Cleft lip surgery is a serious procedure that requires extensive planning on not only the surgeon’s part, but also the family of the newborn with a birth defect. After thorough consultations and examinations, your physician may choose to perform a cleft lip surgery. If so, your doctor will discuss the risks and benefits along with steps to be taken before the surgery. Birth defects are troubling for both the family and the child and the risk of oral malformations is increased with the use of Topamax during pregnancy.
The Surgical Process
Diagnostic screenings will be needed in order to avoid reactions from the medications that will be given to your new baby for the surgery. The first phase of the surgery is the anesthesia. The anesthesia will be administered to your baby to put him or her in a “sleep like coma” to avoid pain. The sedation can be given generally or intravenously, and will be chosen depending on your doctor’s recommendations. Next, an incision will be made on either side of the cleft. This flap will then be sewn together to close the cleft. If the incision is successful the surgery is complete and your baby will wake up when the sedation wears off. Once your child is awake, it is important to closely follow the surgeon’s suggestions on caring for the wound. Certain medications may be taken orally or applied directly to the incision to aid in preventing infection and strengthening the new formation. There will be specific feeding restrictions for your child which your doctor will suggest for you. Following surgery, you may find your baby restrained to keep him or her from touching the surgical site until it heals. This surgery is the first of the process to correct clefts, and depending on the outcome of this surgery and your child’s individual case, he or she may need to undergo follow up procedures for health or cosmetic reasons.
Birth Defect Lawyers in New Jersey and Philadelphia
If your child was recently born with a birth defect, such as cleft lip or cleft palate, and you believe it may be attributed to your use of Topamax during pregnancy, you most likely have a list of questions. Please contact the Mininno Law Office for a free case evaluation, or call for a free consultation at (856) 833-0600 in New Jersey, or (215) 567-2380 in Philadelphia.
Most children with these birth defects require a first, initial surgery as early as 3 months. These surgeries are often invasive and require tedious work on behalf of the plastic surgeon. This initial surgery is crucial to preventing disease from forming in the exposed region of the cleft lip, and to providing a healthier dentition. This preliminary surgery helps restore the actual structure of the face. 
Birth injury due to shoulder dystocia can be reduced by proper, non-negligent care by an obstetrician. One of the most important things the obstetrician must do is to recognize shoulder dystocia when it is happening. A sure sign that shoulder dystocia could be complicating the birthing process is when the baby’s body does not emerge with the typical pushing and standard movements normally used by the obstetrician to facilitate the birth. Another indicator is the “turtle sign”. This is when the baby’s head emerges and then retracts back like a turtle pulling back into its shell. This retraction occurs because the baby’s anterior shoulder is stuck. When shoulder dystocia has been determined, a backup obstetrician should be called and the delivery team should ready themselves for any possible complications. 
The federally backed watchdog that performed the investigations, Equip for Equality, found the care provisions at Alden Village North deplorable. Illnesses were never treated properly, lab tests and results went ignored, doctors failed to return pages of medical charts, and investigations into resident deaths were superficial and incomplete. 
The study gave imipramine, a commonly prescribed antidepressant, to injured lab mice. Researcher, Dr. Jason Huang, associate professor of neurosurgery at the University of Rochester Medical Center and chief of neurosurgery at Highland Hospital in New York, found that the mice treated with imipramine showed 70% more brain cell growth than the mice that were not treated with the drug. In addition to cell growth, the treated mice also displayed, through behavioral testing, improved memory skills. 
This trained professional is a source of assistance and alternatives to every day needs. For instance, if your child has a cleft lip he or she will likely have difficulty producing plosives, which include “p”, “b”, “k”, “g”, “t”, and “d”. These plosives are formed by the sealing of the lips and releasing of pressure. Without a full seal of the lips, these words will be problematic in every day speech. A speech language pathologist will work one on one with your child and your family to help develop a stronger labial seal and alternatives to producing these sounds, in order to help your child efficiently communicate. Speech therapy will help your child work on articulation inaccuracies, plosive sounds, and audible speech.
A newborn baby with a cleft lip will have trouble sealing the lips and nasal cavity, preventing efficient sucking. The orbicularis oris, the muscle of the lips, has been affected due to the cleft lip , which prevents the muscles from properly functioning to provide a strong labial seal. If the cleft lip is specific to one area of the lip (i.e. the right or left side) it may help to breastfeed your baby at an angle towards the side of the lip without the malformation. By repositioning yourself, you can help your baby create a stronger labial seal, allowing him or her to suck more efficiently.
Shoulder dystocia occurs when a baby’s shoulder gets stuck behind a mother’s pubic bone. In order to avoid injury, certain changes must be made during delivery. Birth injuries arising from the improper delivery of a baby with shoulder dystocia can be permanent. In the case of the Virginia boy, it was shown that the nerve damage caused him permanent disablement of his right arm. He may need assistance for simple tasks for the rest of life, and may not be able to do many of the typical activities of childhood due to the birth injury he received.