{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:13:55Z","timestamp":1777522435340,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,9,1]],"date-time":"2013-09-01T00:00:00Z","timestamp":1377993600000},"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":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To verify feeding resources used prior to corrective surgery among cleft babies from Brazil and to discuss suggestions to improve common feeding problems around the world.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional descriptive study conducted at eight medical centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 215 parents or guardians of cleft children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Interview based upon a prevalidated questionnaire. The chi-square test and comparison of means by analysis of variance were used; significance level adopted was 5% ( P &lt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Feeding guidelines were provided in the maternity unit to 53% of the families. Breastfeeding was encouraged among 80% of mothers, predominantly in the South ( P = .016). However, follow-up after maternity discharge was not appropriately carried out and failure to breast-feed occurred in 78% of families. The feeding tube was used in 21%. According to families, for those who used the ordinary nipple, it was considered the best option by the majority (29%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Neonatal feeding in cleft babies is a global challenge. Reports about the difficulties encountered and successful experiences would be helpful to disseminate strategies and stimulate research directed at the large-scale applicability of neonatal feeding for cleft babies on public health. This study detected the need to increase professional training and emphasizes the need for public policies addressing neonatal referral to specialized care wherever possible. It also stimulates research into using an ordinary nipple as another resource for feeding cleft babies and suggests an international discussion about specific recommendations for humanized primary health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/11-155","type":"journal-article","created":{"date-parts":[[2013,4,3]],"date-time":"2013-04-03T23:32:48Z","timestamp":1365031968000},"page":"577-590","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Feeding Infants with Cleft Lip and\/or Palate in Brazil: Suggestions to Improve Health Policy and Research"],"prefix":"10.1177","volume":"50","author":[{"given":"Vera L\u00facia","family":"Gil-Da-Silva-Lopes","sequence":"first","affiliation":[{"name":"Department of Medical Genetics, University of Campinas, Campinas, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Carolina","family":"Xavier","sequence":"additional","affiliation":[{"name":"Centrinho Prefeito Luiz Gomes, Joinville, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Klein-Antunes","sequence":"additional","affiliation":[{"name":"N\u00facleo de Aten\u00e7\u00e3o M\u00e9dica Integrada, Fortaleza, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Carolina R. G.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ci\u00eancias da Sa\u00fade de Alagoas, Macei\u00f3, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Tonocchi","sequence":"additional","affiliation":[{"name":"Centro de Atendimento Integral ao Fissurado, Associa\u00e7\u00e3o de Reabilita\u00e7\u00e3o e Promo\u00e7\u00e3o Social ao Fissurado Labiopalatal, Curitiba, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes C.","family":"Fett-Conte","sequence":"additional","affiliation":[{"name":"Hospital de Base, Funda\u00e7\u00e3o Faculdade Regional de Medicina de S\u00e3o Jos\u00e9 do Rio Preto, S\u00e3o Jos\u00e9 do Rio Preto, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel N.","family":"Silva","sequence":"additional","affiliation":[{"name":"Hospital Infantil Albert Sabin, Fortaleza, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera H. 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