Preoperative and postoperative nutritional management of the infant with cleft palate

The purpose of this descriptive-exploratory study was to determine the nutritional management strategies used by cleft palate teams during the periods before and after surgery. Open-ended questionnaires were sent to cleft palate teams across the United States and Canada. Fifty-three percent responded, representing an equal distribution of private- and university-based facilities. Results revealed a variety of nutritional strategies used to support the baby with cleft palate. There was a reported emphasis on feeding technique and avoidance of trauma-inducing foods, which took precedence over nutritional value of the intake. Trends related to hastened postoperative resumption of diet for age, decreased hospital stay, and minimal use of oral packing were observed. The role of the maternal-child nurse and the nurse member of the cleft palate team relative to nutritional support of the baby with a clefting condition is discussed. In addition, implications for future research and practice issues are presented.