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Abstract

Objective

To compare non-nutritive sucking (NNS) and caregiver-reported feeding skills in infants with cleft lip and/or palate (CL/P) to a control group of typically developing infants without CL/P. To examine differences in NNS patterns and feeding behavior between cleft phenotypes.

Design

Prospective, cross-sectional study comparing infants born with CL/P to an age-matched control group with no congenital anomalies.

Setting

Urban, academic, tertiary care children's hospital and academic department of speech-language pathology.

Patients, Participants

Forty-two infants (21 with CL/P; 21 without CL/P), 6 months of age and younger were included. Infants with syndromes or who underwent cleft repair were excluded.

Main Outcome Measures

A 5min NNS sample was collected from the infant sucking on the lab's custom research pacifier. The infant's caregiver completed the Neonatal Eating Assessment Tool (NeoEAT) bottle-feeding section about their infant's feeding behaviors.

Results

Infants with CL/P demonstrated slower NNS frequency (P = .04) and reduced suck amplitude (P = .04) compared to the control group. Caregivers of infants with CL/P reported a higher incidence of gastrointestinal symptoms (P = .04) and overall feeding difficulties (P = .03) relative to the control group. There were no significant differences between CL/P phenotypes for NNS or caregiver reported outcomes.

Conclusions

Infants with CL/P demonstrate differences in NNS physiology and caregiver report measures of feeding compared to age-matched controls. These findings support the need for interventions to optimize sucking and feeding skill development in infants with CL/P.

Keywords

pediatrics feeding cleft lip and palate

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Non-Nutritive Suck and Parent Report of Feeding Skills in Infants Born With Cleft Lip and/or Palate

Abstract

Objective

Design

Setting

Patients, Participants

Main Outcome Measures

Results

Conclusions

Keywords

Get full access to this article

References

Supplementary Material