Begins with the diagnosis of Cleft or Cr far anomaly during an anomaly scan inter as part of the obstretics screening  of the mother and child. Once a facial deformity is identified, the parents are referred to the crania facial team , where they are counselled by all representative team members about what to expect both during pregnancy, immediately post delivery swell as the ideal sequel of the management of the child from brith till 18 yrs.

The key members involved in this are:

  • The Surgeon
  • The Speech Therapist
  • Pediatrician
  • Social worker.
  • At this stage, advisory booklets are distributed for the parents for future guidelines.