الفهرس 
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Abstract
This chapter summarizes the current study results and conclusion, discusses nursing implications, and ends with recommendations for further study.
The current study aimed to evaluate the impact of an educational program regarding cleft palate on mothers’ awareness and their infants feeding pattern. Quasi-experimental research design (pre-posttest) was used in the current study. A purposive sample of 60 mothers and their infants were diagnosed with isolated Cleft Palate or associated with Cleft Lip up to one year of age. The sample was divided into two equal groups: 30 for (study group) those mothers of infants with isolated Cleft Palate or associated with Cleft Lip who were exposed to an educational program regarding cleft palate and feeding patterns, and 30 for (control group) those mothers of infants with isolated Cleft Palate or associated with Cleft Lip who exposed to routine hospital care. The current study was conducted at the in-patient surgery unit at Minia university hospital for Obstetrics and Pediatrics. The following tool included a structured interview questionnaire sheet about mothers’ knowledge, practices, and Egyptian Growth Curve chart (EGCC).
The findings of the current study are summarized:
More than two third (63.3%) of mothers age in the study group ranged between 20-30 years old, while the age of 60% of the mothers in the control group ranged between 20-30 years old, the majority of mothers in the study group and control group (83.3%,67.7%); respectively came from the rural area. In addition, 66.7% of mothers in the study group and 70% in the control group had 1-3 children. Regarding consanguinity of mothers in the study and control groups (73.3% and 70%), respectively, didn’t have consanguineous marriage. And also, one quarter (26.7%) of mothers in the study group had secondary certificates; otherwise (50%), (46.7% ( of the mothers in the study and control groups did not read or write. In addition, (70%) of mothers in the study group and (53.3%) of mothers in the control group didn’t use drugs during pregnancy.
Regarding the family history of cleft lip or palate (90%) of the study group and (86.7%) of the control groups, of mothers didn’t have a family history of cleft lip or palate. The majority (86.8%) of mothers in the study groups and (83.4%) of the control group of mothers discovered cleft palate in their infants after few hours after birth. Regarding health problems or difficulties associated with cleft palate (55.3%), the study group have chest infection problems, while the control group (46.8%) have feeding problems.
On the other hand, 63.3% of infants in the study group and 66.7% of the control group ages ranged between 0-6 months, and the means of their age were 5.23± 3.03, 5.13 ± 2.72, respectively. Regarding gender, 63.3% of infants in the control group and 60% in the study group were male. In addition, 70% of infants in the study group and 73.3% of the control group had birth weights of 2500-3000gm. Furthermore, 43.3% of infants in the study and control group had disorganized sucking, while 60% of mothers in the study group fed infants by cup or spoon, 50% by cup or spoon, and 50% by others.
The current study result revealed that 56.7% of study group infants were below normal weight for age, and 60% of control group infants were normal weight for age in the pre-test, while in the post-test in study group infants, 73.3% were normal weight for age, and 56.7% control group infants were below normal weight for age and the means of weight in pre and post-test ±SD/kg. were (9.48 ± 1.56, 8.85 ± 1.22).
In the study and control groups, 100% of the mothers had unsatisfactory knowledge in the pretest. In comparison, 90% of the study and 16.7% of the control group had satisfactory knowledge in the immediate post-test. On the other hand, 76.7% of the study group had satisfactory knowledge of follow-up tests with a statistically significant difference p-value at 0.0000.
In the study group and control group, 100% of mothers had unsatisfactory practice in the pre-test. In comparison, 100% of the study group, compared with 23.3% of the control group, had satisfactory practice in the immediate post-test. On the other hand, 76.7% of the study group had satisfactory knowledge of follow-up tests with a statistically significant difference p-value at 0.0000.
This study’s results revealed a positive statistically significant correlation between mothers’ knowledge and practices for the study group in post-test and follow-up tests with statistically significant differences (P. value at 0.04, 0.001, 0.05). In contrast, in the control group, a statistically significant positive correlation was found between the total score of mothers’ knowledge and their practices in pre and post-test and follow up tests (P. value at .0.02, 0.05, and 0.05), respectively.
There were no statistically significant differences between the mothers’ knowledge and their demographic characteristics except for age the mothers who had 20 -30 years had satisfactory knowledge with statistically significant differences in post-test and follow-up tests (P-value. 0.01, 0.05), respectively, in the study group.
There was no statistically significant relation between the level of studied mothers’ practices and their demographic characteristics except for age the mothers who had 20 -30 years had satisfactory practice with statistically significant differences in follow-up tests (P-value. 0.02) in the study group.