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Adoption, International

R. Aaron Lambert, MD, FAAFP Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Although international adoptions have decreased in the past 15 years, they still represent a significant portion of ~135,000 yearly U.S. adoptions.

  • Diverse birth countries, disease ex...

DIAGNOSIS

HISTORY

  • Medical records are often limited or difficult to access.

  • Review immunization records carefully. Records that are “too perfect” should raise suspicion.

    • Some vaccinations (e.g., Haemop...

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
U.S. Department of State, Bureau of Consular Affairs. Intercountry adoption. https://travel.state.gov/content/adoptionsabroad/en.html. Accessed September 22, 2019. [View Abstract on OvidMe...

ADDITIONAL READING

  • Barrat MS. International adoption. Pediatr Rev.  2013;34(3):145–146. [View Abstract on OvidMedline]

  • National Center for Immunization and Respiratory Diseases. General recommenda...

CODES

ICD10

  • Z02.82 Encounter for adoption services

  • Z62.821 Parent-adopted child conflict

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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