How do you prepare for cleft palate surgery?
- Your child may have breast milk up to 4 hours and formula up to 6 hours before surgery. All other liquids, semi-liquids and solid foods MUST BE STOPPED 8 hours before surgery.
- Your child may have CLEAR LIQUIDS up to 2 hours before surgery. After that, they may have nothing else to drink.
What is the management of cleft palate?
Children with a cleft lip or palate will need several treatments and assessments as they grow up. A cleft is usually treated with surgery. Other treatments, such as speech therapy and dental care, may also be needed. Your child will be cared for by a specialist cleft team at an NHS cleft centre.
What can you do after cleft palate surgery?
For a short while after surgery, your child may not eat as well as before surgery.
- Give soft, pureed or mashed foods for 3 weeks.
- Do not give foods that have chunks, lumps or pieces, such as seeds, grains, pulp or skin.
- Do not give hard, crunchy foods such as cold cereal, cookies, crackers or chips.
What condition does a cheiloplasty correct?
Cleft lip repair, also called cheiloplasty, is surgery to correct a cleft lip. Cleft lip is a birth defect that occurs when the upper lip doesn’t fuse together properly during development. It can look like a small notch in the edge of the lip or it can extend into the nose and gums.
How do you take care of a baby with a cleft lip?
Use a specialized cleft palate bottle as demonstrated by your baby’s medical team. Place your baby in an upright, sitting position to prevent the formula from flowing back into the nose area. Keep the bottle tilted so the nipple is always filled with milk and pointed down away from the cleft.
What can you eat after cleft palate surgery?
It is OK to resume full liquids 2-3 days after surgery. This includes yogurt, thin cooked cereals, puddings, ice cream, creamed soups, thin pureed foods, or stage I baby foods. Use only a soft spoon and do not allow the spoon to enter deep into the mouth. It is OK to resume soft foods one week after surgery.
How do you feed a baby with a cleft lip and palate?
Most babies born with a cleft lip (and no cleft palate) feed well without any special equipment. They usually can breastfeed or use a regular bottle-feeding system. The only change needed might be positioning the nipple so the baby can latch.
How do you prevent cleft lip in babies?
What can you do to help prevent cleft lip and cleft palate in your baby?
- Take folic acid.
- Don’t smoke or drink alcohol.
- Get a preconception checkup.
- Get to a healthy weight before pregnancy and talk to your provider about gaining a healthy amount of weight during pregnancy.
Which nursing intervention is essential in the care of an infant with cleft lip and palate?
Cleft lip deformities can occur unilaterally, bilaterally or rarely, in the midline….Desired Outcomes.
| Nursing Interventions | Rationale |
|---|---|
| Feed the infant slowly and burp frequently. | Burping frequently during a feeding will reduce spitting up and prevent excessive swallowing of air. |
Which position is best after cleft palate surgery?
A child who has had a cleft lip repair should be positioned on their side or back to keep them from rubbing their face in the bed. A child with only a cleft palate repair may sleep on their stomach. It is important to keep the stitches clean and without crusting.
What is cheiloplasty in cleft lip?
Definition. Chelioplasty: In general, chelioplasty refers to surgical modification of the lip or lips. Modifications performed may include the reconstruction of acquired or congenital deformities and lip reduction or lip augmentation procedures for cosmetic and/or functional purposes.
When is the best time to do surgery for cleft lip and palate?
When is the right time for cleft palate surgery? Cleft palates are typically repaired between 8 and 12 months of age. Clefts of the soft palate can usually be repaired early (8 to 10 months of age). Clefts of the hard and soft palate are best repaired later (10 to 12 months of age).
How do I prepare for a baby?
Preparing for Baby: 10 Things to Do Before You Give Birth
- Prepare All the Baby Gear.
- Make and Freeze Meals.
- Stock Up on Household Essentials.
- Make Provisions for Your Furry Family Members.
- Fill Prescriptions.
- Make Sure You are Up to Date on Preventative Care.
- Get a Jump Start on Baby Proofing.
- Take Some Time for Yourself.
What is the appropriate feeding technique to use with an infant who has a cleft palate?
The following are some suggestions to help feed your baby with cleft palate: Observe your infant for a period of sucking, followed by a swallow and a brief period of breathing. Do not squeeze the bottle during the swallowing or breathing phase. Keep the bottle tilted so the nipple is always full of milk.
Which goal is priority after surgical repair of cleft lip?
After Surgery Care. The goal after surgery is to protect the new repair and stitches. For this reason there will be some changes in the child’s feeding, positioning, and activity for a short time. Remember, these are only temporary!
What are feeding considerations in the newborn with cleft lip and cleft palate?
What are the complications of cleft lip?
Complications
- Difficulty feeding. One of the most immediate concerns after birth is feeding.
- Ear infections and hearing loss. Babies with cleft palate are especially at risk of developing middle ear fluid and hearing loss.
- Dental problems.
- Speech difficulties.
- Challenges of coping with a medical condition.
What are the two main pre operative goals for the child with cleft lip and palate?
Major goals for the care of the infant with cleft lip and cleft palate include: Maintained adequate nutrition. Increased family coping.
When providing postoperative care for the child with a cleft palate the nurse should position the child in which of the following positions?
Prone. B: Postoperatively children with cleft palate should be placed on their abdomens to facilitate drainage.