Dear Karen-
        I'm so glad to have you mention that in your experience, whether or not the
baby has a uvula has been critical.  I worked with a baby some years back who
was not feeding well at all.   They were calling her failure to thrive. She
was bounced around from doctor to doctor, and I saw her twice, before her tiny
cleft/lack of uvula was picked up.  I am sad to say that I was not the one ot
pick it up.  A learning experience.
        -Debi Page Ferrarello, RN, IBCLC
        Abington, PA