Development Clinical Practice for Nurses in Breastfeeding Promotion for Infants with Cleft Lip and Palate Srinagarind Hospital Northeastern Thailand
Namchaitaharn S, BSc1, Pradubwong S, MSN1, Surit P, DNSc, PhD2, Chowchuen B, MD, MBA3
Affiliation : 1 Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen ,Thailand 2 Department of Adult Nursing, Faculty of Nursing Khon Kaen University, Khon Kaen, Thailand 3 Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Background : The promotion of breastfeeding is beneficial to infants with cleft lip and palate (CLP). Nursing practice guidelines are
important for the Nurses team to give practice for mothers with infants CLP.
Objective : To develop a nursing practice to promote breastfeeding for infants with CLP in Srinagarind Hospital.
Materials and Methods : This descriptive research was conducted to obtain recommended guideline to promote breastfeeding for
infants with CLP, was carried out for four months. The literature was collected from nursing and medical databases, CINAHL,
PubMed, the Cochrane Library, THAIJO, and Google Scholar by using PICO from. In order to evaluate the level of reliability of the
evidence or literature as well as the introduction of the practice, the choices were based on the selection of standard criteria and
validity test conducted by 4 experts.
Results : A total of 140 documents were accessible in the databases, but eight documents were synthesized into three key practical
guidelines for breastfeeding infants with CLP, namely: (1) the types and degrees of severity of the cleft palates conditions, as well as
disability and the evaluation of the mother after parturition, including her mental state and need for assistance; (2) the assistance
from the nurses, who give the information regarding how to correctly hold the infant when breastfeeding and how to the evaluate
the infant’s weight; and (3) the plans to be made before discharge and the instructions to be given in the correct techniques to get
and store milk from the mother’s breasts to be used later.
Conclusion : The three practices of breastfeeding for infants with CLP: (1) the evaluation of the infants and the mothers, (2) the
assistance received from the nurse, and (3) the proper preparation before discharge, help the nurse team as guideline to practice
and take care the Infants with CLP.
Keywords : Infants Cleft lip and Palate, Breast feeding, Nursing practice
