One in 700 children is born with a cleft

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One in 700 children is born with a cleft lip and palate and is at risk for feeding problems (and stressed parent as a result), speech, language and communication problems, psychosocial problems, negative parenting style, chronically disturbed parent-child interactions (Rossetti, 2001; Watson et al., 2001; Pope et al., 2005; Frederickson et al., 2006; Sigafoos et al., 2006; Hunt et al., 2007). Jansonius already pointed out in 1999 that once a delay has emerged in children with cleft lip and palate, all subsequent phases will be delayed. Therefore, prevention, early detection and intervention are of paramount importance to avoid that outcome. Most of the children in western countries with cleft lip and palate attend a specialized multidisciplinary cleft team from birth onwards. However, there is no standard approach for the management of these children.

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