What should the SLP do before initiating an oral-feeding trial with an infant diagnosed with a unilateral cleft lip?

Before initiating an oral-feeding trial with an infant diagnosed with a unilateral cleft lip, the most appropriate action is to proceed based on the understanding of the condition and its management. A unilateral cleft lip, while presenting feeding challenges, generally does not compromise the infant's ability to feed orally. Research indicates that many infants with this condition can feed successfully before surgical intervention.

Feeding trials can help determine how well the infant is managing oral intake and allow for the SLP to implement strategies to support safe feeding and monitor for any potential aspiration. This proactive approach enables the SLP to assess the needs of the infant and to provide necessary interventions that can support their feeding skills in a timely manner.

In contrast, delaying the trial for a VFSS (Videofluoroscopic Swallowing Study) or waiting for surgical repair could unnecessarily postpone the infant's feeding opportunities. Additionally, while consulting a physician about the infant's airway may be important, it is not the primary concern in the context of a unilateral cleft lip and feeding initiation, especially if the infant is stable. Therefore, commencing the oral-feeding trial allows for immediate assessment and intervention, which is crucial for the infant's development and nutritional needs.