Health Aspects of International Adoption

Miller, Laurie C.; Sorge, F.

doi:10.1016/b978-0-323-54696-6.00031-8

Cited by 1 publication

(2 citation statements)

References 39 publications

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“…(see Table 1). It is also rare for adoptive parents to have the medical history for their child's biological family 17 . A prior history of institutionalization is important to note (see below).…”

Section: Introductionmentioning

confidence: 99%

“…Even for a child with a stable caregiving situation, a major medical experience is potentially traumatic and is included by some in risk criteria for the development of PTSD 18 . Frequently, children will have lived in orphanages or at least one foster home 17 . The effects of deprivation and institutionalization experiences have been well described in the adoption literature, with the body of work showing significant and lasting neurobiological impacts, with greater length of institutionalization having a stronger correlation to many behavioral, emotional, and cognitive problems 19 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perioperative care for internationally adopted children: Medical, surgical, and psychosocial considerations for a population of concern

Knipper

Davies

Smith

et al. 2020

Pediatric Anesthesia

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The overall number of international adoptions has dropped in the last 20 years, but a relative increase in the proportion of these children with special and surgical needs has occurred. Cleft lip/palate and anorectal malformations are two common surgical pathologies for internationally adopted children. Internationally adopted children with cleft lip/palate have high rates of speech impairment and frequent need for reoperation, and children with anorectal malformation commonly need multiple reoperations. For both groups, surgery prior to adoption may have actually contributed to morbidity. Both speech impairment and anorectal malformation negatively affect quality of life, independent of adoption. Additionally, internationally adopted children frequently have experienced trauma, single or complex, and institutionalization. Each of these can independently contribute to impaired psychosocial and behavioral development. These children face surgery, sometimes multiple surgeries, while adapting to a new culture, learning a new language, and bonding with a new family. The impact of prior medical experiences without the presence of a caregiver and/or while institutionalized is understudied. The surgical experience and perioperative outcomes within this population warrant research, and clinical coordination between teams may help improve care for this uniquely vulnerable population.

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Section: Introductionmentioning

confidence: 99%