Informing The Family After Cleft Lip Repair

1. The baby should be in a sitting position at 45-60 degrees during feeding. It should be fed at least 2-3 hours. (It may take a little longer at night). The mother should definitely be contacted with baby. After feeding, at least 10 ml of water should be given with a spoon to provide mouth cleaning. After feeding, the baby should be degassed and then the baby should be laid on the side. If the baby's condition is good after the palate cleft surgery, it is firstly started to be fed orally with a clear diet immediately after going to the service. The amount of fluid that a normal baby needs to take a daily minimum is 100 ml of fluid per kilo (for example 8 kg = 800 ml). Considering the preoperative fasting of the baby and calculating the loss of lungs with sweat, bleeding, etc. during surgery, it is expected to take more. It should not be too hard to feed the baby after surgery, the baby should be fed as much and as often as possible. If your baby is not fed enough after the surgery, fever due to dehydration may ocur. In order to prevent such conditions, IV fluid treatment may be initiated for underfed babies, but it is not correct to give each baby routinely. The diet to be applied after the operation is as follows:

First day: Clear Diet: Water, non-grained juice, cherry-apple juice-like juices, breast milk, half-diluted food

First week: Liquid  Diet: Normally diluted bottle food, buttermilk, acid-free fruit juices, non-grained soup

First month: Soft Diet: Mashed foods, puddings, soups, yoghurt, soft foods

After the first month:  Normal Diet:  All liquid and solid foods.

2. It is recommended not to use a bottle for feeding in the early postoperative days, feeding should be provided with spoon and glass. feedingbottle can be started in 5-7 days after the operation.

3. Observe your baby for signs of dehydration (inadequate fluid intake):

Decrease in the amount of urine
-Wrinkled skin
Dryness in the mouth
Collapse in the eyeballs
Fever

If there are such findings, you can apply to a health institution.

4. Irrigation with saline from the nose after the cleft lip operation can be done. Nose can be cleaned gently with a cotton swab.
5. Babies may have a fever in the first days after surgery. This may be due to atelectasis or dehydration. However, in case of high and resistant fever or if there are other symptoms (cough, excessive crying, ear holding, breathing difficulty) with fever, it may be necessary to apply to a health institution.
6. It is normal for mild leaks for a few days after cleft lip surgery. However, there should not be excessive bleeding. In this case, it may be necessary to apply to a health institution.
7. It is not necessary to use antibiotics after surgery. It can be started if your doctor deems it necessary. It should be remembered that the antibiotic can also cause diarrhea and other side effects.
8. Applying cold vapor will relax the baby, especially when sleeping at night. Conditions such as withdrawals, difficulty breathing should be followed. In such a case, it is necessary to apply to a health institution.
9. Depending on the suture material, some sutures can be removed and some may drop itself. You should get information about this condition from your doctor.
10. The baby may harm himself by eating solid food or by inserting a toy in his mouth. It is convenient to tie the baby's arms with a cuff .It is appropriate to have gymnastics on your baby's arms by opening the cuffs frequently, even every hour.
11. Babies can be washed comfortably 24 hours after surgery. It is recommended that protect babies ears by turning upside down during baths or by plugging them with cotton petroleum jelly.
12. It is recommended that the babies be placed in a breastfeeding position or with the back facing you, but those who have undergone cleft surgery can be kept on the lap with your face facing you and your shoulders.
13. You should definitely ask your doctor about the check times when you are discharged.

Informing The Family After Cleft Palate Repair

1. The baby should be in a sitting position at 60-90 degrees during feeding. It should be fed at least 2-3 hours. (It may take a little longer at night). The mother should definitely be contacted with baby. After feeding, at least 10 ml of water should be given with a spoon to provide mouth cleaning. After feeding, the baby should be degassed and then the baby should be laid on the side. If the baby's condition is good after the palate cleft surgery, it is firstly started to be fed orally with a clear diet immediately after going to the service. The amount of fluid that a normal baby needs to take a daily minimum is 100 ml of fluid per kilo (for example 8 kg = 800 ml). Considering the preoperative fasting of the baby and calculating the loss of lungs with sweat, bleeding, etc. during surgery, it is expected to take more. It should not be too hard to feed the baby after surgery, the baby should be fed as much and as often as possible. If your baby is not fed enough after the surgery, fever due to dehydration may ocur. In order to prevent such conditions, IV fluid treatment may be initiated for underfed babies, but it is not correct to give each baby routinely. The diet to be applied after the operation is as follows:

First day: Clear Diet: Water, non-grained juice, cherry-apple juice-like juices, breast milk, half-diluted food

First week: Liquid  Diet: Normally diluted bottle food, buttermilk, acid-free fruit juices, non-grained soup

First month: Soft Diet: Mashed foods, puddings, soups, yoghurt, soft foods

After the first month:  Normal Diet:  All liquid and solid foods.

2. It is recommended not to use a bottle for feeding in the early postoperative days, feeding should be provided with spoon and glass. feedingbottle can be started in 5-7 days after the operation.

3. Observe your baby for signs of dehydration (inadequate fluid intake):

Decrease in the amount of urine
-Wrinkled skin
Dryness in the mouth
Collapse in the eyeballs
Fever

If there are such findings, you can apply to a health institution.

4. Irrigation with saline from the nose after the cleft palate operation is not recommended. It can be cleaned gently with a cotton swab.
5. Babies may have a fever in the first days after surgery. This may be due to atelectasis or dehydration. However, in case of high and resistant fever or if there are other symptoms (cough, excessive crying, ear holding, breathing difficulty) with fever, it may be necessary to apply to a health institution.
6. It is normal for mild bleeding for several days after surgery. However, there should not be excessive bleeding. In this case, it may be necessary to apply to a health institution.
7. It is not necessary to use antibiotics after surgery. It can be started if your doctor deems it necessary. It should be remembered that the antibiotic can also cause diarrhea and other side effects.
8. Applying cold vapor will relax the baby, especially when sleeping at night. Conditions such as withdrawals, difficulty breathing should be followed. In such a case, it is necessary to apply to a health institution.
9. Sutures in the mouth will drop in 1-1.5 months. During this period, there may be bad smell as food residues accumulate on the sutures, so mouth should be cleaned by drinking water.,
10. The baby may harm himself by eating solid food or by inserting a toy in his mouth. It is convenient to tie the baby's arms with a cuff .It is appropriate to have gymnastics on your baby's arms by opening the cuffs frequently, even every hour.
11. Babies can be washed comfortably 24 hours after surgery. It is recommended that protect babies ears by turning upside down during baths or by plugging them with cotton petroleum jelly.
12. It is recommended that the babies be placed in a breastfeeding position or with the back facing you, but those who have undergone cleft surgery can be kept on the lap with your face facing you and your shoulders.
13. You should definitely ask your doctor about the check times when you are discharged.