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Decades ago, virtually all adoptions were closed. A closed adoption means that there is no contact whatsoever between the birthparents and the adoptive parents and child after the adoption takes place. In fact, there may also be no contact before the adoption. Nowadays, however, the trend in the United States is toward open adoptions, in which all the parties to an adoption meet and often remain in each other's lives.
From the early 1950s when Jean Paton began Orphan Voyage, and into the 1970s with the creation of ALMA, International Soundex Reunion Registry, Yesterday's Children, Concerned United Birthparents, Triadoption Library, and dozens of other local search and reunion organizations, there has been a grass roots support system in place for those seeking information and reunion with family.
If anything, openness appears to help kids understand adoption; relieve the fears of adoptive parents; and help birth mothers resolve their grief, according to researchers Harold D. Grotevant and Ruth G. McRoy. “Many of the fears about open adoption do not seem to be a problem,” said Grotevant, a professor at the University of Minnesota and co-author with McRoy of Openness in Adoption: Exploring Family Connections.
Some (not many) agencies encourage a complete disclosure of identities between birthparents and adopting parents, as well as an ongoing close relationship. Agencies that support fully open disclosures believe that an open adoption is a better way for both adoptive parents and birthparents—as well as the children. Agencies that don't support open adoption feel just as strongly that continued contact is not a good idea for any of the parties.
No, American Adoptions has established relationships with some of the best adoption attorneys in the nation. Because adoption laws vary from state to state and between counties, it is important to utilize the services of an adoption attorney who specializes in the state where the adoption will finalize, which is unknown until you match with an expectant mother. You have the right to retain your own attorney, but doing so may be an additional, unnecessary expense.
In some states, (North Carolina, Georgia, Virginia) the city and county of the adoptee’s birth is changed on the amended birth certificate, to where the adoptive parents were living at the time the adoption was finalized. Often, the states will not give the adoptee the correct location of their birth. Some adoptees have been denied passports for having incomplete birth certificates. The hospital may also be omitted on the amended birth certificate, especially if it primarily serves unwed mothers. In the United States, many such hospitals were run by the Salvation Army, and named after its founder, William Booth. By the mid-1970s, all of these hospitals had closed due to high costs and the reduced need for secrecy, as the social stigma of having a child out of wedlock in America had decreased. More and more mothers were raising their child as a single parent (often with the help of the newly created institution of government welfare).
Many birth mothers do more than just meet the adoptive parents once before the birth. If they live close enough to each other it is not uncommon for the birth mother to invite the adoptive mother (or adoptive father too if the birth mother wishes) to come to her doctor appointments. This may allow all parties to the adoption a chance to bond. Adoptive parents may be present for the delivery if that is the birth mother's wish.
Although practices vary state by state, most adoptions start with the birth mother reviewing dozens of adoption profile books  or online profiles of prospective adoptive parents. Usually, these are adoptive families who have retained that agency or attorney to assist them in the adoption process. Most US states permit full openness not just regarding identities, but also personal information about each other. Just as the adoptive parents want to learn about the birth mother's life and health history, so does the birth mother want the same information about the people she is considering as the parents for her child.
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Open adoption is a form of adoption in which the biological and adoptive families have access to varying degrees of each other's personal information and have an option of contact. While open adoption is a relatively new phenomenon in the west, it has been a traditional practice in many Asian societies, especially in South Asia, for many centuries. In Hindu society, for example, it is relatively common for a childless couple to adopt the second or later son of the husband's brother when the childless couple has limited hope of producing their own child.