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Date: | Wed, 5 Apr 2006 17:49:33 EDT |
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Someone (sorry I just read a bunch of Lactnet posts and don't remember)
asked if wouldn't the baby's physician have seen if a cleft was present on
examination of the newborn.
I happened to be the one to find a cleft of the soft palate in a baby who
was a little over two days old and was reported to making funny noises and not
staying on the breast. I decided to do a digital exam on the baby. I had
looked in the baby's mouth, but not with a tongue depressor and a light. I
planned to look at it later since I didn't have my penlight with me in the room.
When I slid my finger back toward the soft palate I felt a notch - a small
'V' at the back of the hard palate and then my finger dipped slightly into a
defect. With the gloves on I could not tell if it was submucosal or not. So
I left the room, asked the nurse to call the Dr.
I meanwhile had gone on to another patient who needed to see me. When I
came out the midwife had just arrived to see the mother so she checked without a
glove and then looked and saw the soft palate cleft. You could not see it
by just looking unless the baby was yawning. and he just missed it.
This baby appeared to make a good seal with the lips, but obviously could
not create suction within the oral cavity. So I had the parents call her
baby's doc to tell him what we'd found.
Mardrey Swenson IBCLC
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