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Breast feeding of children with cleft lip and palate in newborn period.

Mamedov A.A.,Maclennan A.B.,Volkov U.O.,Makarova L.M.,Mazurina

L.A.,Gorlova N.V., Akhmetkhanov S-M.S-A

State Federal-Funded Educational Institution of Higher Professional Training I.M.

Sechenov First Moscow State Medical University of the Ministry of Health of the

Russian Federation( Sechenov University)

Department of Pediatric Dentistry and Orthodontics

Unique and valuable breast milk in its composition ideally matches the needs of the child in the first year of life. Immunoglobulins and other elements containing in it protect the mucous membrane of the mouth, nose and the Eustachian tube of the middle ear. In the absence of breast milk, the mucous membranes of the mouth and nose becomes vulnerable to infection.

Every method of prophylaxis of infection is beneficial for the child. The results of studies conducted in the early stages of breastfeeding have been consistently confirmed by extensive clinical studies.

The integrity of the orbicularis oris after primary cheiloplasty creates the conditions for the possibility of a sucking reflex during breastfeeding. The orofacial muscles are involved into the breast feeding more than in the case of artificial feeding from the nipples, they increase the contractile forces of the muscles of the soft palate and lips. If, after surgery, the child has the opportunity to use the orofacial muscles in full, then subsequently improvement in speech development can be succeded. Breastfeeding is welcomed by neonatologists, pediatricians, and other specialists as a form of therapy that does not require additional funds and special work.

In clinic 9 DGKB N.G. Speransky, Department of maxilla-facial area applies “The system of care for children with cleft lip and palate in the neonatal period” (Mamedov

Ad.A., 2011). Primary cheiloplasty is performed in 5-7-9 days from the date of birth.

Breastfeeding is indicated immediately after surgery; fewer sedatives are needed because this form of feeding and close contact is already familiar. Mother's milk reduces the risk of contact hospital infections and promotes the healing process.

Thus, breastfeeding, starting the day after the initial operation, has a positive effect on the health of the child, the growth and development of the facial skeleton and soft tissues of the maxillofacial region.