Many cleft palates are not picked up until the paedatriatic assessment of the baby after birth or much later in the day by the midwife when feeding difficulties become apparent. (Some submucous cleft palates are not detected until speech problems are identified at around 2 years of age) In WA nearly 100% of cleft palate babies are then transported to PMH for assessment by the specialized teams there.  (Cleft lip babies that are being successfully fed are normally seen as out patients in their first week of life).  This can be really traumatic for mums who having endured the rigours of childbirth are then separated from their babies. 

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