Prevalence of Malnutrition and Its Effect on Having Cleft Lip and/or Palate Patient, Morang Co-Operative Hospital, Biratnagar

Abstract

The study was carried out entitled “Prevalence of Malnutrition and its Effects on having Cleft Lip and/or Palate children, Morang Co-operative Hospital, Biratnagar” in order to access the prevalence of malnutrition and its effect having cleft lip and/or palate and Specific Objectives were to find out the demographic structures, socio-economic status of patients family, to find out prevalence of malnutrition in cleft lip and/or palate, to identify level of malnutrition status in cleft lip and/or palate and to find out the effect of malnutrition in cleft lip and/or palate patient.

The study was gathering and analyzes the data which will be collect from the field of research area. The result of the findings interpreted in the logical order after the detail analysis of relevant data from the beginning to the conclusion. This was descriptive. It was explore the prevalence of malnutrition and its effect on cleft lip and/or palate.

Malnutrition is defined as a state in which the physical function of an individual is impaired to the point where he or she can no longer maintain natural bodily capacities such as growth, pregnancy, lactation, learning abilities, physical work and resisting and recovering from disease. A cleft is a birth defect that occurs when the tissues of the lip and/or palate of a fetus do not properly fuse very early in the pregnancy. A cleft lip, sometimes referred to as a harelip, is an elongated opening between the upper lip and the nose. It may involve one or both sides of the lip and may occur with or without a cleft palate. A cleft palate, in which the roof of the mouth abnormally opens into the floor of the nose, may also occur without a cleft lip. One of every 30 babies is born with some type of birth defect. Approximately one in 700 has a cleft, Twice as many boys as girls are afflicted with a cleft lip, both with and without a cleft palate. However, twice as many girls as boys are afflicted with a cleft palate without a cleft lip. Clefting occurs most often in Asians, Latinos, and Native Americans (one of 500 births) and least often in people of African descent (one of 1000 births).

Most of the patient having both problem i.e. cleft lip & cleft palate. It means patients who suffer this problem contain more cleft lip & cleft palate. Among the total patient low weight of patient was 41.7%, which was noticeable. Among the total patient of height, there was 21.7% were below normal height & 68.3% were above normal height. By mid upper arm circumference measurement (MUAC) the total severely malnourished patients were 6.7 and at risk were 8.3% respectively. ANC check-up during pregnancy was very good but there was also some people ie.5% not checked. ANC check-up during pregnant was 40% where there were 5% never checked which was remarkable. Ion tab taken were high but non taker were also present which was remarkable. Calcium taken in pregnant period was 61.7% but non taker were also high ie.38.3%.whiah was remarkable. Delivery places were home, hospital; clinic and other were 31.7%, 60%, 5% and 3.3% respectively. Where there were home delivery was remarkable.

The total no. of family member was higher in family size (4-6) but there was also having > 9 size which was remarkable. Main income of patients family were farming, it means most of the patients lives in village and Economic sources for their lives was low. Child feeding practice was rice and bottle feeding were most, where as breast feeding practice was least. The patients having cleft-lip and/or palate have feeding problem. The feeding problem is great deal for the nutritional status of child. In cleft Lip and/or Palate child common feeding problems are most of child feeding problem was nasal regurgitation i.e. 50% , Sucking Problem 15%, Others 11.7 % and lowest was choking and 18.3% were no any problems. General food habit during pregnant was 35% i.e. same % mother were not take any additional food. Health education programs should be conducted for mothers group, traditional faith healers community leaders and school teachers.