I have had one baby with a palate cleft as you describe plus a unilateral 
cleft lip who was very gung-ho about nursing, and mom had flexible breasts. 
She nursed well with an SNS behind a nipple shield for about 3 weeks, then 
mom's supply started to decrease from excessive to just enough, even with 
pumping, and baby needed some bottles to get enough.

SO---I would recommend your mom do some "insurance" pumping to get at least 
a "supply and a half" going now, and watch for decreased intake by the baby 
if mom's supply decreases.

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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