{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:42:14Z","timestamp":1793068934322,"version":"4.5.0"},"reference-count":56,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T00:00:00Z","timestamp":1570579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ohio Speech-Language-Hearing Association","award":["Research Grant Seed Money Award"],"award-info":[{"award-number":["Research Grant Seed Money Award"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine trends in breast milk provision and to characterize the breast milk feeding practices experienced by mother\u2013infant dyads with cleft lip and\/or palate (CL\/P) in a large US sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An online survey was distributed through cleft-related social media sites in the United States and in a single cleft lip and palate clinic. Statistical analyses included Kruskal-Wallis H tests and post hoc Mann-Whitney tests to examine group differences based on cleft type and prenatal versus postnatal cleft diagnosis. Linear regression was used to estimate associations between obtained variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>One hundred fifty biological mothers of infants (8-14 months of age) with CL\/P (15% cleft lip, 29% cleft palate, 56% cleft lip and palate).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-six percent of mothers of infants with CL\/P provided breast milk to their infant for at least 6 months. Five percent of infants ever fed at breast, and 43% received pumped breast milk via bottle. The most commonly reported supports included lactation consultants, nurses, feeding therapists, and online support groups. Feeding therapy was received by 48% of infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A lower percentage of mothers of infants with CL\/P reported providing breast milk compared to national estimates of the general population of infants without clefting. Results suggested there are multiple barriers, as well as numerous medical and psychosocial supports that facilitated breast milk feeding success. Implications for care are discussed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665619878972","type":"journal-article","created":{"date-parts":[[2019,10,10]],"date-time":"2019-10-10T01:33:58Z","timestamp":1570671238000},"page":"477-486","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":45,"title":["Breast Milk Feeding Practices and Barriers and Supports Experienced by Mother\u2013Infant Dyads With Cleft Lip and\/or Palate"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1910-9255","authenticated-orcid":false,"given":"Lauren L.","family":"Madhoun","sequence":"first","affiliation":[{"name":"Division of Clinical Therapies, Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Section of Plastic and Reconstructive Surgery, Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Department of Speech and Hearing Science, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canice E.","family":"Crerand","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Section of Plastic and Reconstructive Surgery, Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Department of Plastic Surgery, The Ohio State University College of Medicine, OH, USA"},{"name":"Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Keim","sequence":"additional","affiliation":[{"name":"Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA"},{"name":"Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriane L.","family":"Baylis","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Center and Center for Complex Craniofacial Disorders, Section of Plastic and Reconstructive Surgery, Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Department of Speech and Hearing Science, The Ohio State University, Columbus, OH, USA"},{"name":"Department of Plastic Surgery, The Ohio State University College of Medicine, OH, USA"},{"name":"Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,9]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1597\/15-241"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"issue":"1","key":"e_1_3_4_4_1","first-page":"138","article-title":"Parameters for evaluation and treatment of patients with cleft lip\/palate or other craniofacial differences","volume":"55","author":"American Cleft Palate-Craniofacial Association","year":"2018","unstructured":"American Cleft Palate-Craniofacial Association. 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