BREAST FEEDING AMONG CLEFT LIP AND CLEFT PALATE CHILDREN WITHOUT USING OBTURATOR UNDER SUFFICIENT ECONOMY : CASE REPORT

Abstract

Cleft lips/cleft palate newborns were found incidence rate of 1.11 - 1.67: 1,000 lives birth in Thailand. Roi-et province found incidence of 1.42: 1,000. It was found 31 cases in 21,758 lives birth at Roi-et Hospital during 1 Oct 2003 - 30 Sep 2007. The big problem at birth is raising and feeding before undergoing lips plastic surgery at the age of 3 months with 5 - 6 kg of weight. Breastfeeding has many advantages, which can be beneficial for both the baby and the parent. These infants can have breastfeeding the same as normal babies only need to be advised properly fed method such as making a plus mark hole on bottle nipple and high head feeding position. Raising cleft palate/ cleft palate babies who had breastfeeding without artificial obtulator can reduces the hassle and anxiety of parents. Moreover, a bottle-feeding with eye contact and breastfeeding using a regular household triangular pillow methods consistent with the sufficiency economy. Particularly, these methods empower parents, reduce concerns and costs for both parents and government. Therefore, it is advisable to put artificial-obtulator only in the necessary cases. This is determined by width of clefts including choking while milk feeding. The results showed that these methods resulted in the baby’s body weight for surgical criteria and no problem choking while milkfeeding.