Conversely, if they want a confidential adoption, they should not feel unduly pressured into agreeing to an open adoption. Adopters who agree to an open adoption against their wishes may later find it difficult to fulfill their side of the agreement (for example, sending the birthmother letters and photos). This is terribly unfair to both the birthmother and the child. Agreeing to an open adoption when they don't want one is also unfair to the adopters themselves.
But closed adoptions meant that birth parents were left wondering if the child they placed for adoption had grown up healthy and happy with a loving family. They meant that adoptees had no medical history to rely on, nor any answers about the circumstances leading to their adoption. This lack of information made it difficult for birth parents and adoptive families to contact one another if they wanted to meet later on in life, and it made it more difficult for adoptees to form a positive self-identity.
Most US states and Canadian provinces have independent non-profit organizations that help adoptees and their birth parents initiate a search, and offers other adoption-related support. There are also independent and state funded reunion registries that facilitate reuniting family members. The International Soundex Reunion Registry (ISRR) is the oldest and largest. The Salvation Army also provides information in helping those who were born or gave birth in its maternity hospitals or homes (see the external links below). This is a change from previous decades, when nothing was ever released without a rarely given or sought court order.
There are sometimes problems concerning birth mothers and adoption agencies who neglect to make sure the proper paperwork is done on the birth father's part. It is crucial to remember that no child can be relinquished legally without the birth father's consent, except in Utah. He must be given the chance to claim custody of the child. For this purpose, many states have established a Putative father registry, although some adoption activists see these as a hindrance rather than a help.
To be sure, open adoption gets rave reviews from the many social workers and families who champion it. Since the mid-1970s, open adoptions have been widely accepted as more compassionate and enlightened than the secretive adoptions of a previous generation. Indeed, the confidentiality that once defined adoption is no longer the norm. While international adoptions remain mostly closed, as do many public agency adoptions, domestic adoptions increasingly involve contact between adoptive parents and birth parents.
Closed adoptions are rare in the United States, but remain common in international adoptions and were the norm in adoptions in the past, when families usually used an agency to adopt a newborn. The prospective adoptive family would put their name on a list, and wait for the social worker to make a match. The adoptive parents didn't know where the child came from, or who his or her birthparents were. The child might not have even known that he or she came into the family through adoption.