Breastfeeding and Cleft Lip and Palate: A Systematic Review and Meta-Analysis.

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Cleft Palate-Craniofacial Journal Pub Date : 2024-08-01 Epub Date: 2023-04-20 DOI:10.1177/10556656231170137

Luiza Becker de Oliveira, Gabriela Fonseca-Souza, Tatiane Zahn Cardoso Rolim, Rafaela Scariot, Juliana Feltrin-Souza

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引用次数: 0

Abstract

Objective: To evaluate the association between cleft lip and/or cleft palate (CL/P) and breastfeeding (BF).

Design: A systematic review and meta-analysis were performed based on studies published in PubMed, Scopus, Web of Science, Cochrane Library, LILACS, BBO, and Embase databases, and in the gray literature. The search occurred in September 2021 and was updated in March 2022. Observational studies evaluating the association between BF and CL/P were included. Risk of bias was analyzed using the Newcastle-Ottawa Scale. A random-effects meta-analysis was conducted. Certainty of evidence was evaluated using the GRADE approach.

Main outcome measure(s): Frequency of BF in relation to the presence or absence of CL/P, as well as to the type of CL/P. The association between cleft type and BF challenges was also evaluated.

Results: From a total of 6863 studies identified, 29 were included in the qualitative review. Risk of bias was moderate and high in most studies (n = 26). There was a significant association between the presence of CL/P and absence of BF (OR = 18.08; 95% CI 7.09-46.09). Individuals with cleft palate with or without cleft lip (CP ± L) had a significantly lower frequency of BF (OR = 5.93; 95% CI 4.30-8.16) and a significantly higher frequency of BF challenges (OR = 13.55; 95% CI 4.91-37.43) compared to individuals with CL. Certainty of the evidence was low or very low in all analyses.

Conclusion: The presence of clefts, especially those with palate involvement, is associated with higher chances of absence of BF.

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母乳喂养与唇腭裂：系统回顾与元分析》。

目的：评估唇裂和/或腭裂（CL/P）与母乳喂养的关系：评估唇裂和/或腭裂（CL/P）与母乳喂养（BF）之间的关系：根据发表在 PubMed、Scopus、Web of Science、Cochrane Library、LILACS、BBO 和 Embase 数据库以及灰色文献中的研究进行系统综述和荟萃分析。搜索时间为 2021 年 9 月，并于 2022 年 3 月更新。研究纳入了评估 BF 与 CL/P 之间关系的观察性研究。偏倚风险采用纽卡斯尔-渥太华量表进行分析。进行了随机效应荟萃分析。采用 GRADE 方法评估证据的确定性：BF频率与是否存在CL/P以及CL/P类型的关系。还评估了裂隙类型与 BF 挑战之间的关联：在已确定的 6863 项研究中，有 29 项纳入了定性审查。大多数研究（n = 26）存在中度和高度偏倚风险。CL/P的存在与BF的缺失之间存在明显关联（OR = 18.08; 95% CI 7.09-46.09）。腭裂伴或不伴有唇裂（CP ± L）的个体与伴有 CL 的个体相比，BF 发生率明显较低（OR = 5.93；95% CI 4.30-8.16），BF 挑战发生率明显较高（OR = 13.55；95% CI 4.91-37.43）。在所有分析中，证据的确定性都很低或非常低：结论：存在裂隙，尤其是腭部受累的裂隙，与缺乏 BF 的几率较高有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.