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You and your partnerYYou and your partnerYou and your partnerEnglishNAPrematureNANANAPrenatal Adult (19+)NA2009-10-31T04:00:00Z7.8000000000000066.5000000000000797.000000000000Flat ContentHealth A-Z<p>Read about coping with the challenges of taking care of a disabled child. These challenges can have a huge impact on the relationship between the parents.</p><p>Coping with the challenges of taking care of a disabled child can have a huge impact on the relationship between the parents. Even if your relationship is strong, it’s normal for each parent to react and cope differently.</p><h2>Key points</h2> <ul><li>It is normal for parents to react differently and cope in their own ways when they have a child who is sick or who needs extra care.</li> <li>Make sure you are each caring for yourselves and taking care of your own mental and physical health.</li> <li>Talk to each other and try to find methods of coping together or separately, such as physical activity or support groups.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/You_and_your_partner.jpg
Your baby's cleft lip repairYYour baby's cleft lip repairYour baby's cleft lip repairEnglishPlasticsNewborn (0-28 days);Baby (1-12 months)MouthMouthProceduresCaregivers Adult (19+)NA2021-05-12T04:00:00Z7.4000000000000068.60000000000002371.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Your baby will need two operations to fix their cleft lip. The first operation is to fix the cleft lip and the second is to remove the sutures (stitches) from the first operation. Learn about the two operations and what you need to know before, during and after both surgeries.</p><p>An operation to repair a cleft lip is usually done when your baby is between 3 and 6 months of age. The timing of the operation depends upon the type of cleft, the general health of your baby and if your baby needs orthodontic treatment (an orthodontic plate called a nasal alveolar molding).</p><p>Your baby will need a second operation to remove the sutures (stitches) that were placed in the first operation that fixed the cleft lip.</p><p>For more information on what a cleft lip is, please read <a href="https://www.aboutkidshealth.ca/Article?contentid=380&language=English">Cleft lip and cleft palate in babies</a>.</p><h2>Key points</h2><ul><li>Fixing a cleft lip involves two operations. Your baby will need to stay in the hospital overnight after the first operation.</li><li>After surgery, your baby will eat the same way as before, either breastfeeding or bottle feeding.</li><li>Your baby will need to wear arm restraints after the operation to stop them from putting things in their mouth.</li><li>Your baby will look different after the operation.</li><li>Contact the cleft lip and palate nurse coordinator if you have any questions or if your baby has signs of infection.</li></ul><h2>When to call the doctor</h2><p>When at home, call the Plastic Surgery Unit, your baby's surgeon, or the cleft lip and palate nurse coordinator right away if your baby:</p><ul><li>Is not eating or drinking</li><li>Has a fever</li><li>Has redness or oozing from the suture line</li></ul> <h2>When to check in for your baby’s operation</h2><p>Plan to be at the hospital at least two hours before your baby’s operation so you can check in. You will be asked to fill in some forms with the nurse and your baby will have a final assessment before the operation.</p><h2>Pre-operative bath</h2><p>To help prevent infection, all children will have a pre-operative bath using pre-packaged wipes. You will be given a package of bathing wipes to bathe your baby a final time just before their operation. A nurse will explain this to you.</p><h2>During the operation</h2><h3>A cleft lip repair operation usually takes about three hours</h3><p>During the operation, you can wait in the Surgical Waiting Room. The surgeon will give you an update after the operation is finished.</p><p>When the operation is over, your baby will be taken to the Post-Anaesthetic Care Unit (PACU), also called the recovery room. Your baby may spend one to two hours in the PACU. You may be able to see your baby for a short visit. When your baby is ready, they will be moved to the Plastic Surgery Unit.</p><h2>After your baby's operation</h2><h3>Visiting and staying overnight at the hospital</h3><p>In general, one parent can stay overnight with their baby during recovery. If you plan to stay overnight, you may wish to bring your own sleeping bag and pillow. The parent is responsible for bringing personal items they need during their stay with their baby. If you are unsure, ask the nurse what to bring and what not to bring.</p><h3>Your baby will look different</h3><p>Be aware that your baby will look different after the operation. There may be some swelling and/or bruising around the lip and face. This could increase for up to two days after the operation but will go away within five to seven days. Your nurse and surgeon will answer any questions you may have about the way your baby looks.</p><h3>Pain management after the operation</h3><p>Your baby will have pain after the operation. Pain medicine will be given to help your baby feel more comfortable and feed. Your baby’s pain will generally be managed with a few different medications, including <a href="https://www.aboutkidshealth.ca/Article?contentid=2999&language=English">morphine</a>, <a href="https://www.aboutkidshealth.ca/article?contentid=62&language=English">acetaminophen</a> and <a href="https://www.aboutkidshealth.ca/article?contentid=153&language=English">ibuprofen</a>. Your baby may be given pain medicine every four hours, as needed. You know your baby best. If you have concerns about your baby's pain, speak to the surgical and nursing staff.