Phoenix Children's Hospital
This study aims to assess the impact of using a cleft-adapted bottle with a unidirectional valve compared with a non-cleft-adapted bottle on oral volume intake and milk transfer rate.
Cleft lip and/or palate is one of the most common birth differences worldwide, affecting between 6,000-8,000 children annually in the United States alone. Infants with cleft palate commonly experience immediate feeding difficulty because of an inability to generate sufficient negative intraoral pressure for suction. Feeding inefficiency can contribute to poor weight gain, which can delay surgical palate repair and negatively affect later speech outcomes. Cleft-adapted bottles with unidirectional valves have become a frequent recommendation across North America to address feeding difficulties.…
Inclusion Criteria: * Infants with a diagnosed, unrepaired, overt cleft palate under 12 months gestational age cared for at Phoenix Children's, upon receipt of parental/guardian informed consent to participate. * Infant is using the Dr. Brown's® Zero-Resistance Specialty Feeding System® (Narrow nipple or wide-neck options) or the Pigeon Baby Cleft Palate Bottle * Infants feeding using milk at IDDSI level 0 (expressed breast milk, commercial formulas, and formula fortified up to 26kcal/ounce) Exclusion Criteria: * Infants with a submucous cleft palate. * Infants receiving supplemental entera…
Two common cleft-adapted bottle that feature unidirectional valves are the Dr. Brown's® Zero-Resistance Specialty Feeding System® (Dr. Brown's® SFS) and the Pigeon Baby Cleft Palate Bottle. The Dr. Brown's® SFS is currently the most used and recommended cleft-adapted bottle in North America. These bottles feature a unidirectional "check valve" that is inserted into the nipple of the bottle. This unidirectional valve allows milk to flow into the nipple but not back into the bottle, creating a compression nipple that extracts milk when the infant compresses the nipple with their lips, gums, or tongue
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