International adoption of children with birth defects

Cochran, Meagan; Nelson, Katherine R.; Robin, Nathaniel H.

doi:10.1097/mop.0000000000000144

Cited by 11 publications

(5 citation statements)

References 8 publications

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“…In this study in a referral unit in Spain, we confirmed that most of the children with special needs seen in our unit were of Asian origin (96.5%), as previously reported by other groups [ 4 ]. It was found that the pathologies that led to IA via SN were confirmed in most cases, especially when those were major surgical conditions (digestive tract, cardiac, or palatal malformations).…”

Section: Discussionsupporting

confidence: 91%

“…With the general decline in number, the proportion of children adopted presenting pre-existing conditions has increased in Spain and other countries, such as France and the United States [ 2 , 3 ]. The definition of “special needs” (SN) arises from the urgency of speeding up the adoption of minors with chronic pathologies requiring evaluation and treatment in a short period [ 4 ]. Heart defects, orthopedic problems, infectious diseases, or neurodevelopmental disorders are among the most prevalent diseases.…”

Section: Introductionmentioning

confidence: 99%

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International Adoption of Children with Special Needs in Spain

et al. 2023

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International adoption has declined in recent years, although the adoption of children with special needs has arisen. We aim to describe our experience in the international adoption of children with special needs and to analyze the concordance between the pathologies included in pre-adoption reports and the diagnosis made upon arrival. We conducted a retrospective descriptive study including internationally adopted children with special needs evaluated at a reference Spanish unit between 2016 and 2019. Epidemiological and clinical variables were collected from medical records, and pre-adoption reports were compared to established diagnoses following their evaluation and complementary tests. Fifty-seven children were included: 36.8% females, a median age of 27 months [IQR:17–39], mostly coming from China (63.2%) and Vietnam (31.6%). The main pathologies described in the pre-adoption reports were congenital surgical malformations (40.3%), hematological (22.6%), and neurological (24.6%). The initial diagnosis that motivated the international adoption via special needs was confirmed in 79% of the children. After evaluation, 14% were diagnosed with weight and growth delay, and 17.5% with microcephaly, not previously reported. Infectious diseases were also prevalent (29.8%). According to our series, the pre-adoption reports of children with special needs appear accurate, with a low rate of new diagnoses. Pre-existing conditions were confirmed in almost 80% of cases.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

International Adoption of Children with Special Needs in Spain

et al. 2023

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“…In this study in a referral unit in Spain, we con rmed that most of the children seen in our Unit were of Asian origin (96.5%), as previously reported 4 . It was found that the pathologies that led to IA via SN were con rmed in a high percentage of cases, especially when those were major surgical conditions (digestive, cardiac, or palatal malformations).…”

Section: Discussionsupporting

confidence: 87%

International Adoption of Children with Special Needs in Spain

Hernanz-Lobo

Berzosa

Escolano

et al. 2021

Preprint

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International adoption has declined in recent years, although international adoption of children with special needs arises. We aim to describe our experience in international adoption of children with special needs and to analyze the concordance between the pathologies included in pre-adoption reports and the diagnosis made upon arrival. We conducted a retrospective descriptive study including internationally adopted children with special needs evaluated at the reference unit of La Paz University Hospital (Madrid) between 2016-2019. Epidemiological and clinical variables were collected from medical records, and pre-adoption reports were compared to established diagnoses following their evaluation and complementary tests. Fifty-seven children were included: 36.8% females, median of age: 27 months [IQR: 17-39], mostly coming from China (63.2%) and Vietnam (31.6%). The main pathologies described in the pre-adoption reports were hematological (22.6%) and neurological (24.6%). The initial diagnosis that motivated the international adoption via special needs was confirmed in 79.0% of the children. After evaluation, 17.5% were diagnosed with weight and growth delay and 27.4% with microcephaly, not previously reported. Infectious diseases were also prevalent (29.8%). Only 7% provided a complete immunization schedule. Conclusion: According to this series, the pre-adoption reports appear accurate, with a very low rate of new diagnosis. Pre-existing conditions were confirmed in over 75% of cases. Complete evaluation upon arrival, including infectious diseases screening and close follow-up, ideally by experienced multidisciplinary teams in specialized units, is recommended to provide comprehensive care.

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“…11 Medical concerns could include one or more congenital anomaly (because children with birth defects are more likely to be candidates for adoption in international countries), nutritional deficiencies, or infectious diseases. 9,10 In addition, children with disabilities may have feeding challenges or may require specialized diets or additional support at mealtimes, which may be difficult depending on the preadoption environment. 11 Although specific data were not available in our cohort, anecdotal reports from the pediatricians in our institution's international adoption clinic indicate that the proportion of children with complex medical problems at the time of adoption have increased, which may account for the trend seen with lower anthropometric measures over time, although this cannot be clearly attributed to overall health.…”

Section: Discussionmentioning

confidence: 99%

“…Thousands of children are adopted internationally to the United States each year, and it is estimated that only 20% have no special medical or developmental concerns, whereas 60% have at least one mild to moderate problem and 20% have one or more severe problems 11 . Medical concerns could include one or more congenital anomaly (because children with birth defects are more likely to be candidates for adoption in international countries), nutritional deficiencies, or infectious diseases 9,10 . In addition, children with disabilities may have feeding challenges or may require specialized diets or additional support at mealtimes, which may be difficult depending on the preadoption environment 11 .…”

Section: Discussionmentioning

confidence: 99%

Trends in Anthropometric Measurements of Internationally Adopted Children

Hanna,

Hofto,

Orr

et al. 2024

Southern Medical Journal

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International adoption of children with birth defects

Cited by 11 publications

References 8 publications

International Adoption of Children with Special Needs in Spain

International Adoption of Children with Special Needs in Spain

International Adoption of Children with Special Needs in Spain

Trends in Anthropometric Measurements of Internationally Adopted Children

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