AP01: Breastfeeding the Infant with Cleft Lip and/or Palate
Cleft lip and/or palate is one of the most common major birth defects. There is a high chance that most health professionals working in perinatal care will be involved in the care of a baby born with this defect, and the support and counselling of the parents. These clefts create many challenges to the mother/baby dyad so each baby needs to be cared for with a customized plan which is reviewed frequently. In this course you will learn detailed information about clefts – their formation, anatomical involvement, other difficulties faced by the baby, management of these factors to apply to breastfeeding techniques, and surgery details.

- Access Time:
- 1 month (starting from time of purchase)
Enrolling in more than 1 course? Time is cumulative ie buy 2 courses, have 2 months access to both courses - Accreditation:
- 4.25 L CERPs and 0.75 R CERPs
5 Contact Hours for Professional Development - Cost:
- US$63
- Tutor:
- This is an untutored course.
Well-constructed online learning gives you the best of both worlds - quality content that you can work through at your own pace, in your own place, but with a level of personal attention that even rivals face-to-face programs. And, you guessed it, Health e-Learning programs are the BEST of online learning with all these great features:
- Log in when it suits you 24/7/365
- Study at your own pace within your enrolment period
- no formal deadlines, stressful exams or assignments
- Course materials are designed for the internet with interactive activities, links, videos and learning resources. You'll be fully engaged in the well-presented content, enjoying your learning experience.
- All reading provided or linked
- Periodic testing of knowledge with fun self test activities
- Immediate feedback for final online assessment
- certificate of completion issued immediately
- Administrative and technical support available online
Prerequisites
It is expected that the student possesses a comprehensive understanding of
- infant oral anatomy,
- breastfeeding suckling action and tongue and nipple placement,
- application and benefits of skin-to-skin contact between mother and baby after birthing,
- assessment of the baby's physical well-being,
- actions to promote adequate milk supply,
- the importance of breastmilk for all infants, and the effect of breastmilk substitutes on infants and children, and
- the Ten Steps to Successful Breastfeeding (WHO/UNICEF).
Syllabus
- Introduction
- Classification and description
- Incidence and prevalence
- Normal anatomy
- Embryology
- Anatomy of the cleft
- Causes and risk factors
- Associated Difficulties/Complications
- Baby
- Older child
- Mother
- Application to Breastfeeding
- Measures to assist breastfeeding techniques
- Breastfeeding techniques
- Enhancing development of adapted breastfeeding
- Alternative feeding methods/devices
- Surgical prospects
- Cleft lip repair
- Cleft palate repair
- Recovered & re-learning breastfeeding
- Prevention and future prospects
- Genetic counseling and dietary advice
- Support groups resources
Reading Material
- All required reading materials and resources are available online.
- A quality, current lactation text is advisable to augment your studies. Please see our list of recommended resources for further information.
- Participants are permitted to print one copy of their course for personal use only.
- If you do wish to print, please be aware that some courses are over 60 pages in length. Please be advised that links to articles and interactive activities are not available in the printed version.
- Copyright of all the photos used resides with Bridget Ingle who is the photographer and has used them with the permission of the parents who have been willing to share the story of their baby in the hope of supporting and educating others. Please respect this copyright and do not copy the photographs without written permission from Bridget Ingle.
Quality Assurance
- Author: Bridget Ingle, IBCLC
This module is the culmination of many years interest from the author in assisting mothers and their babies who were born with any type of orofacial defect. The information is based on a wide range of published texts and research, and also includes facts and knowledge sharing which has resulted from clinical experience and practice. - Reviewed by subject matter experts:
Christa Herzog-Isler RN, IBCLC, Lactation Consultant to Interdisciplinary Cleft Team, Switzerland
Dr Richard Lewandowski MBBS, FRACS, Plastic and Reconstructive Surgeon, Brisbane, Australia. - All course are reviewed annually, as well as being updated as new knowledge becomes known.
Aim
This course aims to impart a deep understanding of the significance of these birth defects to enable application of this knowledge to the implications of the condition on feeding challenges and breastfeeding options.
Course objectives
On completion of this course you should be able to
- note the anatomical variations which occur with each different type of orofacial defect
- relate the formation process of clefts during the embryonic stages.
- list three risk factors which may increase occurrence rates.
- list some of the significant worldwide statistics of frequency of clefting.
- list the physical challenges for a baby born with a cleft defect.
- describe different surgical interventions to repair the cleft.
- discuss the psychological impact on the mother/parent following the birth of their baby with a cleft.
- describe the importance and significance of breastmilk to babies who have an orofacial defect.
- describe the important immediate post birth measures to ensure mother/baby bonding and early breastmilk feeding.
- list all recommendations for maintaining a healthy milk supply.
- describe techniques that may help the baby to develop a special breastfeeding technique and to assist with an efficient feeding performance for mother and baby.
- note several additional feeding methods which may be used by babies with an orofacial cleft.
- access information for parents of babies born with a cleft defect, including support groups.
Assessment
Achievement of the learning objectives is assessed by online, automatically graded, multiple-choice questions. A passing grade is 85% to pass.
A Workbook, downloaded from the course, is not required to be submitted, but completion will consolidate learning and provide an excellent resource.
On successfully completing this course you will be able to download, save and print your Certificate of Completion. Your Certificate will note ongoing education accreditation points.
Accreditation
On successful completion of this course you will be awarded:
- 5 CERPs* (4.25 L CERPs, 0.75 R CERPs)
- 5 hours of IBLCE pre-exam education
- 5 hours of Professional Development Education
- 5 CH
*Please see our Accreditation table for the most up-to-date accreditation numbers
Administration
- The course is available as a one month subscription commencing on the day of notification to you of your username and password.
- The subscription time is cumulative - for example, if you purchase more than one course your subscription time in all courses will be extended.
- The subscription time may be extended by purchasing extensions, but must be purchased before the subscription expiry date.
- The average time taken to complete this course and the assessment is 5 hours.
- On successful completion your Certificate will be available to you in pdf format from the course website or emailed to you.
- Replacement certificates can be obtained for a fee, however we maintain an official transcript that is available free for all customers to download at any time.
Fees and Payments
- Enrollments are accepted online, or upon receipt of a faxed or mailed enrollment form (available on request).
- Payments online are available using either PayPal or WorldPay gateways.
- The cost is US$63.00 per course.
- Additional fees, that are out of our control, may be charged by your bank to convert this to your local currency.
- Please see our Payments FAQ for more information.
Refunds and Privacy
Please see our Terms and Conditions for more information regarding refunds and our Privacy Policy is also available.




