First babble advice

This leaflet is for parents / guardians of babies born with a cleft palate (+ / - cleft lip) before their baby’s palate is repaired. It will be given following the first meeting with the Cleft.Net.East speech and language therapy team

What this leaflet contains

• Role of the speech and language therapist (SLT)
• Babble development - what you can expect from your baby’s babble development and what you can do to support this
• The importance of hearing
• Useful links
• Next appointment

Role of the SLT

• Our aim is to promote the development of normal speech by school entry.
• We will continue to review progress after your baby’s palate repair.
• We monitor the outcome of your baby’s palate repair through their speech progress.
• We monitor babble and speech development (how your baby learns to make sounds) and offer advice for ideas to try at home.
• Key review points will be between 18-24 months, at 3 years and at 5 years.
• If at any of these stages more regular input is recommended, we will offer specialist speech therapy sessions or other referral as needed.
• You might be seen either at the cleft centre (Addenbrooke’s) or more locally depending on your child’s need and where you live.

Babble development

• The palate’s function is to close the nose off from the mouth during speech and eating.
• Most sounds in English require the palate to close, except for “m, n, ng” which are directed through the nose.
• Although it seems early, now is an ideal time to lay the foundations for speech because your baby is naturally of an age where they are really interested in faces, and not yet moving around. It is also an opportunity to support your baby’s early general communication development.
• Making sounds for your baby to see and hear through babble play is a really good way of doing this.

Ideas to try at home include:

• Copy sounds your baby makes and take turns in babble play.
• Making sounds visual (e.g. by modelling soft ‘lips together’ sounds “p, b, m” and ‘floppy tongue’/ tongue visible between your teeth “t, d, n, thhh”).
• Keeping the sounds you make soft and gentle, rather than loud.

Hearing

• We discussed the importance of hearing for speech and language development, and the increased risk of changes in hearing associated with ‘glue ear’.
• We will continue to help you monitor this as your baby’s babble, speech and language develops, and will liaise with our colleagues in audiology as needed.

Useful tips to remember at home include:

• Making sounds closer rather than louder.
• Reducing background noise for certain times of the day (e.g. by turning TV / radio off).
• Prioritising face-face times during babble play (e.g. nappy changing).
• Be aware of the hearing environment – be in your quietest room; play on a carpet / rug if possible.

What happens next?

At your baby’s next appointment we will be listening to the types of sounds they are making. It is not uncommon for babies to be less chatty in the clinic environment, so if possible, it can be helpful to bring a video on your phone of them babbling or “chatting” at home. This is a useful way of enabling us to hear the typical sounds your baby makes when they are relaxed and confident.

Your baby’s next review with the team will usually be when you attend for their post-op check at the multidisciplinary cleft clinic, this usually takes place six to eight weeks following palate repair. You will also be invited to a post op babble group appointment with the SLT team.

Please do not hesitate to contact us should you have any questions before your next appointment.

Notes/Specific information from today's appointment:

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Useful links

Other Cleft teams have produced some helpful videos for early babble advice:

• Babble advice video (produced by the South West Cleft Team) shown in session: Babble advice (opens in a new tab)
• Show Me a Sound (produced by the Spires Cleft Centre): Show Me a Sound (opens in a new tab)
• The Babble Bag (produced by the South Wales Cleft Team): The Babble Bag (opens in a new tab)

The following websites are also useful, with tips and ideas to help support language development:

• Tiny-happy-people (opens in a new tab)
• Help for families/ages-and-stages (opens in a new tab)

Contacts / further information

Cleft.NET.East
Box 106

Addenbrookes Hospital
Cambridge University Hospitals NHS Foundation Trust
Hills Road
Cambridge
CB2 0QQ

Telephone: 01223 596272

Email cleftneteast@nhs.net

Cleft Net East CUH webpage