Facts about Cleft Lip and Cleft Palate | CDC
22 hours ago 4. The parents of an infant with cleft palate (CP) report the following, "Our child can't eat properly and is not getting proper nutrition." What does the nurse suggest to the parents? a. "The infant … >> Go To The Portal
Babies with cleft palate commonly have feeding difficulties. Because the roof of the mouth is not formed completely, babies with cleft abnormalities often have trouble creating enough suction to pull milk from a standard bottle or the breast.
Full Answer
What is a cleft palate in a child?
Cleft palate. Cleft palate A cleft palate is an opening or split in the roof of the mouth that occurs when the tissue doesn't fuse together during development in the womb. A cleft palate often includes a split (cleft) in the upper lip (cleft lip) but can occur without affecting the lip.
When should I worry about a cleft lip and cleft palate?
A cleft lip and cleft palate are usually noticed at birth, and your doctor may start coordinating care at that time. If your baby has signs and symptoms of a submucous cleft palate, make an appointment with your child's doctor. Cleft lip and cleft palate occur when tissues in the baby's face and mouth don't fuse properly.
How does cleft palate affect feeding?
Cleft Lip and Palate Program. Babies with cleft palate commonly have feeding difficulties. Because the roof of the mouth is not formed completely, babies with cleft abnormalities often have trouble creating enough suction to pull milk from a standard bottle or the breast.
When can my child start bottle feeding after cleft palate surgery?
At Gillette Children’s, we perform cleft palate surgery when children are between 9 and 12 months of age. We discourage bottle feeding the first 1-2 weeks after repair of the palate. We do this to protect the incision inside the mouth. Maintaining good nutrition both before and after your child’s surgery is important.
What Is Cleft lip?
What Is Cleft Palate?
- The roof of the mouth (palate) is formed between the sixth and ninth weeks of pregnancy. A cleft palate happens if the tissue that makes up the roof of the mouth does not join together completely during pregnancy. For some babies, both the front and back parts of the palate are open. For other babies, only part of the palate is open.
Other Problems
- Children with a cleft lip with or without a cleft palate or a cleft palate alone often have problems with feeding and speaking clearly and can have ear infections. They also might have hearing problems and problems with their teeth.
How Many Babies Are Born with Cleft Lip/Cleft Palate?
- About 1 in every 1,600 babies is born with cleft lip with cleft palate in the United States.
- About 1 in every 2,800 babies is born with cleft lip without cleft palate in the United States.
- About 1 in every 1,700 babies is born with cleft palate in the United States.1
Causes and Risk Factors
- The causes of orofacial clefts among most infants are unknown. Some children have a cleft lip or cleft palate because of changes in their genes. Cleft lip and cleft palate are thought to be caused by a combination of genes and other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during preg…
Diagnosis
- Orofacial clefts, especially cleft lip with or without cleft palate, can be diagnosed during pregnancy by a routine ultrasound. They can also be diagnosed after the baby is born, especially cleft palate. However, sometimes certain types of cleft palate (for example, submucous cleft palate and bifid uvula) might not be diagnosed until later in life.
Management and Treatment
- Services and treatment for children with orofacial clefts can vary depending on the severity of the cleft; the child’s age and needs; and the presence of associated syndromes or other birth defects, or both. Surgery to repair a cleft lip usually occurs in the first few months of life and is recommended within the first 12 months of life. Surgery to repair a cleft palate is recommended …
References
- Mai CT, Isenburg JL, Canfield MA, Meyer RE, Correa A, Alverson CJ, Lupo PJ, Riehle‐Colarusso T, Cho SJ, Aggarwal D, Kirby RS. National population‐based estimates for major birth defects, 2010–2014....
- Little J, Cardy A, Munger RG. Tobacco smoking and oral clefts: a meta-analysis. Bull World Health Organ. 2004;82:213-18.
- Mai CT, Isenburg JL, Canfield MA, Meyer RE, Correa A, Alverson CJ, Lupo PJ, Riehle‐Colarusso T, Cho SJ, Aggarwal D, Kirby RS. National population‐based estimates for major birth defects, 2010–2014....
- Little J, Cardy A, Munger RG. Tobacco smoking and oral clefts: a meta-analysis. Bull World Health Organ. 2004;82:213-18.
- Honein MA, Rasmussen SA, Reefhuis J, Romitti P, Lammer EJ, Sun L, Correa A. Maternal smoking, environmental tobacco smoke, and the risk of oral clefts. Epidemiology 2007;18:226–33.
- Yazdy MM, Autry AR, Honein MA, Frias JL. Use of special education services by children with orofacial clefts. Birth Defects Research (Part A): Clinical and Molecular Teratology 2008;82:1…
Overview
Cleft lip and cleft palate are openings or splits in the upper lip, the roof of the mouth (palate) or both. Cleft lip and cleft palate result when facial structures that are developing in an unborn baby don't close completely. Cleft lip and cleft palate are among the most common birth defects. They most commonly occur as isolated b…
Symptoms
- Usually, a split (cleft) in the lip or palate is immediately identifiable at birth. Cleft lip and cleft palate may appear as: 1. A split in the lip and roof of the mouth (palate) that affects one or both sides of the face 2. A split in the lip that appears as only a small notch in the lip or extends from the lip through the upper gum and palate into the bottom of the nose 3. A split in the roof of the …
Causes
- Cleft lip and cleft palate occur when tissues in the baby's face and mouth don't fuse properly. Normally, the tissues that make up the lip and palate fuse together in the second and third months of pregnancy. But in babies with cleft lip and cleft palate, the fusion never takes place or occurs only part way, leaving an opening (cleft). Researchers believe that most cases of cleft lip and cle…
Risk Factors
- Several factors may increase the likelihood of a baby developing a cleft lip and cleft palate, including: 1. Family history.Parents with a family history of cleft lip or cleft palate face a higher risk of having a baby with a cleft. 2. Exposure to certain substances during pregnancy.Cleft lip and cleft palate may be more likely to occur in pregnant women who smoke cigarettes, drink alcohol …
Complications
- Children with cleft lip with or without cleft palate face a variety of challenges, depending on the type and severity of the cleft. 1. Difficulty feeding.One of the most immediate concerns after birth is feeding. While most babies with cleft lip can breast-feed, a cleft palate may make sucking difficult. 2. Ear infections and hearing loss.Babies wi...
Prevention
- After a baby is born with a cleft, parents are understandably concerned about the possibility of having another child with the same condition. While many cases of cleft lip and cleft palate can't be prevented, consider these steps to increase your understanding or lower your risk: 1. Consider genetic counseling.If you have a family history of cleft lip and cleft palate, tell your doctor befor…
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