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Adoption, International

R. Aaron Lambert, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

International adoptions have decreased in the past 10 years. They still represent a significant portion of ~136,000 yearly U.S. adoptions. Diverse birth countries, disease exposures,...

DIAGNOSIS

HISTORY

  • Medical records are often limited or difficult to access.

  • Review immunization records carefully. Suspicious records are often “too perfect.”

    • Some vaccinations are (e.g., Haemophilus i...

TREATMENT

GENERAL MEASURES

  • Regular diet for children who arrive malnourished

  • Monitor linear growth.

  • Consider early intervention for children with suspected delays.

  • Involve parents in local and online supp...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Regular well-child visits, particularly within first months of entry into the United States

  • Close monitoring of developmental milestones, behavio...

REFERENCES

1
1 U.S. Department of State, Bureau of Consular Affairs. Intercountry adoption. https://travel.state.gov/content/adoptionsabroad/en.html. Accessed July 23, 2017.
2
2 Jones VF; and Committee o...

ADDITIONAL READING

  • Dawood F, Serwint JR. International adoption. Pediatr Rev.  2008;29(8):292–294.  [View Abstract]

  • Grogg SE, Grogg BC. Intercountry adoptions: medical aspects for the whole famil...

CODES

ICD10

  • Z02.82 Encounter for adoption services

  • Z62.821 Parent-adopted child conflict

ICD9

  • V70.3 Other general medical examination for administrative purposes

  • V61.24 Counseling for parent-adopted child ...

CLINICAL PEARLS

  • Internationally adopted children may exhibit self-stimulating behaviors (e.g., rocking, head banging) that usually decrease over time. Refer to developmental or occupational specialist...

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