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International adoption: a health and developmental prospective
Patrick Mason1, Christine Narad
1International Adoption Center, Inova Fairfax Hospital for Children, Fairfax, VA 22031, USA. Patrick.Mason@inova.com
Insights
Internationally adopted children often face medical and developmental challenges due to their early environments. Early identification and intervention are crucial for their successful integration into new families.
Area of Science:
- Pediatrics
- Developmental Psychology
- Global Health
Background:
- International adoptions provide families with opportunities to adopt children globally.
- Over 150,000 children have been adopted internationally by US families in the last 14 years.
- Internationally adopted children frequently present with medical and developmental concerns.
Purpose of the Study:
- To examine potential medical and developmental issues in internationally adopted children.
- To understand the impact of the prenatal and early postnatal environment on development.
- To discuss mechanisms, including stress, contributing to developmental delays.
Main Methods:
- Review of medical and developmental issues in internationally adopted children.
- Analysis of the impact of early environmental factors on development.
- Exploration of potential mechanisms causing developmental delays.
Main Results:
- Children adopted internationally often exhibit growth stunting, abnormal behaviors, and developmental delays (motor, speech, language).
- These issues are frequently linked to the prenatal and early postnatal environment.
- Stress can significantly impact subsequent development.
Conclusions:
- Healthcare teams must swiftly identify and address medical and developmental concerns in adopted children.
- Understanding expected delays and their causes facilitates effective intervention protocols.
- Intervention strategies are vital for fostering the child's assimilation into their new family.
Abstract:
Adoptions from international countries have become an option for many US families, with over 150,000 children adopted in the past 14 years. Typically, internationally adopted children present with a host of medical and developmental concerns. Issues such as growth stunting, abnormal behaviors, and significant delays in motor, speech, and language development are likely directly related to the prenatal and early postnatal environment experienced prior to adoption. The new family and its health-care team must quickly work to identify and address these issues to aid the child's integration into his or her new family. This article will examine potential issues seen in children who are being adopted, including the impact of early environment on subsequent development. We will summarize early and long-term medical issues and review the extent of developmental delays seen in children adopted internationally. Finally, we will discuss possible mechanisms leading to the observed delays, including the impact of stress on subsequent development. By understanding the extent of expected delays and the mechanisms likely causing the issues, the health-care team will be in a good position to quickly identify and develop intervention protocols that will foster the child's assimilation into his or her new family.
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