Yes, babies with a cleft palate can sometimes experience respiratory issues, often related to feeding or physical positioning. This happens because the tongue can occasionally fall backwards, partially blocking the airway. To manage this, doctors frequently recommend simple solutions like specialised feeding techniques and specific sleeping positions. For congestion, generic saline nasal drops are highly effective. In some cases, a temporary, soft nasal tube (nasopharyngeal airway) may be used to assist breathing. Please be reassured that these challenges are very common and highly manageable. Your pediatric team will work closely with you to ensure your baby breathes and feeds comfortably.