The Pediatrician's Role in Adoption

Daniel and Megan felt drawn to the little dark-hairedAfter starting the adoption process, a pediatrician can
child they had seen in the orphanage half way aroundbe an invaluable asset to you. If you are able, bring
the world, but they felt they had more questionsthe medical and mental health records of the child to
than answers. "Where do we start?" Megan asked asyour pediatrician; they can explain specific issues to
we spoke on the phone. The adoption agencyyou. Often you will have a list of all the diagnoses
needed a response and they felt frozen in their fear.that have been assigned to your child. A pediatrician
After receiving guidance and answers from othercan explain them in terminology that you can
adoptive parents who had the same questions asunderstand and discuss possible long-term problems
Daniel and Megan, they soon brought home their littleof particular disorders. For example, if a child has a
daughter. Megan shared later how the advice to seekdiagnosis of Attention Deficit Disorder, your
a pediatrician early in the process helped them learnpediatrician can explain behaviors that are typical and
what to expect in their adoption and to have aproblems other parents have had in dealing with their
realistic view of the challenges they might face. Now,children.
six years later, they have adopted two moreYour pediatrician will also model some language
children, another girl and a boy from the samechoices that you may not have thought of
country.previously. For example, most pediatricians will refer
When considering adoption, parents should alwaysto all the siblings in a family as brother or sister not
consult a pediatrician. Pediatricians with knowledge of'adopted brother' or 'adopted sister.' Pediatricians are
the special needs of older children or internationalcareful not to say 'natural parent' when speaking of
adoptions can be a wealth of information regardingthe child's birth parent. The term 'natural parent'
issues that may arise with your adoptive child. Theyimplies that you are then the 'unnatural parent.'
can provide vital information before the adoption,You must be comfortable talking openly with your
help with the decision making while in the process ofpediatrician about all medical issues relating to the
adoption, and assist with on-going issues after theadoption of a new member into your family. If you
adoption.do not already have a family pediatrician, ask other
Discussing your plans to adopt with a pediatrician willadoptive parents for recommendations and then
give you much needed information aboutinterview several different pediatricians to find one
psychological and medical needs that your adoptivethat seems to best fit you and your family. Some
child may have. Your pediatrician can explain somequestions may be difficult for you to ask but will
medical problems common to newly adopted children.probably reveal the most important information to
They may discuss issues of attachment, loss, andyou. For instance, you may hear that a child you
grief that adoptive children often go through. Yourwanted to adopt is going to have a lot of medical
pediatrician may also discuss physical and medicalissues that you don't think you can handle. By
issues that your adoptive child may be facing.discussing those issues openly, you will be able to
Meeting with your pediatrician before you start theprepare yourself fully for the adoption of your child.
adoption process will bring medical and mental healthOr, after discussing the possible medical issues, you
issues to light that you possibly were not aware ofmay decide that this situation is not right for you. Do
before. Such a meeting helped Megan and Danielnot be afraid to ask a lot of questions. Your
decide to adopt two more children. They gainedpediatrician's job is to help you be the best parent
knowledge and confidence, and their fear wasyou can be. Of course, your pediatrician will be of
minimized.extreme help to you throughout your child's life.