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1. Definition
Labiopalatoschisis or cleft lip is a mouth area deformity in the form of a gap or
dumbing or less perfect formation during embryonal development where the upper lip of
the right and left parts do not grow together. Often, cleft lip is said to be a congenital
defect which is a problem in the community, especially people with low socioeconomic
status. Cleft lip is characterized by not having a cleft in the palate, which is the most
common congenital disorder affecting newborns. Lip cleft (cleft lip) is an imperfection in
connecting the upper lip, which is usually located right under the nose during the
formation process. A cleft palate is an abnormal channel that passes through the palate and
leads to the airways in the nose.
2. Epidemiology
Actually, surgical techniques for the treatment of this disease are already widely
carried out but, for prevention, there is still little. In Indonesia the highest number of
sufferers is in East Nusa Tenggara, which is 6 to 9 people per 1000 inhabitants. This
shows a high number. With such conditions there are still many children with labioschisis
who are not treated because of inadequate socio-economic conditions and low parental
3. Causes
The main factor of this disease is genetic disorders. Not only that this disease is caused by
non-genetic or environmental factors. as :
1. Age of mother during childbirth
2. Marriage between people with cleft lip
3. Zn and vitamin B6 deficiency when pregnant
So for that we as a nurse need to provide education to special parents who have
children with labioschisis to immediately request medical help for treatment. Not only
that, we also have to provide health education about proper cleft lip disease in promotive
and preventive efforts to speed up the process of wound healing after surgery. It is
expected that with this health education we will be able to make people aware of the
importance of maintaining the health of babies after surgery so that they avoid
4. Maintenance techniques
A. How to treat wounds
1. Wash your hands before cleaning the wound.
2. Clean the wound with boiled water & a cotton bud at least 3 times a day after eating
or if there is blood coming out.
3. After cleaning, apply an antibiotic ointment
4. For children who are already large, it is recommended that children rinse using
antiseptic fluids every time after eating.
5. Replacement of wound dressing (lip gap patients) every day for 3 days.
B. Ways of Feeding / Drinking
1. Give your child a drink after a doctor or nurse notices, uses a spoon or plastic bottle
for at least 9 days.
2. Giving milk with a spoon placed from the corner of the mouth
3. Don't use a straw.
4. Use a spoon bottle through the corner of the child's lips, so it doesn't hit the surgical
5. Make sure the temperature of milk or food is not too hot when given to the child.
6. Use a spoon bottle or plastic spoon for 2 weeks after surgery.
7. For children who are older, give foods that are liquid like filtered porridge.
8. Avoid hard foods (crackers, meatballs, sticky rice).
9. Give 4-5 tablespoons of water each mouthful of food (alternating porridge and water).
10. Reduce the supply of sugar for children's food / drink so that the wound is completely
C. How to Hold and Sleep Position
1. Hold the child with the child's face facing forward (keep away from the caregiver's
2. Caregivers wear clothes from soft material
3. Maintain the position of the child while sleeping, do not lie on his stomach.
4. Prop the child's head with 2-3 pillows so that the child's head is higher than the body.
5. Hand support is used up to 2 weeks after surgery.
D. Instructions to Avoid Children from:
1. Inserting objects into the mouth.
2. Scratching surgical wounds using hands, fingers or pillows.
3. Blowing with the nose (for palate surgery)
4. Dangerous activities such as running, jumping and other risky activities.
E. Bring to doctor immediately:
1. Bleeding or infection occurs in the surgical wound.
2. High fever.
3. Other unnatural conditions are worrying.

5. Question and answer

- Is this method effective to use?
This activity is effective because we as a nurse approach the target group (labioschisis) which
is then followed by counseling on wound care techniques so that this activity provides an
opportunity for the target group to ask questions related to the material that has been further
conveyed. Not only that, there are also simulations as a form of training for parents or