Page 2 - Celtlippalate1_FeedingTips
P. 2

The  important  skill  needed  for  the  babies  to  feed  well  is
       SUCKING. The baby born with cleft lip/palate has difculty
       in  sucking  milk  from  the  breast  or  bottle.  With  some
       adjustments  to  feeding  methods  and  positioning,  baby
       should  be  able  to  get  all  the  benets  of  the  feeding
       experience.


       Feeding problems in children with
       cleft lip/palate

       When a baby is born with cleft lip/palate, the baby will have
       difculty in sucking milk from the breast or bottle. Children
       with only cleft lip might have difculty at rst to latch on to the
       nipple. However, Children with cleft palate alone or with both
       cleft lip and palate cannot generate adequate suction during
       feeding. This creates difculty to breast or bottle feed these
       children.


       Other challenges
        Ÿ  Milk coming out of nose
        Ÿ  Choking
        Ÿ  Gagging and swallowing

       Professionals involved in treatment
       of feeding problems in children with
       cleft lip and /palate

       If child is not nourished enough, surgery  of the cleft lip/palate
       is delayed due to low weight and lack of nutrients. Hence this
       issue in feeding has to be dealt as earliest for timely surgery
       which in turn helps in development of speech and language
       skills.
        Ÿ  Paediatrician: Plays an important role in diagnosis and
           referral, providing ongoing care, guidance, and acute
           care, assuring that all health needs of the child are fully
           identied and appropriately met. Also, coordinates with
           the team of multi-specialists involved.

        Ÿ  Prosthodondist: Designs different appliances to cover
           the  cleft  palate  (palatal  obturator)  in  order  to  meet
           functional requirements for sucking and chewing.
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