This is a high risk situation. There is very likely to be a submucosal cleft, and 
sometimes they are difficult to diagnose. MRI is the best option if the baby has 
any issues that point to soft palate dysfunction. If the baby is breastfeeding 
well, that is great, but I would want to see mom monitor baby's weight gain 
and her milk production more closely than usual. It's not unusual to see a 
slowly declining milk production because baby is not as efficient.

One of the papers I read recently (don't have the citation, I'm in a laundromat 
in Rome getting  my lactnet fix while my clothes dry) postulated that the 
uvula's function is to lubricate the pharynx. Swallowing solids may be more 
difficult, particularly dry ones. 

Catherine Watson Genna, IBCLC  NYC

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