{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:30:20Z","timestamp":1777523420851,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T00:00:00Z","timestamp":1610496000000},"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"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine feeding skills of infants with cleft palate with or without cleft lip (CP\u00b1L) using infant-driven feeding systems compared to healthy controls on standard bottles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Large pediatric academic medical center in the Midwestern United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Infants with CP\u00b1L (n = 15) using the Dr. Brown\u2019s Specialty Feeding System and typically developing infants without CP\u00b1L (n = 15) using the Dr. Brown\u2019s Natural Flow Original or Options bottles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s):<\/jats:title>\n                    <jats:p>Bottle-feeding proficiency, duration, milk transfer, and signs of feeding difficulty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five-minute feeding proficiency differed significantly between groups with the control group taking 44% of the feed compared to 15% for the CP\u00b1L group on level 1 ( P &lt; .001) and 21% on level 2 ( P &lt; .001) nipples. Proportion of milk transfer was 96% \u00b1 7% for controls and 75% \u00b1 24% for the CP\u00b1L group ( P = .013). Feeding duration (minutes) differed between the control group (13 \u00b1 3) and the CP\u00b1L groups on each nipple level (level 1: 29 \u00b1 16; P = .003; level 2: 32 \u00b1 11; P = .001). Milk transfer rate (mL\/min) was 9 \u00b1 3 for control infants compared to 3 \u00b1 1 for infants with CP\u00b1L on level 1 ( P &lt; .001) and 5 \u00b1 1 on level 2 ( P = .007). Coughing occurred in 40% of infants with CP\u00b1L and 27% of controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Even when using specialty bottles, infants with CP\u00b1L differ from noncleft infants in feeding proficiency, duration, and overall intake.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620984351","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T22:08:39Z","timestamp":1610662119000},"page":"1304-1312","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Infant-Driven Feeding Systems: Do They \u201cNormalize\u201d the Feeding Experience of Infants With Cleft Palate?"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1910-9255","authenticated-orcid":false,"given":"Lauren L.","family":"Madhoun","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Nationwide Children\u2019s Hospital, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4148-4729","authenticated-orcid":false,"given":"Adriane L.","family":"Baylis","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, OH, USA"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA"},{"name":"Department of Speech and Hearing Science, The Ohio State University, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,13]]},"reference":[{"issue":"1","key":"bibr1-1055665620984351","first-page":"138","volume":"55","author":"American Cleft Palate-Craniofacial Association","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"key":"bibr2-1055665620984351","volume-title":"Pediatric Swallowing and Feeding: Assessment and Management","author":"Arvedson JC","year":"2002","edition":"2"},{"issue":"1","key":"bibr3-1055665620984351","first-page":"24","volume":"17","author":"Avedian LV","year":"1980","journal-title":"Cleft Palate J"},{"key":"bibr4-1055665620984351","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618766058"},{"key":"bibr5-1055665620984351","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8223(94)91938-0"},{"key":"bibr6-1055665620984351","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-010-9303-3"},{"issue":"3","key":"bibr7-1055665620984351","first-page":"244","volume":"24","author":"Clarren SK","year":"1987","journal-title":"Cleft Palate J"},{"key":"bibr8-1055665620984351","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.07.052"},{"key":"bibr9-1055665620984351","unstructured":"Dr. Brown\u2019s. 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