistry
Pediatrics
Non-syndromic cleft
url http://www.sciencedirect.com/science/article/pii/S2405844019365594
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