Nutritional Improvement in Children with Cieft Llp and Cleft Palate Using a Combination of An Obturator and Feeding Bottle Infant

Background: Cleft lip and palate is the most common congenital defect. Malnutrition is still a prevalent problem in children with cleft lip and palate. Children born with cleft lip and palate, need food intake to improve their nutrition. An ineffective sucking mechanism, especially in children with cleft palate, resulting in an inability to produce negative pressure and sucking movements, causing fatigue before breast feeding is complete. This growth disorder is associated with inadequate feeding; causing the child to have a low weight in the first year of life, where to overcome this disorder, treatment is best done early in life. Some devices to assist the feeding and milking process in children with this disorder include modification by integrating the obturator with the feeding bottle. The purpose of writing this systematic review is to determine the improvement of the nutritional status of children with cleft lip and palate after the use of a combination device between obturator and cleft palate.feeding bottle infant. This research uses systematic literature review. Various references were collected through online databases including research journals from Pubmed,Science Direct, WiIey Online library, and Google Scholar. The use of tool modification by combining the obturator and feeding bottle, facilitate the process of feeding and milk in infants and the result is an increase in nutritional intake.