0
March 1989, Vol 143, No. 3 >
Article | March 1989

International Adoption:  An Introduction for Physicians FREE

Margaret Hostetter, MD; Dana E. Johnson, MD, PhD
[+] Author Affiliations

Accepted for publication December 2, 1988.

Reprint requests to Box 211, University of Minnesota, Harvard Street at East River Road, Minneapolis, MN 55455 (Dr Johnson).


Am J Dis Child. 1989;143(3):325-332. doi:10.1001/archpedi.1989.02150150079022.
Text Size: A A A
Published online
Article
References
Comments

Despite great progress in the medical treatment of infertility, approximately 1 million American couples are unable to bear children.1 The high rate of involuntary infertility, coupled with a decrease in the number of US-born infants available for adoption,2 has prompted a tremendous growth in the number of international adoptions. In the past 10 years the number of children adopted from abroad has almost doubled3 and the number of American agencies handling international adoptions has almost tripled.4 This trend has reached the point where it is rare for a primary care physician not to be following up at least one international adoptee. However, the number of children is yet insufficient for most physicians to have had extensive exposure to either the process of international adoption or the variety of medical problems that may afflict these children.

The purpose of this article is to provide an orientation to

REFERENCES

1 +
Mosher WD. Infertility:  Why business is booming . Am Demographics . 1987;;9:42-43.
2 +
Kaunitz AM, Grimes DA, Kaunitz KK.  A physician's guide to adoption . JAMA . 1987;;258:3537-3541.
3 +
Immigrant Orphans Admitted to the United States by Country of Origin or Region of Birth 1978-1987 . Washington, DC: US Dept of Justice, Immigration and Naturalization Service.
4 +
Smith LM.  Babies from abroad . Am Demographics. 1988;;10:38-56.
5 +
Addendum to Guidelines for Medical Examination of Aliens in the United States, June 1985 and Supplement, February 1987: Instructions for Substituting Human Immunodeficiency Virus (HIV) Infection for AIDS as an Excludable Health Condition and Incorporating Serologic Testing for HIV in the Medical Examination of Aliens . Washington, DC: US Dept of Justice, Immigration and Naturalization Service, (November 18) , 1987;.
6 +
Jenista JA, Chapman D.  Medical problems of foreign-born adopted children . AJDC . 1987;; 141:298-302.
7 +
Hostetter MK, Iverson S, Dole K, Johnson DE. Unsuspected infectious diseases and other medical diagnoses in the evaluation of internationally adopted children. Pediatrics. In press.
8 +
Hershow RC, Hadler SC, Kane MA.  Adoption of children from countries with endemic hepatitis B: transmission risks and medical issues . Pediatr Infect Dis J . 1987;;6:431-437.
9 +
Pickering LK, Woodward WE, DuPont HL, Sullivan P:  Occurrence of Giardia lamblia in children in day care centers . J Pediatr . 1984;;104:522-526.
10 +
American Academy of Pediatrics. Report of the Committee on Infectious Diseases . Elk Grove, Ill: American Academy of Pediatrics; 1986;:377.
11 +
Lifschitz M.  The value of the tuberculin skin test as a screening test for tuberculosis among BCG-vaccinated children . Pediatrics . 1965;;36:624-627.
12 +
Overall JC Jr.  Viral infections of the fetus and neonate . In: Feigin RD, Cherry JD, eds. Textbook of Pediatric Infectious Diseases . Philadelphia, Pa: WB Saunders Co; 1986;:977-981.
13 +
Stagno S, Pass RF, Dworsky ME, et al.  Congenital cytomegalovirus infections: the relative importance of primary and recurrent maternal infection . N Engl J Med . 1982;;306:945-949.
14 +
Hanshaw JB.  Cytomegalovirus infections . In: Feigin RD, Cherry JD, eds. Textbook of Pediatric Infectious Diseases . Philadelphia, Pa: WB Saunders Co;1986;:1558-1566.
15 +
Pomeroy C, Englund JA.  Cytomegalovirus: epidemiology and infection control . Am J Infect Control . 1987;;15:107-119.
16 +
Mann JM, ChinJ, PiotP, Quinn T.  The international epidemiology of AIDS . Sci Am . 1988;;259:82-89.
17 +
 Multicenter trial of cryotherapy for retinopathy of prematurity: preliminary results . Pediatrics . 1988;;81:697-706.
18 +
Morizon CM, Fairbanks VF, Burgert EO Jr, Sutherland JE, Elliott SC.  Hematologic genetic disorders among Southeast Asian refugees . Am J Hematol . 1985;;19:27-36.
19 +
