Rebecca and Russell – Cleft lip and palate

Rebecca and Russell’s first daughter was born with a cleft palate. The cleft palate was diagnosed when a midwife did a routine check as she was having difficulty breastfeeding. Their daughter has had an operation to repair the palate and is making good progress.

Rebecca and Russell are married and work for their local authority. They have one daughter of 16 months who was born with a cleft palate. Their daughter’s cleft palate was discovered when a midwife did a routine check as she was having difficulty breastfeeding. The midwife put her finger in their daughter’s mouth and discovered a hole. The midwife called the doctors and they took her away to feed her through a tube. This was very upsetting for Rebecca as she wanted and expected to be with her child and to be able to feed and change her nappy like any new mother would. Rebecca had to bottle-feed her baby with specialist bottles as she could not breastfeed due to the hole in the palate.

Rebecca and Russell were not aware of the implications of having a child born with a cleft palate or that a child could have a cleft palate without a cleft lip. There had been no family history or other explanation for the cleft palate. Their daughters cleft palate was explained in more detail when the couple met with the specialist a speech therapist. They were told that their daughter would need an operation at about 6 months old and would require a general anaesthetic to do this. Furthermore, they were told that their daughter may need orthodontic treatment and speech therapy in the future. Although the operation was successful it was more complex and took longer than they had expected. After the operation their daughter took a long time to settle and was sore – they had to feed their daughter with soft foods such as porridge and yoghurt. Their daughter is now 16 months old and eating and drinking well, she is also learning to speak. She is making very good progress and the medical team do not need to see her again till she is 3 and a half years old. However their daughter is prone to ear infections, which is common in children with cleft palate.

Rebecca and Russell have been through a difficult time with their daughter and it has had an emotional impact on both of them. The couple have been fortunate to have had a good level of support from family, friends and professionals. They have also been very happy with the specialist cleft team and the coordination of their daughter’s care within the NHS.

Rebecca and Russell’s daughter had her cleft palate closed and the operation took longer than they had expected

Age at interview 23

Rebecca and Russell feel that the lack of awareness displayed by members of public is based on fear of something they don’t fully understand.

Age at interview 23

Rebecca and Russell discovered that a local pharmacist believed that their daughter’s cleft was caused by Rebecca using drink and drugs during pregnancy.

Age at interview 23

Rebecca and Russell explain how their daughter was taken to the Special Care Baby Unit when it was discovered she had a cleft palate at birth.

Age at interview 23

Rebecca and Russell’s daughter was kept in the Special Care Baby Unit and the couple missed out on feeding and changing their new baby.

Age at interview 23

Russell was finding it difficult to manage emotionally after witnessing his daughter’s breathing difficulties. He was prompted to seek professional help by a speech therapist and was able to get counselling through his employer.

Age at interview 23