Although 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 ex...
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., Haemophi...
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...
Regular well-child visits, particularly within first months of entry into the United States
Close monitoring of developmental milestones, behavio...
Dawood F, Serwint JR. International adoption. Pediatr Rev. 2008;29(8):292–294. [View Abstract on OvidMedline]
National Center for Immunization and Respiratory Diseases. General...
Z02.82 Encounter for adoption services
Z62.821 Parent-adopted child conflict
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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