When the birth mother has narrowed down her prospective adoptive parents to one or a few families, normally they arrange to meet in person. Good adoption agencies and attorneys do this in a pressure-free setting where no one is encouraged to make an immediate decision. If they are geographically distant from each other (as some adoptions are interstate, with the birth mother living in a different state from the adoptive parents), the first meeting will normally be by phone, then advance to a face-to-face meeting if the meeting by phone went as well as hoped.
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Even if you are not sure whether an open adoption is right for you, most birth and adoptive parents find that speaking and meeting with one another before making a commitment, helps them to decide whether to move forward with an adoption plan. Meeting in person allows the birth and adoptive parents to get to know one another and often provides the birth parent(s) with the confidence of knowing that they have selected the best family for their child. Many birth parents who have ongoing contact with the adoptive family find that receiving information about the child, and knowing that the child is thriving, helps to ease their feelings of loss. Children who are in direct communication with their birth family may come to understand that their birth parent didn’t abandon them but made the decision to place them for adoption out of love for them. Many adopted children also benefit from having a direct connection with another person with whom they have a shared biology. The benefit for adopted persons to obtain updated medical information from genetically related family members is also undeniable. While some adoptive parents fear that an open adoption will confuse their child, ongoing research has not born out that concern.
Prior to adoption, the infant would often be placed in temporary and state-mandated foster care for a few weeks to several months until the adoption was approved. This would also help ensure that he or she was healthy, that the birthparent was sure about relinquishment, and that nothing was overlooked at the time of birth. Nowadays[when?], this practice is discouraged, as it prevents immediate bonding between the mother and child. Also, much better medical testing is available, both prenatally and postnatally. Many children also developed orphanage-type behavior including head banging, rocking and hand flapping. Many adopted adults still retain this rocking behavior especially when tired.
Semi-open adoption doesn't usually involve any post-placement, face-to-face visitation. The children involved don't normally have any direct communication with their birthparents. Like closed adoption, once a child reaches the age of majority in his or her state, they have the option of searching for or being searched for by their biological family. Unlike a closed adoption, those involved in a semi-open adoption usually have access to some basic information that can assist in the search process.
A 1996 study reported in Child Development found that all the children studied “reported positive levels of self-esteem, curiosity about their birthparents, and satisfaction with the openness situation” regardless of whether their adoptions were closed, semi-open, or open. What this seems to mean is that the child's sense of security in his adoptive family is more important than contact with the birth family.