Focus on pediatrics- - Cleft Lip and Palate


 CLEFT LIP AND PALATE


"Cleft lip and cleft palate are birth defects that occur when a baby's lip or mouth do not form properly. They happen early during pregnancy. A baby can have a cleft lip, a cleft palate, or both.
A cleft lip happens if the tissue that makes up the lip does not join completely before birth. This causes an opening in the upper lip. The opening can be a small slit or a large opening that goes through the lip into the nose. It can be on one or both sides of the lip or, rarely, in the middle of the lip.
 Illustration of a baby with a cleft lip

Children with a cleft lip also can have a cleft palate. The roof of the mouth is called the "palate." With a cleft palate, the tissue that makes up the roof of the mouth does not join correctly. Babies may have both the front and back parts of the palate open, or they may have only one part open.
Children with a cleft lip or a cleft palate often have problems with feeding and talking. They also might have ear infections, hearing loss, and problems with their teeth."
[ extracted from Medline-Plus website http://www.nlm.nih.gov/medlineplus/cleftlipandpalate.html]


ONLINE SOURCES

 

1. Online book on pediatrics -Pocketbook of Hospital Care for Children: Guidelines for the Management of Common Illnesses with Limited Resources (Focus on Low-Income Countries) produced by The World Health Organization. 2005. 
  - focuses on the inpatient management of the major causes of childhood mortality, such as pneumonia, diarrhoea, severe malnutrition, malaria, meningitis, measles, HIV infection and related conditions, neonatal problems and surgical conditions of children which can be managed in small hospitals

Can be downloaded from the page http://www.who.int/child_adolescent_health/documents/9241546700/en/index.html


2.Birth Defects published by Electric workbooks developed in collaboration with the South African department of Health, SAIDA and March Dimes. 2010.
Birth Defects
- Written for healthcare workers who look after individuals with birth defects, their families, and women who are at increased risk of giving birth to an infant with a birth defect. Special attention is given to modes of inheritance, medical genetic counselling, and birth defects due to chromosomal abnormalities, single gene defects, teratogens and multifactorial inheritance. acn be read online at the following link or you can download it at the same page. http://www.scribd.com/doc/31657154/Birth-Defects-Free-Online-Edition

ONLINE DATABASES, WEBSITES and RESOURCES for information on pediatrics



 

1.  Medline-Plus is a good source for access information on particular medical conditions.This database containes numerous topics and medical conditions. also has a search box where you can type your search terms. Provides also links on management, nutrition, coping disease management, specific conditions, related issues of the the Cleft Lip and Palate.



2. Neonatology has a number of links to websites with information on pediatrics. it is usefully organised according to the medical condition and the relevant links to information for that condition. You just click on the links to get to the information on the topic. Please note that some of the links though have expired and nolonger work, otherwise has some good relevant sources. try it on
http://www.neonatology.org/neo.clinical.html







3. a southern African source of information on pediatrics is the Child Health Resource Package website. according to the website, these guidelines were developed out of a need for step-by-step practical approaches to pediatric problems. They are not directed at particular categories of health worker but are, rather, based on how children with particular health problems should be managed. has guidelines on a quite a number of pediatric conditions, is worth a visit to the website.
http://www.kznhealth.gov.za/chrp/guidelines_paeds.htm

BOOKS IN THE MPILO LIBRARY


books are found in the pediatrics section of Mpilo Library
These books provide provides definitions, identifies potential problems before and after cleft lip and palate repair and nursing actions.

1. Key Book* Nelson textbook of pediatrics edited by Behrman. located at  RJ 45 NEL
comprehensively covers the topic from definition, incidences and epidemiology, clinical manifestations, treatment , post operative management .

2. Key Book*  Nursing care of the children and families: a holistic approach. by Sandra Mott, Nancy Fiero fazekas, Susan Rowen James. located at RJ245 MOT.
covers nursing management of the condition and medical and surgical treatment, nutritional challenges, preoperative and post operative care.

3. The textbook of children's nursing by Tina Moules and Joan Ramsey. located at RJ245 MOU-
4. Primary Child Care: a manual for health workers by the World Health Organization located at RJ45 PRI

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