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MULTIDISCIPLINARY EARLY CARE IN A NEWBORN WITH PALATOLABIOSCHISIS: EMPHASIZING FEEDING INTERVENTION AND SURGICAL PLANNING

Ririn Wahyuningtyas, Risa Etika, Dina Angelika, Kartika Darma Handayani, Wurry Ayuningtyas

Perinatal Journal - 2026;34(1):1-7

Department of Child Health, Faculty of Medicine, Universitas Airlangga, Peripheral Hospital, Situbondo, Indonesia

 

Palatolabioschisis (cleft lip and palate) is a common congenital craniofacial anomaly, occurring in approximately 1 in 700 live births worldwide and seen frequently in Indonesia. Early multidisciplinary care is essential to support feeding, growth, and preparation for surgical repair.A term female newborn was delivered spontaneously at 40 -41 weeks with isolated palatolabioschisis and was clinically stable. Standard neonatal care included thermoregulation, vitamin K, eye prophylaxis, and airway monitoring. Parents received education on safe feeding using a specialized bottle to minimize aspiration risk. A staged surgical plan for cheiloplasty and palatoplasty was arranged.Early stabilization, safe feeding strategies, and timely multidisciplinary referral contribute to optimal growth and successful surgical outcomes in newborns with palatolabioschisis, particularly in high-prevalence regions such as Indonesia.