Childbirth should be a beautiful and life-changing experience for parents. Unfortunately, birth defects can change this experience. Children born with birth defects will require additional care. In the case of a cleft lip or cleft palate, surgery is necessary within only a few weeks after the child is born. But this surgery is routine and simple, and parents should not let this small wrench ruin the joy of a new baby. As difficult as it may seem, it is important to transfer the emotion of fear into motivation to seek immediate help.
Birth Defects Happen and Help is Waiting
New parents may be overwhelmed with the birth of a child who is already in need of special treatment and surgery, but there are plenty of resources available to help both parent and child get through the difficult time with ease.
Cleft lip occurs in about one out of seven hundred births, meaning there are people who are ready to help your child live a normal life. This team consists of professionals like a plastic/craniofacial surgeon, pediatrician, orthodontist, pediatric dentist, speech language pathologist, ear nose and throat specialist, an audiologist, genetic counselor, nurse team coordinator, and a social worker. Each of these individuals will provide a form of support and strength to your baby and family. These professionals are trained to treat your baby’s needs and answer any questions you may have. Beyond providing healthcare for your baby, counselors and social workers are designated to help your child cope with the psychological aspects that may accompany a cleft lip/palate. A child with a cleft lip will face many health problems, but the deeper, emotional problems can be just as significant. These counselors will introduce you to organizations for certain birth defects, as well as support groups of other families just like yours. Despite the fear of the unknown, it is crucial to be an advocate for your child and to utilize all possible resources.
Birth Defects Lawyers in New Jersey and Philadelphia
If your child was born with a birth defect that you believe can be attributed to your use of Topamax during pregnancy, it is likely that you have some 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.
The Palace Rehabilitation and Care Center in Maple Shade, NJ is one such long term care facility. The Palace Rehabilitation and Care Center is a for-profit, corporately owned nursing home with 165 long term patient beds. From February 2009 to January 2011, this Burlington County care facility was inspected on 6 occasions. It was additionally inspected 12 more times based on complaints. During these inspections, it was cited for 55 separate deficiencies. Some of these citations were for failing to maintain a drug regimen free from unnecessary drugs, failing to keep medication errors below 5%, and failing to prevent the spread of infection. This nursing home was also cited for failing to keep the facility free from abuse and involuntary seclusion. These are sure signs of abuse and neglect, and the type of deficiencies that can lead to harmful and painful bed sores and pressure ulcers as well. Before you place your loved one in a long term patient facility, it is very important to research and be aware of these signs of neglect.
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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.
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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. 
Among a myriad of errors that hospital employees can make on the job, the following seem to be the ones that occur most often: 
When a cleft does not affect the mouth’s palate structure it is referred to as cleft lip. Cleft lips can occur on one or both sides of the lip which are generally referred to as unilateral or bilateral clefts. The first category of cleft lip is known as an incomplete cleft. An incomplete, or partial, cleft lip occurs at the top of the lip. The cleft appears as a small gap or indentation that does not reach the nose.
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.