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[Motivations for a consultation before adoption: A multicenter study].

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Summary
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Preadoption consultations increased due to older, sicker children needing international adoption. Most consultations seek medical advice, often concerning Russian children due to complex files and potential fetal alcohol syndrome.

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Area of Science:

  • Pediatrics
  • Public Health
  • International Adoption

Background:

  • International adoptions in France are declining.
  • Adopted children are increasingly older and have poorer health.
  • This trend has led to a rise in demand for preadoption consultations.

Purpose of the Study:

  • To analyze the reasons behind preadoption consultations.
  • To understand the specific needs and concerns of prospective adoptive parents.

Main Methods:

  • Prospective multicenter study.
  • Data collected from January 1 to December 31, 2013.
  • Involved 10 centers and 196 preadoption consultations.

Main Results:

  • Medical advice was the primary reason for 88% of consultations.
  • Consultations frequently involved studying child medical files (32%) or country healthcare (34% identified, 23% unidentified).
  • Russia was a frequent subject (over 40%) due to file complexity and concerns about fetal alcohol syndrome.

Conclusions:

  • Deteriorating health of adopted children increases applicant anxiety.
  • Specialists need significant adoption experience to guide applicants effectively.
  • Providing comprehensive information without influencing decisions is crucial.