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Dedication
Contents
Introduction
How to Use This Book
Part One - A Realistic Look at Open Adoption
1 The Reasons for Open Adoption
Why Confidential Adoptions Began
The Evolution to Open Adoption
2 Understanding Open Adoption
Competition with Birth Parents
Fear of Intrusion
Birth Parents’ Feelings
Concerns of the Extended Family
Semiopen Adoptions
Working Through Your Fears
The Grieving Process
Meeting New Challenges
Part Two - Moving Toward Open Adoption
3 Readiness for Open Adoption
Accepting and Understanding Adoption
4 Choosing Each Other
Finding Each Other
Meeting Each Other
Learning More About Each Other
Caution Signs
Making a Commitment
5 Getting to Know Each Other
The Birth Father and the Adoptive Parents
Extended Family
Difficult Situations Prior to Placement
Resolving Conflict
Sexual Overtones
The Importance of Support
Evaluating the Relationship
Making a Plan
Anticipating Feelings
Part Three - Birth and Placement
6 Before, During, and After the Birth
The Adoptive Parents’ Preparation
Birth Parents’ Readiness
Final Plans for Labor and Delivery
The Role of Extended Family
Working with the Hospital
Putting the Plan into Effect
After the Birth
Welcoming the Baby
Breastfeeding
Emotional Reactions
Naming the Baby
Interacting After the Birth
The Birth Father
Gifts
Reviewing the Decision
Difficult Birth, Birth Defects, Death of a Baby
An Entrustment Ceremony
Leaving the Hospital
7 Making an Adoption Plan After the Baby’s Birth
Risks in Last-Minute Adoptions
Making the Adoption Plan at the Hospital
Making a Plan Later
Making the Transition
Part Four - The Relationship Grows and Changes
8 The First Year After Placement
Making the Transition
Claiming the Child
Attachment
Entitlement
Coping with Grief
Letting Go
Renegotiating Openness
Change in Control
Disclosing Adoption
Birthdays, Holidays, and Special Occasions
Finalization and Moving On
9 The Open Adoption Relationship Unfolds: Beyond the First Year
Different Types of Relationships
Extended Family Members
10 Changes in Lives, Changes in Openness
Why Changes Occur
Adoptive Parents Who Don’t Honor the Agreement
Opening a Confidential or Semiopen Adoption
Changing the Open Adoption Relationship
Part Five - Children in Open Adoption
11 Growing Up in Open Adoption
The Child’s Relationship with the Birth Parents
Challenges to the Relationship
12 Children’s Questions and Concerns About Adoption
Infancy to Preschool
Preschool Through Kindergarten
The Middle Childhood Years (Ages Seven to Eleven)
Adolescence
Keeping Each Other Informed
When Information Is Not Available
Unreliable Information
Sharing Difficult Information
When Children Don’t Ask
13 Brothers and Sisters in Open Adoption
Before the Adoption
After Placement
Explaining the Adoption Plan Later
When Adoptions Become More Open
Relationships Between Siblings
Conflicting Parenting Styles
When Children Have Joined the Family in Different Ways
A New Baby
Abortion
A Child’s Right to Privacy
Helping Children Feel Comfortable
Part Six - Special Situations
14 When the Birth Parent Decides to Raise the Baby
Reasons that Plans Change
Making the Decision
Blocking the Reclaiming
The Transition
The Emotional Reactions of Adoptive Parents
The Role of Openness
The Birth Parents’ Feelings
The Next Step
Staying in Touch
15 Open Adoptions Within Families, with Older Child Placements, and in Other Situations
Older Child Placements
Kinship or Relative Adoption
Stepparent Adoption
Medically or Developmentally Challenged Children
Transracial Adoption
International Adoption
Surrogacy, Donor Insemination, and Technology-Assisted Conceptions
Getting Help
Afterword
Resources
References
Index
Acknowledgments
Other Books by Lois Ruskai Melina and Sharon Kaplan Roszia
Copyright
About the Publisher
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