</p><h3>Eating and drinking after the operation</h3><p>After the operation, your baby will feed the same way as before the operation (breastfeeding or bottle feeding).</p><p>To make sure your baby is getting enough liquids, your baby will receive special liquids through their <a href="https://www.aboutkidshealth.ca/article?contentid=2451&language=English">intravenous (IV) line</a>. An IV is a small tube that is put in the vein of an arm or leg. The IV will stay in place until your baby can drink and keep liquids down.</p><h3>Milk and other liquids</h3><p>Your baby's first drink will be clear fluids or breast milk. Once your baby can keep this down, they can have formula.</p><p>Your baby may not want to drink at first or may take a longer time to feed following the operation. This may be because there is still some pain and swelling. Your baby may also have to get used to the new shape of their mouth and may need to adjust their suck, swallow and breathe pattern. To help your baby drink, the nurse may give them pain medicine about one hour before feeding. Your nurse, lactation consultant or an occupational therapist (OT) will help you feed your baby if there are problems or if you need help.</p><p>If your baby was wearing an orthodontic plate before the operation, they will no longer need it. It may take a little time for your baby to get used to feeding without the orthodontic plate.</p><p>Over time, feeding gets easier.</p><h3>Solid foods</h3><p>If your baby is eating purées you will need to make sure the suture line is properly cleaned after they have finished eating or drinking. See “Suture care” below for more details.</p><h3>Positioning your baby: Awake and asleep</h3><p>The head of your baby's bed will be raised slightly. This will help reduce swelling around their lip. Your baby will not be able to have time on their tummy because they could rub the suture line and slow down the healing process by causing wound breakdown.</p><h3>Activity</h3><p>Your baby must wear arm restraints after the operation to prevent them from putting their hands or other objects in their mouth. These arm restraints are soft, stiff sleeves that fit over your baby's arms and stop the elbows from bending. The arm restraints are put on your baby by the surgeon right after the operation. Your nurse will teach you how to use them. Your baby must wear these restraints 24 hours a day for up to three weeks after the operation. You may take off the restraints to bathe your baby.</p><h3>Suture care</h3><p>It is important that you keep the suture line clean. It is normal for a small amount of blood to ooze along the suture line for up to 24 hours after the operation. After each feed, you will need to clean the suture line with cotton swabs and water. You will also apply a thin layer of petroleum jelly to the suture line. Your nurse will teach you how to do this. Your baby will feel some discomfort during cleaning, but the baby's crying will not harm the sutures.</p><h3>Nasal stents</h3><p>Your baby may or may not have nasal stents in both nostrils after the operation. A nasal stent is a small, soft tube, about the thickness of a straw, which holds the nostril open. These tubes are usually sutured in place after the first operation. Your surgeon will discuss this with you, and your nurse will show you how to care for them. These sutures and the nasal stent will be removed when you return to the hospital to have the sutures in your baby’s lip removed.</p><h3>Your baby will stay in the hospital for one or two days</h3> <p>Once your baby has recovered from the operation and you feel able to take over their care and they are feeding well, your baby can go home. Before you go home, you will be given the instructions you need to care for your baby and any follow-up appointment will be booked.</p><h2>Preparing for your baby’s operation</h2> <h3>Complete a pre-anaesthesia assessment</h3><p>The pre-anaesthesia assessment is usually done as a phone call. A doctor or nurse practitioner will review your baby’s health issues and develop a plan for the anaesthetic for the surgery. Some babies may need to meet with an anaesthesiologist in the Pre-Anaesthesia Clinic. You will be told which type of appointment your baby needs.</p><h3>Follow the orthodontist’s instructions</h3><p>If your baby is using an orthodontic plate and lip taping to prepare for the cleft lip repair, the orthodontist will give you instructions about when to stop lip taping before the operation. Your baby will need to keep the orthodontic plate in until the operation.</p><h3>Pack a bag for your stay</h3><p>You will need to bring your baby’s favourite toy or blanket, sleepers, bottles (if used), car seat and a stroller. Bring a comb, soap, shampoo and other toiletry items that you and your baby will need. If you plan to stay overnight, you may want to bring your own sleeping bag and pillow.</p><p>If you or your baby has any dietary restrictions or preferences, consider bringing these from home (e.g., special formulas, home cooked foods with the texture they are used to). Babies are sometimes picky about their formula or food after the operation. Having something familiar they like can help them recover and go home sooner.</p><h3>Get your baby ready</h3><p>You play an important role in reducing your baby’s risk of infection after their operation by bathing them before their operation. Bathing your baby reduces the number of germs that can cause an infection at the site of the operation. You will need to bathe your baby and wash their hair with shampoo twice before their operation: The first time 48 hours before the operation and the second time 24 hours before the operation.