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My nephew's wife just had a baby with a cleft pallet - only about 25% of the cases are inherited. There is no history of cleft pallet in either family - the doctors told them the other 75% of cases is probably a combination of poor nutrition, drug use, or a disease the mother contracted while pregnant. They found out about the cleft pallet when she was only 5 months pregnant through a series of ultrasound and test. The baby was delivered via c-section, so meds should not cause any problems to the baby during delivery.

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