Just want to share, my son is now 7 years old and was born with a cleft palate. He underwent cleft repair surgery when he was 7 months old , the roof of his mouth was basically reconstructed from what I saw. It was a traumatic time for us to see him in tubes and bleeding from the mouth after the surgery but thanks to the support at KKH cleft centre, he recovered very fast and was discharged after 2 nights stay. We opted for A1 class (non subsidised) because both parents and grandma wanted to bunk in overnight with my son. It was a Saturday op and after staying the first night, my son was smiling again despite the stitches and we figured that his doctors were off duty on Sunday so no point staying longer. The nurse put in ice water after his surgery to stop the bleeding and it helped.
The bill was around $6k, around half of which was paid via Medisave. This is considered a congenital disorder so my insurance would not pay even though I bought health and medical insurance for baby before he was born. My son's surgery included inserting tubes into his ear for drainage to prevent ear infections which cleft children tend to be prone to. My son's surgeons were Dr Foo Chee Liam (cleft) and Dr Lynne Lim (ENT, now head of ENT NUH)
As my son could not feed on the breast, I had been expressing breast milk for him since birth. He did suckle now and then just for comfort but not actual feeding because he tends to choke when there is a let down and the milk comes out fast. It is important that baby is fed breast milk after surgery, as far as possible since breast milk does not form clumps or co-agulate like powder milk ,that will get stuck in the stitches making it hard to clean the wound in the mouth after surgery.
We had to buy elbow guards for our son to wear so that his arms and hands do not hit or touch his mouth during the weeks following the surgery. The neighbours thought I had beaten my child up and he has broken arms, whenever I brought him out for a walk! That was quite funny.
We went for annual speech tests in KKH and I am relieved that not only did my son started speaking early (thanks to baby signing time) at 11 months, but he was ahead of this class in speech throughout his preschool and now primary one. So not to worry, some kids may not need prolong speech therapy.
The miraculous thing is my son was born without a uvula but after the surgery, he grew one! Really I have much to thank God for. I was worried sick when my son was born and I was informed of his disorder but despite the initial weeks of feeding problem (starting with feeding milk with a spoon, then to the Medela soft feeder to a bottle where you have to squeeze to help the milk flow sold by KKH, to a normal bottle, to delaying solid food feeds) and the need to keep him upright after a feed which was very tough when you are expressing milk at the same time (no rest periods), we have come a long way..but looking back, it has made my boy more resilient and given him a strong fighting spirit.
sorry for the long sharing..but I really salute all parents who support, love and stand by their kids born and living with a cleft condition, through the years of tender loving care.