Case Study 6

Caring for Asian Children Resource

eCALD Supplementary Resources

The following case study illustrates the expectations of a perfect baby and how the parents reacted and responded towards the news that their baby had a cleft palate. The case study provides a question for viewers to consider and reflect.

Case Study 6: Birth defects (Chinese)

case study iconJinjing Xu arrived from Shanghai with her husband 5 years ago. She is pregnant for the first time. Mrs Xu has a scan at 25 weeks of gestation. The scan reveals that the baby is a girl and that she has a cleft palate. Jinjing and her husband are determined to terminate the pregnancy. There is a lot of pressure from Jinjing’s mother-in-law in China who expects a grandson and a perfect baby.

In China, late termination and abortion is acceptable. Abortion clinics are government- funded and termination of pregnancy services are available on request for women except in cases of sex-selective abortion. Despite this policy, sex-selective abortion continues to be prevalent and practiced because it is not easy for the Chinese government to regulate the practice and son-preference in Chinese families persists. In many cases the couple can pay, when having an ultrasound or will try to pay to be told the sex of their child (Hesketh et al, 2005; Junhong, 2001).

How could giving the results of the scan to Mr and Mrs Xu have been better managed?

What do you think are the implications of having a baby with a ‘cleft palate’ for the parents and grandparents?

What is the role of grandparents in the decision-making to terminate the pregnancy?

Is the gender of the child a factor in Mr and Mrs Xu’s determination to terminate the pregnancy?

How would you support Mr and Mrs Xu through this difficult diagnosis?