</p><h3>Follow the feeding guidelines</h3><p>Your baby will be given a <a href="https://www.aboutkidshealth.ca/Article?contentid=1261&language=English">general anaesthetic</a> for the operation. This will help your baby fall into a deep sleep so they will not feel any pain or remember the operation. Your baby’s stomach must be empty before they have a general anaesthetic. You must follow the guidelines below to lessen the chance of your baby throwing up, which could hurt your baby's lungs.</p><ul><li>Your baby can have solid food until midnight the night before the operation.</li><li>Your baby can have formula up to six hours before the operation, or breast milk up to four hours before the operation.</li><li>Your baby can have clear fluids up to three hours before the operation. Examples of clear fluids are clear apple juice and water, but not orange juice.</li></ul><p>If you do not follow these feeding guidelines, your baby's operation will be cancelled.</p><p>If you are unsure of these instructions, please call the clinic nurse or cleft lip and palate nurse coordinator a few days before the operation.</p>https://assets.aboutkidshealth.ca/AKHAssets/cleft_lip_repair.jpg
Your baby's primary health-care teamYYour baby's primary health-care teamYour baby's primary health-care teamEnglishNABaby (1-12 months)BodyNAHealth care professionalsAdult (19+)NA2009-10-18T04:00:00Z11.500000000000045.3000000000000469.000000000000Flat ContentHealth A-Z<p>Read about a baby's primary health-care team: the family physician or paediatrician, and other health-care providers such as the dentist and audiologist.<br></p><p>When your baby is first born, either a family physician or a paediatrician will assess them to make sure they are in good health. After discharge from the hospital, your baby will need to see either a family physician or a paediatrician to ensure that they stay healthy. If health concerns do arise, these professionals are available to help your baby through their challenges, or they may refer them to more specialized health-care providers.</p><h2>Key points</h2> <ul><li>When your baby is born you will need to decide whether they will be taken care of going forward by a paediatrician or by a family doctor.</li> <li>As your baby gets older they may need to see other health-care professionals including a dentist, optometrist and an audiologist.</li></ul>https://assets.aboutkidshealth.ca/akhassets/PP_baby_462_EN.jpg
Your birth planYYour birth planYour birth planEnglishPregnancyAdult (19+)BodyNANAPrenatal Adult (19+)NA2009-09-11T04:00:00Z9.2000000000000063.6000000000000448.000000000000Flat ContentHealth A-Z<p>How to create an effective birth plan. Things to discuss with the health-care provider, such as banking your baby's umbilical cord blood, are mentioned.</p><p>You may wish to work out a birth plan with your health-care provider some time before delivery. This is a written plan that combines your wishes for childbirth with what your health-care provider thinks is practical. It can help to minimize conflict between you and your health-care provider regarding your options for childbirth. </p><h2>Key points</h2> <ul><li>A birth plan is a written plan that combines your wishes for childbirth with what your health-care provider thinks is practical.</li> <li>When making a birth plan, you need to consider the different types of interventions that may be offered to help labour and delivery along, such as pain relief or caesarean section.</li> <li>A birth plan is not a written legal contract and it may need to be adjusted, especially if your health or the health of your baby is at risk.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/your_birth_plan.jpg
Your effect on your child's attachmentYYour effect on your child's attachmentYour effect on your child's attachmentEnglishNABaby (1-12 months)BodyNANAAdult (19+)NA2009-09-22T04:00:00Z9.8000000000000047.7000000000000895.000000000000Flat ContentHealth A-Z<p>Read about the different types of adult attachment styles, and how a parent's attachment style can affect their child.</p><p>The Adult Attachment Interview is a questionnaire that evaluates caregivers' early experiences with their own parents, relating them to how the caregivers would respond to their own baby's signals.</p><h2>Key points</h2><ul><li>The Adult Attachment Interview evaluates caregivers’ early experiences with their own parents, and relates those experiences to how the caregivers would respond to their baby’s signals.</li> <li>Caregivers are categorized into one of four attachment classifications: secure/autonomous, insecure/dismissing, insecure/preoccupied, or insecure/unresolved.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/your_affect_on_your_childs_attachment.jpg
Your health-care team during pregnancyYYour health-care team during pregnancyYour health-care team during pregnancyEnglishPregnancyAdult (19+)BodyNAHealth care professionalsPrenatal Adult (19+)NA2009-09-11T04:00:00Z11.100000000000044.3000000000000859.000000000000Flat ContentHealth A-Z<p>Read about the health-care team that will take care of you during labour and delivery. Information on choosing a health-care provider is discussed.</p><p>These days, women in the developed world have many choices in terms of who will take care of them through their pregnancy, childbirth, and the first few weeks after birth. When you choose your health-care provider, you need to consider whether your pregnancy is low- or high-risk, how much of a role you want to play in decision-making, and your thoughts about "natural" deliveries and pain medication. </p><h2>Key points</h2> <ul><li>The three main health-care providers available to pregnant women are an obstetrician, a family physician and a midwife.</li> <li>Many other health-care professionals may also be a part of your health-care team including an anaesthetist, nurses or a doula.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/your_health_care_team_pregnancy.jpg

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