OBJECTIVE: There are minimal data available on nutrition after early repair of cleft lip and the factors influencing initiation of breastfeeding. This study assessed the impact of the length of surgery, length of ventilation support, and duration of hospital stay on breastfeeding rates after early cleft lip surgery. DESIGN: This is a prospective observational cohort study comparing 2 hospitals providing early surgical repair of facial clefts from January 2014 to December 2016. Both hospitals are designated as Baby-Friendly Hospitals. Demographic and anthropometric data from mothers and newborns were recorded. SETTING: Tertiary neonatal and pediatric surgery center. PATIENTS: Hospital A: 61 newborns, Hospital B: 157 newborns. INTERVENTIONS: Early (day 5 to 14) cheiloplasty in newborns with cleft lip or cleft lip and palate. MAIN OUTCOME MEASURES: Influence of duration of hospital stay, length of operation, and artificial ventilation on the rate of breastfeeding. RESULTS: Significantly, more newborns were breastfed following early surgical repair of an isolated cleft lip compared to those with both cleft lip and palate, in both hospitals (hospital A 82% vs 0%, P = .0001, hospital B 66% vs 5%, P = .0001). Duration of hospital stay, length of operation, and duration of artificial ventilation did not significantly affect the rate of breastfeeding. CONCLUSIONS: The factors associated with early cleft lip repair (length of operation, length of ventilation support, and duration of hospital stay) do not affect breastfeeding rate.

Department of Neonatology 48208Thomayer Hospital Prague Czech Republic and 2nd Faculty of Medicine Charles University Prague Czech Republic

Department of Neonatology 48209Thomayer Hospital Prague and Institute of Pathological Physiology 1st Faculty of Medicine Charles University Prague Czech Republic

Department of Neonatology 48209Thomayer Hospital Prague Czech Republic

Department of Obstetrics and Gynecology 8830Coombe Women and Infants University Hospital University College Dublin Ireland

Department of Obstetrics and Gynecology Neonatology 48359University Hospital Motol 2nd Faculty of Medicine Charles University Prague Czech Republic

Department of Otorhinolaryngology 2nd Faculty of Medicine Charles University Prague Faculty Hospital Motol Czech Republic

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Impact of early cleft lip and palate surgery on maxillary growth in 5- and 10-Year-old patients with unilateral cleft lip and palate: a cross-sectional study