{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:50:53Z","timestamp":1777852253717,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T00:00:00Z","timestamp":1605571200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This case presents a mother\u2019s feeding experience of an infant born with a complete unilateral cleft lip and palate from birth until both were repaired. She fed him directly at the breast with assistance, controlling the delivery of the mother\u2019s own milk. The infant received only his mother\u2019s own milk, no bottles, and the excess expressed milk was donated to a milk bank.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main issue<\/jats:title>\n                    <jats:p>The Cleft Team supported the mother\u2019s wish to breastfeed but expressed realism that cleft lip and palate infants could not create suction. Success had never been observed in the unit. Instead, the team suggested expressing to deliver as much of the mother\u2019s own milk. The mother had previously breastfed her three children and was keen on finding innovative ways to breastfeed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Management<\/jats:title>\n                    <jats:p>Several techniques were trialed with the help of an International Board Certified Lactation Consultant. The most sustainable and successful was the use of a nipple shield applied to the maternal nipple areola complex to cover the lip palate. Underneath, a nasogastric tube connected to a syringe delivered the mother\u2019s own milk. Exclusive expressing protected maternal supply, the infant\u2019s nutrition and growth were monitored carefully and this technique reinforced mother\u2013infant bonding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Feeding with the modifications was challenging at times. However, maternal satisfaction was high because the mother had achieved her goal of breastfeeding without assistance post cheiloplasty and palatoplasty. This case adds to the limited body of research about feeding infants with cleft lips and palates directly at the breast.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334420964159","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T12:38:54Z","timestamp":1605616734000},"page":"419-424","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Assisted Nursing: A Case Study of an Infant With a Complete Unilateral Cleft Lip and Palate"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9437-2400","authenticated-orcid":false,"given":"Indira","family":"Lopez-Bassols","sequence":"first","affiliation":[{"name":"Centre for Breastfeeding Education and Research, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,17]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620919312"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1597\/15-241"},{"issue":"2","key":"e_1_3_4_4_1","first-page":"57","article-title":"Management of infants born with a cleft lip and palate. 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