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.
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.
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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.
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.
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.
For many years in New York State, adoptees had to obtain the permission of their adoptive parents (unless deceased) to be included in a state-sponsored reunion registry regardless of the age of the adoptee. In some cases, older adults or even senior citizens felt like they were being treated like children, and required to obtain their parents' signature on the form. In a broader sense, they felt it could be inferred that adopted children are always children, and thus second-class citizens subject to discrimination. The law has since been changed.
In nearly all US states adoption records are sealed and withheld from public inspection after the adoption is finalized. Most states have instituted procedures by which parties to an adoption may obtain non-identifying and identifying information from an adoption record while still protecting the interests of all parties. Non-identifying information includes the date and place of the adoptee's birth; age, race, ethnicity, religion, medical history, physical description, education, occupation of the biological parents; reason for placing the child for adoption; and the existence of biological siblings.
Many open adoption relationships have a warmth that comes from having shared a common struggle – allowing yourself to be vulnerable to another human being, responding to that person’s vulnerability, and being committed to a common goal that centers around the best interest of the child. Like all relationships, open adoption will inevitably have peaks and valleys; yet, as people overcome each hurdle, there are opportunities to learn what to expect from each other and ultimately gain confidence in a collective ability to make the relationships work. When it is safe to create meaningful connections for a child, openness in any adoption — however limited — can be a great gift.
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.
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.