{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:18:20Z","timestamp":1788257900238,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Diretoria Executiva de Apoio e Perman\u00eancia Estudantil da Universidade Estadual de Campinas","award":["01-P-194\/2023 and 01-P-161\/2024"],"award-info":[{"award-number":["01-P-194\/2023 and 01-P-161\/2024"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Given the functional, emotional, and symbolic challenges imposed by cleft lip and\/or palate (CL\/P) on exclusive breastfeeding (EBF), mothers often experience early breastfeeding cessation with impacts on maternal identity and the mother\u2013infant bond. This study aimed to explore the meanings, feelings, and experiences of mothers of children with CL\/P regarding breastfeeding in the face of these adversities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This qualitative study applied the Clinical-Qualitative Method as proposed by Turato. Six in-depth semistructured interviews were conducted with biological mothers of children with CL\/P, recruited from a specialized craniofacial reference center in Brazil. Data were analyzed using a qualitative content analysis approach, grounded in psychodynamic concepts from the Medical Psychology theoretical framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Based on the analysis of the collected material, three analytical categories were identified and constructed: (1) \u201c\n                      <jats:italic toggle=\"yes\">Existential conflict regarding the inability to fulfill the ideal maternal role<\/jats:italic>\n                      \u201d; (2) \u201c\n                      <jats:italic toggle=\"yes\">Duality between the need and the fear of caregiving<\/jats:italic>\n                      \u201d; and (3) \u201c\n                      <jats:italic toggle=\"yes\">The anguish experienced between tangible and intangible support during breastfeeding.<\/jats:italic>\n                      \u201d\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Although the inability to EBF in children with CL\/P generates emotional distress, motherhood is reimagined through adaptive forms of care and bonding, highlighting gaps in institutional support and the need for more humanized, emotionally sensitive health practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261459869","type":"journal-article","created":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T06:55:23Z","timestamp":1781333723000},"page":"595-601","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Meaning and Significance of Breastfeeding for Biological Mothers of Children with Cleft Lip and\/or Palate"],"prefix":"10.1177","volume":"21","author":[{"given":"Ana Laura","family":"Ara\u00fajo Ferreira","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas (UNICAMP), Piracicaba School of Dentistry, Campinas, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4124-5728","authenticated-orcid":false,"given":"Caio Vieira de Barros","family":"Arato","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas (UNICAMP), Piracicaba School of Dentistry, Campinas, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitor","family":"Rafael Gomes","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas (UNICAMP), Piracicaba School of Dentistry, Campinas, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisele","family":"da Silva Dalben","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Serra Vallad\u00e3o","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas (UNICAMP), School of Medical Sciences, Campinas, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Almeida Bastos","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, School of Nursing (EEUSP), S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norma Sueli","family":"Gon\u00e7alves Reche","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas (UNICAMP), Piracicaba School of Dentistry, Campinas, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciane","family":"Miranda Guerra","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas (UNICAMP), Piracicaba School of Dentistry, Campinas, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Cleft palate speech management: a multidisciplinary approach","author":"Shprintzen RJ","year":"1995","unstructured":"1.Shprintzen RJ, , Bardach J. 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