Os desafios e estratégias para amamentação no recém-nascido com fissura labiopalatina

Abstract

OBJECTIVES: Review strategies that facilitate breastfeeding in children with cleft palate and cleft lip. METHODS: Narrative literature review carried out through online scientific bases. RESULTS: Cleft lip and palate are congenital malformations that hinder the breastfeeding process, interfering with sucking and swallowing, which can impair child development and the mother-baby bond. Breastfeeding should be encouraged, the baby’s sucking ability should be assessed, the breastfeeding should be properly demonstrated to parents, support for mothers to establish and maintain their milk supply, considering adaptive feeding equipment (specialized bottles and nipples) and education on the benefits of human milk. Even if there are factors that make breastfeeding impossible, the supply of human milk, through specialized bottles or other devices, should be encouraged, since there are nutrients that only it can offer to the newborn. Family education is an important part of successful breastfeeding and support should be started as soon as the cleft is diagnosed, during the prenatal and postnatal periods. CONCLUSION: Breastfeeding should be encouraged, and when it is not possible, breast milk should be offered. Early surgical repair (in the first two weeks of life) in simple cleft lip has increased BF rates and should be considered in services where availability is available. In addition, a support network for parents should be created, with health professionals, to provide guidance on the possibilities and success of breastfeeding, in addition to monitoring weight gain and hydration.