In what position should children with cleft lip/palate be fed?

Feeding children with cleft lip and palate is best done in an almost upright position. This positioning helps facilitate better swallowing and reduces the risk of aspiration, which can occur when food enters the airway instead of the esophagus. An upright position allows gravity to assist in moving the food down into the stomach and minimizes the chances of choking, which is particularly important for children who may have difficulty with coordinating their swallowing due to their condition.

In contrast, being flat on their back can increase the risk of aspiration and complicates swallowing, as it may prevent proper drainage of food. Sitting on the floor is not typically advised for feeding due to the lack of proper support and elevation, which can hinder effective feeding. A reclining position may also not provide the necessary elevation and control that is vital for safe and successful feeding in these children. Therefore, the almost upright position is the best choice for ensuring safety and facilitating feeding.