Blackman JA, Appel BR.  Epidemiologic and legal considerations in the exclusion of children with acquired immunodeficiency syndrome, cytomegalovirus, or herpes simplex virus infection from group day care . Pediatr Infect Dis J . 1987;;6:1011-1015.
20 +
Adler SP.  Molecular epidemiology of cytomegalovirus: viral transmission among children attending a day care center, their parents, and care-takers . J Pediatr . 1988;;112:366-372.
21 +
Murph JR, Bale JF Jr.  Natural history of acquired cytomegalovirus infection among children in group day care . AJDC . 1988;;142:843-846.
22 +
Wisell TE, Smith FR, Bass JW.  Decreased incidence of urinary tract infections in circumcised male infants . Pediatrics . 1985;;75:901-903.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Mosher WD. Infertility:  Why business is booming . Am Demographics . 1987;;9:42-43.
2 +
Kaunitz AM, Grimes DA, Kaunitz KK.  A physician's guide to adoption . JAMA . 1987;;258:3537-3541.
3 +
Immigrant Orphans Admitted to the United States by Country of Origin or Region of Birth 1978-1987 . Washington, DC: US Dept of Justice, Immigration and Naturalization Service.
4 +
Smith LM.  Babies from abroad . Am Demographics. 1988;;10:38-56.
5 +
Addendum to Guidelines for Medical Examination of Aliens in the United States, June 1985 and Supplement, February 1987: Instructions for Substituting Human Immunodeficiency Virus (HIV) Infection for AIDS as an Excludable Health Condition and Incorporating Serologic Testing for HIV in the Medical Examination of Aliens . Washington, DC: US Dept of Justice, Immigration and Naturalization Service, (November 18) , 1987;.
6 +
Jenista JA, Chapman D.  Medical problems of foreign-born adopted children . AJDC . 1987;; 141:298-302.
7 +
Hostetter MK, Iverson S, Dole K, Johnson DE. Unsuspected infectious diseases and other medical diagnoses in the evaluation of internationally adopted children. Pediatrics. In press.
8 +
Hershow RC, Hadler SC, Kane MA.  Adoption of children from countries with endemic hepatitis B: transmission risks and medical issues . Pediatr Infect Dis J . 1987;;6:431-437.
9 +
Pickering LK, Woodward WE, DuPont HL, Sullivan P:  Occurrence of Giardia lamblia in children in day care centers . J Pediatr . 1984;;104:522-526.
10 +
American Academy of Pediatrics. Report of the Committee on Infectious Diseases . Elk Grove, Ill: American Academy of Pediatrics; 1986;:377.
11 +
Lifschitz M.  The value of the tuberculin skin test as a screening test for tuberculosis among BCG-vaccinated children . Pediatrics . 1965;;36:624-627.
12 +
Overall JC Jr.  Viral infections of the fetus and neonate . In: Feigin RD, Cherry JD, eds. Textbook of Pediatric Infectious Diseases . Philadelphia, Pa: WB Saunders Co; 1986;:977-981.
13 +
Stagno S, Pass RF, Dworsky ME, et al.  Congenital cytomegalovirus infections: the relative importance of primary and recurrent maternal infection . N Engl J Med . 1982;;306:945-949.
14 +
Hanshaw JB.  Cytomegalovirus infections . In: Feigin RD, Cherry JD, eds. Textbook of Pediatric Infectious Diseases . Philadelphia, Pa: WB Saunders Co;1986;:1558-1566.
15 +
Pomeroy C, Englund JA.  Cytomegalovirus: epidemiology and infection control . Am J Infect Control . 1987;;15:107-119.
16 +
Mann JM, ChinJ, PiotP, Quinn T.  The international epidemiology of AIDS . Sci Am . 1988;;259:82-89.
17 +
 Multicenter trial of cryotherapy for retinopathy of prematurity: preliminary results . Pediatrics . 1988;;81:697-706.
18 +
Morizon CM, Fairbanks VF, Burgert EO Jr, Sutherland JE, Elliott SC.  Hematologic genetic disorders among Southeast Asian refugees . Am J Hematol . 1985;;19:27-36.
19 +
Blackman JA, Appel BR.  Epidemiologic and legal considerations in the exclusion of children with acquired immunodeficiency syndrome, cytomegalovirus, or herpes simplex virus infection from group day care . Pediatr Infect Dis J . 1987;;6:1011-1015.
20 +
Adler SP.  Molecular epidemiology of cytomegalovirus: viral transmission among children attending a day care center, their parents, and care-takers . J Pediatr . 1988;;112:366-372.
21 +
Murph JR, Bale JF Jr.  Natural history of acquired cytomegalovirus infection among children in group day care . AJDC . 1988;;142:843-846.
22 +
Wisell TE, Smith FR, Bass JW.  Decreased incidence of urinary tract infections in circumcised male infants . Pediatrics . 1985;;75:901-903.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems