Feeding

Description

 Some children born with a cleft lip/palate may manage to breastfeed; however, for many it will be difficult.  Successful breastfeeding depends upon many factors including the type of cleft, the mother’s breast tissue, and the motivation of both baby and mother.  A lactation consultant should be available to help with any breastfeeding or expressing queries.  If breastfeeding is not possible, a Speech Language Therapist can supply you with appropriate bottles to feed your baby with either expressed breastmilk or formula.

Things to talk about:

• Pros and cons of breastfeeding and/or expressing breastmilk.
• Practical considerations when opting to express.
• Positioning options, speed of feed to assist in reduction of colic and reflux-type symptoms.
• Who organises specialised feeding bottles?  How do we clean them?
• Where can we hire a breastpump?

Important information:

• Breastfeeding is possible for babies with a cleft lip only, but it is rarely possible for those with a cleft palate or cleft lip and palate.
• This topic is somewhat controversial and no set rules can be applied.  Do not feel guilty if breastfeeding doesn’t happen for you and your baby.  The most important thing is that your baby is gaining weight.
• The only advice we can really give is to follow your instincts and get as much advice and support as you can handle.  There is a good booklet written by Medela on breastfeeding a baby with a cleft.  If you are interested, please contact the Support Group and we will send it to you. Your Speech Language Therapist or Lactation Consultant may also have one.  It is called: “Give us a little time”.
• The decision to express must be made by the mother - it is not easy and you will need to be very motivated to persevere with it.  Sometimes with the best will in the world it is just not possible to continue expressing milk long-term.
• If you have decided to express, please refer to Our Child - Feeding - expressing breastmilk for more detailed information.  We explain what happens with milk supply, how to express, storage of milk and some handy tips from mums who have done this successfully.
• Make sure your baby is given enough time to get used to feeding methods before you try alternatives.  When introducing a new feeding method, try it at your baby’s most settled and awake time of the day.  Try the new option first and return to the tried and true if baby gets too upset.
• Keep persevering, it does get easier as both you and baby get more skilled at feeding using a particular method.
• Once you have made a decision, feel confident with your choice.  You do not need to explain it to anyone.  At the end of the day it is more important that your baby receives your love and attention whilst being fed.