Can a child with cleft lip and palate be kept?

Oct 22, 2025 Source: Cainiu Health
Dr. Liu Chao
Introduction
In general, cleft lip and palate is a common congenital malformation characterized by incomplete development of the lip and palate. Whether to proceed with the pregnancy involving a fetus with cleft lip and palate should be determined based on a comprehensive assessment of the fetus's overall health, family circumstances, and available medical resources. If in doubt, it is recommended to promptly consult a specialist for prenatal diagnosis and genetic counseling.

Generally, cleft lip and palate is a common congenital malformation characterized by incomplete development of the lip and palate. Whether to continue a pregnancy involving a fetus with cleft lip and palate requires comprehensive evaluation based on the overall fetal health, family circumstances, medical resources, and other specific factors. If in doubt, it is recommended to promptly consult a professional physician for prenatal diagnosis and genetic counseling. The detailed analysis is as follows:

If the fetus has isolated cleft lip and palate without other severe organ abnormalities or chromosomal anomalies, and if the family's financial situation is manageable—able to cover the costs of multiple surgeries and rehabilitation—and adequate medical resources are available locally to provide specialized care such as reconstructive surgery and speech therapy, then continuing the pregnancy may be considered. With advances in medical technology, proper treatment can significantly improve both appearance and function, enabling children to lead normal lives, including regular schooling and social interactions.

However, if the fetus has additional serious conditions such as major heart defects or neurological disorders, or if the family faces financial hardship and cannot afford long-term treatment, especially in regions lacking sufficient medical infrastructure to perform high-quality corrective surgeries and postoperative rehabilitation, careful consideration should be given to termination. In such cases, continuing the pregnancy may cause significant suffering for the child and impose heavy emotional and financial burdens on the family.

Prior to making a decision, a comprehensive prenatal examination should be conducted at a reputable medical institution to fully understand the fetus’s health status. Professional medical advice should be sought regarding treatment options and prognosis. Additionally, family members should communicate openly and rationally assess their capacity to cope. If the decision is to continue the pregnancy, psychological preparation should begin early, and plans should be made in advance for the child’s future treatment and rehabilitation, ensuring the child receives ample love, support, and care.

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