China Journal of Oral and Maxillofacial Surgery ›› 2019, Vol. 17 ›› Issue (4): 332-336.doi: 10.19438/j.cjoms.2019.04.010

• Orginal Article • Previous Articles     Next Articles

Breastfeeding rate and related influencing factors in 400 patients with cleft lip and palate

ZHANG Xiao-yu, CHEN Zheng-xi, SHI Jia-jun, LI Zhu-jun, TANG Xia, WENG Meng-jia, HUANG Si-jing, ZHENG Meng-ting, CHEN Zhen-qi   

  1. Department of Orthodontics, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Centre for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China;
  • Received:2018-12-12 Revised:2019-03-22 Online:2019-07-20 Published:2019-08-12

Abstract: PURPOSE: To analyze the breastfeeding rate and related influencing factors of patients with cleft lip and palate by means of questionnaire, and to provide theoretical foundation for breastfeeding promotion among patients with cleft lip and palate. Methods: Four hundred patients with cleft lip and palate were randomly chosen from the patients who were treated in Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine during 1994-2017. A questionnaire focusing on breastfeeding rate and related influencing factors of patients with cleft lip and palate was applied. Statistical analysis was performed using SPSS 20.0 software package. Results: Of 400 patients with cleft lip and palate, 184 received breastfeeding which accounted for 46%. Breastfeeding rate of the female patients was 1.868 times than the male (95%CI: 1.241-2.812). Breastfeeding rate of patients whose parents received professional medical counseling of breastfeeding was 1.560 times than those patients whose parents did not receive counseling of breastfeeding (95% CI:1.018-2.391). Breastfeeding rate of cleft lip group was 4.904 times than cleft lip and palate group (95%CI: 3.028-7.943). There was significant difference between direct breastfeeding, soft plastic bottle and hard bottle in different types of cleft lip and palate (P<0.0001). Direct breastfeeding rate of patients with unilateral cleft lip was significantly higher than other types. Soft plastic bottle rate in patients with unilateral lip and palate was significantly higher than other types. There was no significant difference between breastfeeding rate of patients born in different seasons(P=0.1374). Conclusions: Breastfeeding rate in patients with cleft lip and palate is lower than the non-cleft population worldwide. The influencing factors include gender, professional medical counseling and the existence of cleft palate.

Key words: Breastfeeding, Cleft lip and palate, Breastfeeding rate, Lactation counseling, Breastfeeding promotion

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