The Effect of the Usage of Squeezable vs Standard Bottles After Cleft Palate Surgery on the Feeding Process of Infants
Condition: Bottle Feeding
MeSH terms: Cleft Palate
Study type: Interventional

Summary: 
      This study aims to examine the effect of the usage of squeezable bottles and standard bottles
      on the feeding process of infants with CLP after cleft palate surgery.
    

Detailed description: 
      Infants with cleft palate commonly have feeding difficulties due to incomplete development of
      orofacial structures. It has been reported that 67% of infants with cleft palate have feeding
      difficulties and 86% cannot be breastfed. Feeding difficulties in an infants with a cleft
      palate can lead to poor weight gain and growth retardation. Therefore, it is essential to
      provide nutritional interventions for these infants.

      This study was designed as a randomized controlled prospective study and was planned to be
      carried out in the surgical inpatient wards of a private hospital in Istanbul.

      Following the diagnosis of cleft lip and palate given to their infants, the families of
      infants with CLP apply to Aesthetic, Plastic and Reconstructive Surgery Department. In
      conclusion of the consultations performed in polyclinics, surgery dates are scheduled by the
      specialist and hospitalization is performed on Surgery Service Ward. Operations of the
      patients take approximately 3 to 4 hours. Following the operation, for follow-up purposes the
      patients are taken to Recovery Unit and are observed for 30 to 45 minutes before infants get
      transferred to Surgical Service. Following the completion of patients' observations in
      Surgical Service and their transition to full oral feeding, the patients are planned for
      discharge. The infants continue to be provided with hydration by intravenous infusion until
      their complete transition to full oral feeding. İnfants with CLP are provided with different
      nutrition methods before and after surgery. Since the literature also lacks a single or
      appropriate method that can remove nutrition issues of the babies with CLP, the same
      nutrition protocol is maintained with an approach in context of resuming the on-going
      nutrition method after surgery, just like the method previously used before the surgery.

      In this study, the patients who use standard bottle before surgery will be included to
      control group, those who use squeezable bottle will be included to experimental group and
      participants both will be fed with same methods after surgery.
    

Intervention name(s): Standart bottle; Squeezable bottle
Intervention type(s): Procedure; Procedure
Intervention description(s): After the surgery, standard bottle will be used for feeding.
Following the completion of the surgery,feeding process evaluation will be performed until the discharge by using the feeding evaluation form.
Patients will be given a follow-up appointment 2 weeks after the operation and a feeding process evaluation will be made.; After the surgery, squeezable bottle will be used for feeding.
Following the completion of the surgery,feeding process evaluation will be performed until the discharge by using the feeding evaluation form.
Patients will be given a follow-up appointment 2 weeks after the operation and a feeding process evaluation will be made.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: infant; cleft lip and palate; Feeding