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Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure

Dissertation (MCommunication Pathology)--University of Pretoria, 2017.

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Other Authors: Kruger, Esedra
Format: Thesis
Language:English
Published: University of Pretoria 2018
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access_status_str Open Access
author2 Kruger, Esedra
author_browse Kruger, Esedra
author_facet Kruger, Esedra
collection Thesis
dc_rights_str_mv © 2018 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MCommunication Pathology)--University of Pretoria, 2017.
format Thesis
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:37:11.117Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2018
publishDateRange 2018
publishDateSort 2018
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/65621 Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure Kruger, Esedra u13125282@tuks.co.za Kritzinger, Alta M. (Aletta Margaretha) Visser, Erantia UCTD Dissertation (MCommunication Pathology)--University of Pretoria, 2017. Background: There is limited description of the feeding characteristics of infants with unrepaired cleft lip and palate (CLP), exposed to HIV and antiretroviral treatment. Objective: To determine whether the feeding characteristics of very young infants with unrepaired CLP and HIV-exposure (HIV-E) differ significantly to that of infants with unrepaired CLP only. Method: A two-group comparative design with a validated measure, the Neonatal Feeding Assessment Scale (Viviers, 2016) was used. The effectiveness of oral feeding skills (OFS) between the two groups were measured based on the objective measure described by Lau and Smith (2011). Twelve participants with unrepaired CLP and HIV-E and 13 with unrepaired CLP were matched according to cleft type and use of feeding obturator. There were no significant differences between the groups for mean age, birth weight and gestation. Participants were between two and 89 days old, bottle fed, and had no syndrome/co-occurring disorder. Results: Nine (75%) participants in the research group (RG) and only two (15.38%) in the control group (CG) presented with the likelihood of oropharyngeal dysphagia (OPD). Apart from feeding difficulties as a result of structural impairment of the cleft, the RG showed symptoms of neurological involvement, such as absent rooting. The RG consumed less milk in the same time than the CG. The RG experienced more problems since birth as they were in the neonatal intensive care unit for longer and took longer to achieve successful bottle feeding. Conclusion: The RG presented with distinctive symptoms of OPD. More studies using different measuring tools, such as the Modified Barium Swallow Study are required to strengthen the evidence. Speech-Language Pathology and Audiology MCommunication Pathology Unrestricted 2018-07-16T07:53:55Z 2018-07-16T07:53:55Z 2018/04/25 2017 Dissertation Visser, E 2017, Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure, MCommunication Pathology Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/65621> A2018 http://hdl.handle.net/2263/65621 en © 2018 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure
title Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure
title_full Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure
title_fullStr Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure
title_full_unstemmed Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure
title_short Feeding difficulties in infants with unrepaired cleft lip and palate and HIV-exposure
title_sort feeding difficulties in infants with unrepaired cleft lip and palate and hiv exposure
topic UCTD
url http://hdl.handle.net/2263/65621