The prone position aftects other aspects of the int1int’s care. For exaniple, in this position the infant is more difficult to keep clean. pressure areas are a constant threat. and feeding becomes a problem. The infant’s head is turned to one side for feeding. Fortunately, most defects are repaired early, and the infant can be held for feeding and routine care soon after surgery. Physical therapy consultation may be necessary for difficult positioning, problems. Speech-language pathologist consultation may be needed for difficulty with oral-motor skills that may indicate complications caused by a Chiari malformation.