how to feed baby after cleft palate surgery
Your child may not eat as much as usual for a few days or even 1 to 2 weeks after surgery. After cleft palate surgery.
Cleft Lip And Cleft Palate Story The Palate Repair Surgery Cleft Lip And Palate Cleft Lip Cleft Palate
Feed using only a spoon - no fork or other utensils.
. Your baby will initially be in in the NICU Neonatal Intensive Care Unit of your hospital right after being born. Cleft lip surgery. A baby feeds by a combination of two main techniques.
They use stitches to reapproximate the muscle of your childs upper lip and bring the cut edges of the skin together to shape the upper lip and nostrils. Children can be given drinks and suitable. This opening in the palate makes it difficult to create the suction needed to pull milk out of the bottle or to latch on to the breast to.
Due to the swelling your baby may need some extra comforting during feeds until he or she adjusts to the lip repair. Surgery to correct the cleft palate can be done when the baby is approximately 18 months old. However babies born with a cleft lip and palate or cleft palate only have an opening in the roof of their mouth- between the mouth and nose.
Hold your babys cheeks forward to help create a smaller space in the mouth and increase the oral contact with the nipple. This may be a sign of dehydration. Within a few days after surgery most babies will go back to drinking the same amount of liquid that they were drinking before the cleft palate surgery.
Give soft pureed or mashed foods for 3 weeks. Prenatal ultrasound can sometimes determine if a cleft exists in an unborn child. During evenings weekends and holidays please call 614 722-2000 and ask for the plastic surgeon on call.
Your babys doctor. Before cleft palate repair youll need to develop feeding methods other than the bottle feeding of breast milk andor formula. We do this to protect the incision inside the mouth.
If there is a cleft palate the baby is unable to close that gap and whenever he or she. Within a few days after surgery most babies will be able to eat the way they were fed before the surgery. The palate more commonly referred to as the roof of the mouth separates the mouth from the nose.
Maintaining good nutrition both before and after your childs surgery is important. As your baby feeds some milk may escape through the nose. You can reach the helpline at 614 722-6299 Monday through Friday 8 am.
Tips for feeding a baby with a cleft palate. After surgery for cleft palate your child needs a balanced diet of non-irritating foods. Feeding a baby with cleft lippalate can be a challenge at first.
Keep the bottle tilted so the nipple is always full of milk. Place your child in a sitting position for feeding. Prop your baby in an upright position.
Smaller feedings more often may be needed for the first few days. These feeding devices will lower the chance of injury to the lip. Most surgeons will suggest feeding from a special TenderCare Feeder a syringe with Brecht tubing an open cup or a special sippy cup after the cleft palate.
Babies with a cleft swallow a lot of air when feeding and require more frequent burping. The palate is important for feeding and speaking. If necessary feed more frequently every two to three hours.
Use a bottle you can squeeze. Burp your baby after every half-ounce. Most babies with a cleft of the palate are not able to use standard bottles or solely breast feed.
To be able to generate suction in the mouth the baby needs to be able to close the gap at the back of the throat between the nose and mouth. It can be helpful to keep a record of what your baby takes in the first few days at home after surgery. Formula-fed babies may require 23 teaspoons of cooled boiled water after a feed to ensure that any milk is removed from the nasal airways.
A feeding tube will be inserted through one nostril and will go down the back of your babys throat and into his stomach. Understand that feedings should not last more than 30 minutes. Sometimes babies will feed from a special TenderCare Feeder or from a syringe with Brecht tubing for the first few days after surgery.
Their surgeon makes a cut incision along the edges of the cleft lip extending up into their nose. This cleft can make feeding hard for your baby. This is important to prevent infection and encourage healing.
Having a child born with a bilateral cleft lip and palate is difficult especially when considering the extra work that goes into feeding. Your babys mouth will be sore for several days while it heals. Babies can resume feeding breast bottle feeding on demand following surgery.
Keep the bottle tilted so the nipple is always filled with milk and pointed down. Parents meet with the team to ask questions including any feeding questions. If you feed your child for longer periods it can tire your baby and waste calories.
Babies with cleft lip only can even breastfeed if you desire. As your baby feeds some milk may escape through the nose. Squeeze it gently during feeding to help the flow of milk.
This is important to prevent infection and encourage healing. If your baby has a cleft lip try gently holding the upper lip together while bottle feeding to help create the needed seal around the nipple. Cleft lip repair is surgery to fix a split cleft in your childs lip.
Observe your infant for a period of sucking followed by a swallow and a brief period of breathing. After cleft lip surgery. The hospital where your baby is born will often supply a special bottle or nipple for feeding a baby who has a cleft palate.
Your baby is also learning to swallow using this new palate. Feeding a child with a cleft lip or cleft palate use a specialized cleft palate bottle as demonstrated by your babys medical team. We discourage bottle feeding the first 1-2 weeks after repair of the palate.
Adequate fluids are important and your clinical nurse specialist CNS will advise you about the amount to aim for. How to feed the baby after surgery. Cleft Palate Program 4480 Oak Street Vancouver BC V6H 3V4 604-875-2345 1-888-300-3088 wwwbcchildrensca Cleft Palate Surgery The cleft split in the roof of your babys mouth palate has been repaired.
The following are some suggestions to help feed your baby with cleft palate. Feeding a Baby with a Cleft Palate. If the clefting has not been detected in an ultrasound prior to the babys birth a physical exam of the mouth nose and palate confirms the presence of cleft lip or cleft palate after a childs birth.
A cleft is an opening or split in the palate. Your baby should not put anything into his or her mouth including a pacifier or hands for two weeks after surgery. After the surgery the baby should eat only liquid or pasty foods until complete healing because the pressure that solid food makes in the mouth when chewing can lead to the opening of the stitches making.
Do not squeeze the bottle during the swallowing or breathing phase. If there are fewer wet diapers call the Cleft Lip and Palate Center helpline. Here are some ideas for what and how to feed your child.
With a cleft palate milk can enter the nose during feeds and while breast milk does not irritate the delicate tissue here formula milk can leave deposits which may result in a snuffly baby. This may require some creative finger maneuvering on. Ad Free 2-day Shipping On Millions of Items.
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