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cleft palate/lip
happens before most women know they are even pregnant, congenital abnormality due to the failure of closure of certain facial parts during embryonic development
cleft palate/lip cause
genetic link, environmental (smoking, etoh, infections), meds (dilantin, retin A, steroids), low folate
Retin A
causes a lot of birth defects, dont give to women of child bearing age
cleft lip problems for infant
feeding difficulties (cant form suction), weight gain is difficult, risk for aspiration, nasal deformity, dental abnormalities, speech, social acceptance
special nipples for cleft lip
squeeze bottle: ross nipple, mead-johnson
nipple hole/valve: pigeon, haberman, special needs feeder
cleft lip treatment
surgery at 2-3 months, z plasty / cheiloplasty
arm restraints for cleft lip
medical restraint to prevent playing with lips
cleft palate problems for infant
feeding difficulties (weight loss risk for aspiration), ear infections increased risk (can decrease hearing, lead to speech problems), possible dental work, social acceptance
cleft palate treatment
nutrition, possible prep for reconstruction, surgery at 6-12 months -> palatoplasty
cleft palate feeding
use of a cup after surgery! no sucking, 10-15ml water chaser
before dischagre with cleft lip and palate
have to show that parents are able to feed them and they are feeding well by diaper wights and input
