Cleft lip and palate

Also called Cleft lip, Cleft palate, or Orofacial cleft

A cleft lip is a gap in the upper lip, and a cleft palate is a gap in the roof of the mouth. They happen when parts of the face do not join fully during pregnancy, and a baby can have one or both. They are among the most common conditions present at birth, and surgery is very effective.

Last updated Nov 9, 2026

What it is

A cleft lip is often seen on a pregnancy scan; a cleft palate is usually found after birth.

Specialist cleft teams support feeding from birth, then repair the lip at around 3 months and the palate at around 6 to 12 months. Children are followed up into adulthood for speech, hearing, teeth and growth.

Common signs

  • A gap in the upper lip, from a small notch to a gap reaching the nose
  • A gap in the roof of the mouth
  • Difficulty feeding
  • Ear infections and hearing problems
  • Speech difficulties later

How it is usually diagnosed

  • Pregnancy scan
  • Examination at birth, including checking the palate

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Pregnancy scan reports
  • Operation notes
  • Hearing tests
  • Speech therapy reports
  • Dental and orthodontic records

Questions to ask your doctor

  • How will we feed our baby before surgery?
  • What is the timeline for operations and check-ups?
  • Is it linked to a genetic condition, and what about future pregnancies?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A baby with breathing difficulty, blue lips, or who is not feeding or has few wet nappies: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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