Adoption, International

R. Aaron Lambert, MD, FAAFP Reviewed 06/2017
 


BASICS

DESCRIPTION

Although international adoptions have decreased in the past 10 years, they still represent a significant portion of the roughly 136,000 yearly U.S. adoptions. The demographics of tho...

DIAGNOSIS

HISTORY

  • Records may be very limited or difficult to access.

  • Immunization records and titers (records that are “too perfect” should be reviewed carefully)

    • ▪ Some vaccinations are (e.g., Haemophi...

TREATMENT

GENERAL MEASURES

  • Regular diet for children who arrive malnourished

  • Monitor linear growth.

  • If developmental delay is suspected, consider early services (e.g., early intervention) or referral to ...

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

U.S. Department of State, Bureau of Consular Affairs Intercountry Adoption. https://travel.state.gov/content/adoptionsabroad/en.html. Accessed October 5, 2016.
Jones  VF, High  PC, Donog...

ADDITIONAL READING

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

  • Grogg SE, Grogg BC. Intercountry adoptions: medical aspects for the whole family. J Am Osteopat...

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

  • Initial labs: Hep B, Hep A, Hep C, HIV 1 and 2, syphilis, CBC, TSH, lead, G6PD deficiency, hemoglobin electrophoresis, PPD/TST (or IGRA ages ≥5 years), ova and parasites (three stool s...

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